Beginning January 1, 2019, the US Department of Health & Human Services and Centers for Medicare & Medicaid Services are requiring hospitals and health systems to post their current, standard charges.
Hospital charges are the amount a hospital bills an insurer for a service. For most patients, hospitals are reimbursed at a level well below charges. Patients covered by commercial insurance products have negotiated rates with hospitals. Patients covered by Medicare or Medicaid programs have hospital reimbursement rates determined by federal and state governments.
Hospital charges may include bundled procedures, personnel, services and supplies. An example would be room rates that include the space, equipment, nursing personnel and supplies. For this reason posted prices may or may not be comparable as they might not include the same procedures and/or supplies.
When a patient has the opportunity to shop for medical services, he or she should contact his or her own insurance carrier to understand which costs will be covered and which will be the patient’s responsibility.
Please click here to view Hospital Charges, and here to view Pharmacy charges. You can also click on the Documents link to the right. Patients with questions regarding charges should contact the Pre Encounter Team at Lakewood Health System at 218-894-1050.