Pricing Estimates and Information - Insured Patients
Obtaining an Estimate
In order to provide insured patients with the most accurate estimate based on your specific plan coverage and prospective services, please contact our Chief Financial Officer (CFO) at (575) 374-7008 and we will be happy to assist you. Our price lists will be updated at least annually or more frequently if pricing changes.
Prior To Your Call
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.
Your Hospital Bill
This is how our billing process usually works. A claim will be sent to your insurance company shortly after your services are complete.
After your insurance company receives the claim, the insurance company may contact you for additional information. Please respond to your insurance company's questions as quickly as possible so their payment to us is not delayed.
It usually takes 30 - 45 days for your insurance company to pay your claim. After your insurance company pays us, we will provide you with information about any amount you may still owe.
Please keep in mind that your policy is a binder between you and your insurance company. If you did not follow your insurance plan's terms, they may not pay for all or part of your care.
The resource for patient financial information
Pricing Estimates and Information
Clayton Health Systems, Inc. d/b/a Union County General Hospital and affiliated clinics is committed to providing meaningful information to our patients related to financial obligations for healthcare services. It is our intent with this website to publish our Financial Assistance policies. In order to provide you with information that is helpful based on your personal healthcare coverage, we must first differentiate between patients with some form of insurance or Governmental coverage, like Medicare or Medicaid, and patients without insurance or coverage.
Unless you have some form of healthcare coverage, click uninsured.
Clayton Health Systems, Inc. makes no guarantees regarding the accuracy of the pricing information provided herein. The pricing information provided by this website is strictly an estimate of prices, and Clayton Health Systems, Inc. cannot guarantee the accuracy of any estimates. All estimates are based on information provided by a prospective patient and do not include, among other things, any unforeseen complications, additional tests or procedures, and non-hospital related charges, any of which may increase the ultimate cost of the services provided. Any prospective patient should understand that a final bill for services rendered at Clayton Health Systems, Inc. may differ substantially from the information provided by this website, and Clayton Health Systems, Inc. shall not be liable for any inaccuracies. Consumers can access a number of government and private websites, which provide additional information on hospital’s charges and quality, through the internet. The American Hospital Association and your state Hospital Association may also have valuable information to help you understand healthcare pricing.