Estimate only - Pricing Does Not Reflect Your Actual Costs

The patient-share estimates generated using Ascension's price estimator are estimates of your costs and are not contracts or guarantees of the actual costs for the services that may be provided to you. Your final out-of-pocket costs may be greater than the amount in any estimate generated using Ascension's price estimator. Estimates generated using Ascension's price estimator are calculated based on the healthcare services, hospital location, and health plan you select, along with any deductible, coinsurance, and out-of-pocket cost information you input into Ascension's price estimator.

Similarly, each Ascension hospital’s pricing file is a snapshot of the hospital’s pricing and is not a contract or guarantee of the actual costs for the services that may be provided to you. The pricing in each pricing file reflects the hospital’s standard pricing, and your final charges and out-of-pocket costs might exceed the amount set forth in the pricing file. The pricing in the pricing files is based on the healthcare services, hospital location, and health plan you select.

A hospital visit or encounter might include multiple items or services and may vary from patient-to-patient for the same primary service depending on any complications, length of stay, or services provided due to the patient's health status. Your actual costs may vary depending upon the hospital location, the actual services provided, variation in complexity, and timing of other outstanding payments affecting your deductible or out-of-pocket costs. You are encouraged to consult with your insurance provider to confirm your payment responsibilities, deductibles, and other details of your insurance. In addition, you may incur other charges from physicians and other providers separate from the hospital charges for the services identified in any estimate generated using Ascension's price estimator. The other charges could include pathology, radiology, anesthesia, emergency care, and other physician or surgeon charges. Physician-related charges are billed directly by your physician, and other third-party charges (charges for services by providers other than the hospital and your physician) are billed directly by the third-party provider.
 

Machine-Readable File Description

The pricing files display the hospital's gross charges, discounted cash prices, payer negotiated rates, and minimum and maximum payer negotiated rates. The hospital may have payer negotiated rates for services or service packages that are not included in the hospital's chargemaster. If the hospital's chargemaster does not include a service or service package, the applicable gross charge and cash charge cells will be blank. If a payer does not have a negotiated rate for the applicable service, the applicable cell will be blank.
 

Financial Assistance

From payment options and guidelines to insurance programs and financial aid, Ascension is here to assist you. If you do not have health insurance or are unable to pay your balance in full at time of service or discharge, you may be eligible for our financial assistance program. Upon your request, Ascension will help determine whether you qualify for financial assistance – a service provided to you at no cost. Please visit Financial Assistance or contact one of our financial counselors at 833-999-1089 to learn more about this program. You may download the financial assistance form and bring with you when you meet with a counselor. Assistance is provided based on income and household size. Ascension provides healthcare services without regard to race, creed, color, sex, age, national origin or disability.
 

Prices subject to change

The prices in any estimate generated using Ascension's price estimator are subject to change at any time without notice.
 

Subject to medical necessity

Nothing in Ascension’s pricing files or any estimate generated using Ascension's price estimator means the selected services are medically necessary or appropriate. Ascension may refuse to provide any services that are not medically necessary or appropriate or violate our Ethical and Religious Directives.
 

Prior authorizations; personal financial obligation

Ascension has not obtained any prior authorization or referral that may be required by your health insurance plan for any services identified in Ascension’s pricing files or any estimate generated using Ascension's price estimator, and Ascension has not contacted your insurance provider to confirm the costs that will be covered by your insurance plan. You are responsible for

• getting any prior authorizations and referrals that your health insurance plan requires;
• contacting your insurance provider to confirm the costs that will be covered by insurance and any costs for which you will be personally responsible for paying;
• any personal financial obligation for all charges for services performed by Ascension and any other provider whose services are related to or associated with those services; and
• promptly paying any costs not covered by your insurance company.

Definitions and additional information

If you have insurance coverage, your financial responsibility is determined by the contract between the hospital and your insurance company, and the specific coinsurance, and deductible obligations you have under your insurance policy. Below are brief descriptions of some of the key terms used in Ascension’s pricing files and in estimates generated using Ascension's price estimator.

1. “Copayment/Copay” is a specific dollar amount you pay to receive services such as office visits. This amount is owed regardless of your deductible or out-of-pocket maximum.
2. “Deductible” is the amount you pay each year before your health insurance plan begins paying claims. Copays are not included in your deductible.
3. “Coinsurance” is the amount (usually a percentage of the in-network rate) you are responsible to pay after you have met your deductible.
4. “Out-of-Pocket Maximum” is the maximum dollar amount you will pay per year before the plan begins paying covered expenses at 100%.
5. “In-Network Rate” is the rate the applicable hospital has negotiated with the health insurance plan you selected.
6. “Out-of-Network Rate” is the allowed amount of reimbursement the health insurance plan you selected allows for the applicable hospital when the hospital is not a participating provider with the health insurance plan you selected.
7. “Estimated Insurance Coverage” is the estimated amount of the in-network or out-of-network rate that will be paid by your health insurance plan. 
8. "Your Estimated Price” is the estimated amount of the in-network or out-of-network rate for which you will be personally responsible for paying.
9. “Minimum Negotiated Plan Price” is the lowest rate the applicable hospital has negotiated with all health insurance plans for the applicable service.
10. “Maximum Negotiated Plan Price” is the highest rate the applicable hospital has negotiated with all health insurance plans for the applicable service.
11. “Self-Pay Price” is the rate the applicable hospital charges patients who do not have insurance.
12. “Gross Charge” is the charge for an individual item or service that is reflected on the hospital's chargemaster, absent any discounts.
13. “Discounted Cash Price” is the charge that applies to an individual who pays cash (or cash equivalent) for a hospital item or service.
14. “Insurance Plan Rate” is the rate the hospital has negotiated with the applicable health insurance plan.
15. “De-Identified Maximum Negotiated Charge” is the highest charge that a hospital has negotiated with all insurance providers for an item or service.
16. “De-Identified Minimum Negotiated Charge” is the lowest charge that a hospital has negotiated with all insurance providers for an item or service.

Compliance with price transparency rules

Ascension's easy-to-use price estimator is intended to comply with the CMS price transparency rules set forth at 45 C.F.R. § 180.60. To access payer-specific negotiated rates, please select the applicable insurance payer and plan in this price estimator. To access the discounted cash prices, please select the "Proceed Without Insurance" option under the insurance payer drop-down menu. The minimum and maximum payer negotiated rates are included in all estimates generated using Ascension's price estimator. The machine-readable price transparency files are intended to comply with the CMS price transparency rules at 45 C.F.R. § 180.50.
 

Other terms

Ascension’s Terms of Use apply to Ascension’s price estimator and machine-readable files and your use thereof, except to the extent prohibited by law. As noted in the Terms of Use, you may have a registered account with Ascension, but no account or personal information is needed to use Ascension’s price estimator or machine-readable files.