Patient Pricing Data

December 31, 2018

Patient Pricing Information

Patient Accounts Department
Contact: 620-343-6800 extension 21153

Understanding pricing and charges

Newman Regional Health understands that hospital pricing and charges can be complex and difficult to understand. With many different factors influencing pricing and charges, we are committed to providing patients and family members information to help understand hospital charges.
Federal law requires hospitals to charge the same amount for the same service or supply provided to each patient as a condition of participation in the federal Medicare program. What a patient owes for a hospital procedure or service can vary greatly, depending on health insurance coverage, eligibility for state or federal programs, and each individual’s own personal situation.
To view our hospital charge list or estimate out-of-pocket expenses, click here 

Financial Assistance, partial payments, uninsured

There are a variety of financial assistance options available that may help pay all or a portion of your hospital charges.

Please call 620-343-6800 extension 21153 and speak with a financial counselor to discuss the options that may apply to your personal situation.

Newman Regional Health applies a 20% discount to uninsured patients. In order to apply for Financial Assistance from Newman Regional Health, please download and complete the proper form below and contact one of our financial counselors to review your case:
ENGLISH Form – Download PDF
SPANISH Form – Download PDF

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.

Hospital pricing resources

These guides from the Healthcare Financial Management Association are designed to help consumers understand where to get answers to their questions about health care prices, compare prices among providers, and manage their out-of-pocket costs.

Understanding Health Care Prices
Comprensión de los precios de la salud
Avoiding Surprises in Your Medical Bills
Cómo evitar sorpresas en sus facturas médicas

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.
  • All professional charges (surgeons, radiologists, anesthesiologists, pathologists, and emergency room physician, etc.) are billed separately and are not included in the average charges shown.

Connect With Us

Newman Regional Health
1201 W 12th Avenue
Emporia, KS 66801
620-343-6800
Newman Medical Plaza
1301 W 12th Avenue
Emporia, KS 66801