Beginning January 1, 2019, hospitals must post a listing of their “standard charges” on their facility websites. 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, Covenant Health has posted our hospital “standard charge” listings on the facility pages of our member hospitals’ websites.
The amounts on the “standard charge” listing are the gross charges for a medical service or procedure. They are not the amounts patients with or without insurance pay, or that Medicare or other Federal and commercial payers pay.
Patients and insurance companies always pay a significantly discounted amount compared to standard charges. 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. Your actual cost is determined by the price agreements between hospitals and insurance companies, and by your insurance plan benefits.
The “standard charge” listings are Covenant Health facility charges only. Please contact the Covenant Health facility that will be providing your care if you would like a personalized estimate of what you might expect to pay for your out-of-pocket cost.
The services you receive in our facilities are provided by Covenant Health as well as by other health care providers (such as physicians and other practitioners). These providers typically bill patients separately; their fees are not part of the “standard charge” listing.