The Centers for Medicare and Medicaid Services (CMS) and the Affordable Care Act (section 2718(e) of the Public Health Service Act) requires hospitals to publish a machine-readable list of their standard charges. The hospital's charge master, as this list is commonly known, is a comprehensive listing of the standard prices established by the hospital for individual services and supplies and may be accessed below. The charge master should not be used to estimate a patient's actual cost of care.
There are several things you should know when you are determining your financial responsibility for your hospital services.
For patients with health insurance through your employer, individual insurance marketplace or the healthcare exchanges:
Commercial insurers negotiate rates with hospitals on behalf of their members. The rates vary among insurers.
Several factors can affect the amount a patient owes to a hospital, including the type of plan you have, the amount your insurance benefits require you to pay for co-pays, deductibles and co-insurance.
Generally, the amount you pay will be less if your hospital and physicians are in-network with your health plan.
Be sure to review your benefits plan to understand all of the factors affecting your financial responsibility.
For patients with Medicare & Medicaid:
The government determines how much it will pay a hospital for services provided to Medicare and Medicaid patients. The government also determines a Medicare or Medicaid patient's out-of-pocket payment amounts (deductibles and co-insurance), if any.
Medicare Part A generally pays for inpatient hospital services. Some other services received in the hospital, such as physician services, emergency and outpatient care may be paid by Medicare Part B. Medicare Advantage plans are offered by private insurance companies that are approved by Medicare to provide both Part A and Part B benefits. Medicaid programs are required to cover all inpatient and outpatient services, among other things.
For individuals who do not have insurance, carry out-of-network insurance, or who receive services their insurance does not cover:
Our hospital offers a variety of financial assistance programs, including charity care and discounts for uninsured individuals.
We also provide eligibility screening services that can help identify the availability of resources to cover medical services, such as Medicaid.
Why costs may vary:
The cost estimates provided may be different from your actual costs for several reasons, including but not limited to:
your unique medical services/treatments and the decisions made by you or your health care provider as to what services you will receive; if the services you receive are different from or in addition to the services selected during the estimation process.
location of where your services are received differs from what is selected during this estimation process.
if your year-to-date benefit information changes between the time you receive this estimate and the time at which you receive care.
if your healthcare provider's contract with your insurance carrier changes.
I HAVE READ AND UNDERSTAND THE ABOVE LIMITATIONS AND I FULLY UNDERSTAND THIS IS ONLY A GOOD FAITH ESTIMATE.
The 2022 Standardized Charges for services for Dimmit Regional Hospital can be downloaded below by clicking the Download button.
Price Estimate Tool coming soon.