PRICING ESTIMATES AND INFORMATION - INSURED PATIENTS

Prior to your call, it is important that you contact your insurance company to ensure that the services required are "covered services". In the event that they are not a covered service under your plan, please refer back to our "Uninsured" information below. The hospital’s charges are the same for all patients, but a patient’s responsibility may vary, depending on the discounts negotiated with individual health insurers. The price list does not include these discounts. Uninsured or underinsured patients should consult with our Financial Assistance Office staff to determine whether they qualify for discounts.

You will also need to contact your physician's office to get a specific diagnosis or procedure description.

When you call our CFO, please have the following information available, so that we can provide you with the most accurate estimate possible:

• Description of services needed - we will need to know as much information as possible about the specific services as described by your physician.
• Type of Services needed - we need to know if you will be admitted to the hospital as an inpatient overnight, or if you are expected to be treated on an outpatient basis.
• Physician/Specialist Name - example, if you are having surgery, we will want to know the surgeon's name.
• Your Insurance Card - please have your card available so that if needed, we can get the following information from you: name of insurance company, type of policy (e.g. HMO, PPO, POS, Indemnity), policy holder's name, group name and number, policy number, insurance company phone number.
• Policyholder's Personal Information - it is possible that the insurance company will want us to verify the Social Security Number and date of birth of the person who is named as the primary insurance policyholder.

During your call, we will attempt to verify your specific insurance benefits to provide the most accurate representation of your estimated financial obligation based on your specific coverage.