Patient Pricing Information
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.
How to get an estimate of out-of-pocket costs
Please note that this is an estimate of the charges for services listed. The Estimated Patient Payment is based on information from your insurance company and current pricing, Additional charges may apply if your physician changes the ordered services. This estimate does not include durable medical equipment, physician, surgeon, anesthesiologist, pathologist or radiologist services. Those fees are billed separately by their respective billing agents and are not covered by any discount offer or estimate.
If you are unable to pay the Estimated Patient Payment, please do not cancel any service that your doctor has ordered or scheduled. Our Financial Counselors will assist you in evaluating payment options or applying for financial assistance.
A medical emergency is defined as a sudden and unexpected sickness or injury. In the absence of immediate medical attention, a reasonable person could believe this condition would result in death, placing one’s health in jeopardy, serious impairment of bodily functions, serious dysfunction of any body part or organ, serious jeopardy to the health of a fetus. If you believe you have a Medical Emergency, report to an Emergency Room immediately or call 911.
Financial Assistance, partial payments, uninsured
Newman Regional Health offers a Financial Assistance Program, which requires the patient to complete an application. We also offer monthly payment options. We encourage the patient or guarantor to contact our Patient Accounts department to discuss the best option for them.
Payment plans, please call (620) 343-6800, ext. 21153
Financial Assistance applications, please call 620-343-6800 ext. 25114
Please read through the application forms prior to calling.
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.
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.