ESTIMATED PRICING INFORMATION
Questions?Call Us, We are happy to help
Call (979)242-2111 for our CFO
Call (979)242-2390 for our Patient Account Services Director
Or (979)242-2200 and ask for Patient Accounting Services to speak to a representative
St. Mark's Medical Center is committed to pricing transparency for our patients. We offer payment plans, financial assistance, and self-pay discounts. The Patient Financial Services office at St. Mark's Medical Center offers a full range of support for patients. We understand that billing and collections for health care services can be confusing. Our team of billing and insurance specialists are committed to make the process as simple and as efficient as possible.
Beginning January 1, 2021, hospitals must post a listing of their "standard charges" and all payor negotiated rates on their facility websites, as well as a list of "shoppable services" as defined by CMS. This new requirement is from the Centers for Medicare and Medicaid Services (CMS), which regulates many aspects of healthcare operations in the U.S. As a service to our communities and to meet CMS guidelines, St Mark's Medical Center has posted these files, which you can access via the link 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 as well as individual copays, deductibles, coinsurance, etc. These price lists include payor specific rates, but do not include patient level information.
Prior to you calling or sending an online inquiry, it is important that you contact your insurance company directly if you have health insurance, to ensure that the services required are "covered services" and also to understand what your financial obligation will be. Uninsured or underinsured patients should consult with our Patient Account Services staff to determine whether they qualify for discounts. Also, if you have insurance, higher gross charges at one facility compared to another may not affect the amount you owe in deductibles, co-pay, co-insurance and out-of-pocket maximums.
Also, the price lists do not include physicians' fees from emergency physicians, emergency transport, surgeons, anesthesia providers, radiologists, pathologists or other professional fees. Your physician's office will bill you separately for services and should be able to give you pricing information if you call their office directly. Prices also do not include charges for anesthesia, drugs, supplies, or additional testing, services or procedures ordered by your physician. Your final bill will vary depending on the actual services provided, existing health conditions that may impact your care (such as obesity, diabetes or smoking), and your insurance coverage, if you are insured.
Please contact us if you would like a personalized estimate of what you might expect to pay for your out-of-pocket cost.
Pricing Estimates and InformationIn 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 (979) 242-2111 or use this Button below to send a request to our hospital. We will be happy to assist you. Our price lists will be updated at least annually pricing is subject to change in between the annual update.
Helpful information to have handy prior to calling:
So that we can provide you with the most accurate estimate possible please have available:
Description of services needed - Contact your physician's office to get the specific procedure/services description as directed by your physician & your specific diagnosis. This is needed to see what your insurance will likely cover.
Type of Services needed - we need to know if you will be admitted to the hospital as an inpatient, or if you are 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 policy holder.
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 BillThis 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.
What is not included in our estimatesThe estimates provided are only related to your hospital bill. Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists, and radiologists.
Independent laboratory and radiology services will also bill you separately for reading and interpreting EKG's, X-rays, EEG's and lab work. If you have questions about those bills, please call the number printed on their statements.
Pre-RegistrationWhen you have made an informed decision and are ready to proceed with services at our facility, you should contact your physician's office to ask to have your service scheduled.
Pre-registration is available to all scheduled patients prior to the date of service and expedites the admission process. All registration information will be obtained over the telephone.
When you arrive at the facility, you will be required to provide your identification, finalize financial arrangements and sign a few forms before going to the department.
Payment at Time of ServiceSimilar to your visits to your physician's office, we will ask you for your copayment, coinsurance and/or deductible payment at time of your services based on your specific insurance benefits. We accept major credit cards, checks, money orders and cash.
DISCLAIMER:Because our goal is to provide consumers with helpful information, we feel it is our responsibility to explain some of the complications involved in determining a patient's bill. Providing you with an estimate of your potential costs is an imperfect process and although we would like to guarantee our pricing estimates, it would be inappropriate to do so. You see, when you have services at our facility, your costs may be less or more than what we estimated for of a number of reasons. All estimates are based on information provided to us by a prospective patient and we compare that information to our hospital's historical pricing for comparable services. We cannot predict or estimate for changes in treatment decisions, unforeseen complications, and additional tests or procedures ordered by a physician, among other things. If you have further questions on our standard charge master prices, please call our Chief Financial Officer at (979)242-2111.
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