At NMC Health, we set our price for a service, or a set of services, with the use of a master list of services and prices. We call this list our “Chargemaster.” This list includes the price of each service performed and the materials used in your care as our patient. These services and materials are also listed in your hospital bill.
The prices listed in our Chargemaster are the same for all patients of the hospital, no matter the insurance program or coverage. Still, these prices do not reflect the price you may pay.
Government insurance plans, like Medicare and Medicaid, do not pay the Chargemaster prices. These types of government insurance plans set their own prices that hospitals are required to accept.
Also, health insurance companies pay a price that is based on a contract. If you are insured, a portion of the prices may be applied to your out-of-pocket expenses that include deductibles, copayments and coinsurance as outlined by your insurance policy.
The following services charged to you may include:
- Services or procedures that are done on an inpatient or outpatient basis
- Physician orders for treatment based on his/her examination of you
- Surgical services/procedures
- Treatment in the emergency department
- Lab, imaging or other tests
- Medications and supplies used in your treatment
- Room and board
- Therapies, such as physical or respiratory
- Imaging services
- Lab services
- Anesthesia services
Health Insurance Contracted PricingSince NMC Health is committed to empowering you with the necessary information needed to make informed healthcare decisions, we are also providing you with clear and accessible insurance pricing information about the items and services we provide. This data is made available to you in the follow two pricing formats, however, neither format is a guarantee of final billed charges:
NMC Health offers discounted cash prices on a number of services through our partnership with MDsave. MDsave bypasses filing claims to insurance companies by allowing access to transparent upfront prices ensuring quality care at a single price.
Price transparency makes it easier for you to shop online and compare overall prices across hospitals and insurance companies. To obtain a personalized estimate for services, or for a better understanding of your insurance coverage, contact our business office directly at 316.804.6255.