Patient Pricing & Cost Estimator

Patient Pricing Information

Understanding out-of-pocket costs

• The financial counselors at Newman Regional Health can help you estimate your healthcare costs that will take into consideration various discounts, deductibles, co-pays and other factors.  Estimating total expense is a complex task and may be required for different procedures, visits, tests, and treatments.
• If you are covered by Medicare, Medicaid, or a private insurance plan they establish your cost-sharing obligations.
• Your payer is the best source of information on what your individual cost will be for a given service.
• If you wish for Newman Regional Health staff to help you estimate your out of pocket costs, please call 620-343-6800 extension 21153 and ask to speak with a financial counselor.
• This process may need to be repeated, as the course of your care and the status of your deductible obligation may change during this process.

Patients with health insurance

• Health insurance will pay for many of your health services, but not all of them.
• Begin by contacting your insurance company to understand your insurance policy’s deductible, co-payment, coinsurance, and maximum out-of-pocket levels.
• Double-check the network status, this will help you avoid out-of-network penalties.
• Obtain pre-certification or referral approvals prior to your hospital service as some insurers require this to avoid your policy’s penalties and additional charges.
• Insurance companies contract with hospitals to negotiate various discounts not reflected in the hospital charge list. If an insurance company is not in-network/contracted with Newman Regional Health, this will result in a higher out-of-pocket expense.

Patients with Medicare

• Medicare will pay for many of your health services, but not all of them. Medicare does not pay hospitals based on charges, but instead pays according to pre-established rates depending on the services you receive. Your Medicare deductibles and coinsurance are also pre-established based on the services you receive.
• If you have a Medicare supplemental insurance policy, it may pay all or a portion of your Medicare deductibles and coinsurance.
• Special rules apply if you or your spouse has health insurance coverage through an employer.
• Special rules also apply if you have coverage through a Medicare Managed Care plan.
• Contact your Medicare Managed Care plan to understand your deductible, co-payment, coinsurance and maximum out-of-pocket levels.
• To avoid out-of-network penalties, check to see if you are required to use hospitals that are in the Medicare Managed Care plan’s network.
• You can contact Medicare at www.medicare.gov.

Patients with Medicaid or Medicaid Managed Care plans

• Medicaid will pay for many of your health services, but not all of them. Medicaid does not pay hospitals based on charges, but instead pays according to pre-established rates depending on the services you receive.
• A few services have minimal pre-established co-pays that are your responsibility to pay. Co-pays will not apply if you are in a Medicaid Managed Care Plan.

About Standard Charges

• Our hospital charge list is a snapshot of prices representing our best information at this time.
• Some prices listed do change periodically throughout the year depending upon market conditions. These prices are determined at the time of service.
• Because each person’s health needs are different, the average charges shown will depend on the individual’s specific situation. Each patient’s circumstances are different, and a patient’s charge will not necessarily be the same as the average charge.
•  “Charge” is not the same as what you may owe. “Charge” is the amount billed for a service. A patient’s amount due is based on insurance coverage, copay, and co-insurance. To estimate what you may owe for services, click here
• All professional charges (surgeons, radiologists, anesthesiologists, pathologists, and emergency room physician, etc.) are billed separately and are not included in the average charges shown.