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Patients & Visitors

What is price transparency?

Price transparency is Fayette County Memorial Hospital’s commitment to making information on the cost of health care services transparent and assist patients in determining what their anticipated cost will be based upon the patient’s specific insurance type and plan. Our dedicated Financial Counseling Team is here to assist you by gathering a patient and encounter specific estimate for any service rendered.

Price Transparency is a dedicated plan to assist policymakers and others to hold health care providers accountable for setting fair prices. Fayette County Memorial Hospital is committed to sharing information that will help you make important decisions about your healthcare plans.

Prices for the same health care service can vary drastically across providers, facilities or demographic area. It can be difficult for consumers or patients to get information to compare anticipated services based on both price and quality.

Can I get an estimate?

Yes. Please contact our Financial Counselors at financialcounselors@fcmh.org or call (740) 333-2725 for an estimate of the care you may require, based on the specific services ordered by your doctor and your insurance coverage.

Chargemaster vs. What You Actually Pay

As required by federal regulation, FCMH has posted its Chargemaster (a complete list of our hospital charges). This file includes charges for all items and services provided by our facility. Providing meaningful information to our patients about their healthcare costs has long been a goal of our hospital.

Understanding the actual cost for healthcare services is complicated, and not as simple as referencing the charges listed in the above Chargemaster file.

The amount of money you will be responsible for paying is generally determined by your insurance coverage or managed care company, not by the hospital. Also, all doctors, hospitals or services may not be covered by your plan. Unfortunately, we do not have this information available to us before you receive care from our hospital unless you request a comprehensive estimate. Your best source for information about what you will have to pay will come from your insurance company. By requesting an estimate with an FCMH Financial Counselor, we will be able to reach out to your insurance carrier in advance and work in conjunction with them to provide you the best quote possible.

Medicare, Medicaid and the Uninsured

Medicare and Medicaid pay hospitals according to a set fee schedule. It represents a significant discount from a hospital’s billed charges. Numerous factors, such as co-insurance and deductibles, affect your own financial responsibility. A summary of Medicare patient payment requirements is provided at www.Medicare.gov.

If you have no insurance coverage at all, our hospital provides discounts, needs-based financial assistance and partners with various organizations to work on covering your healthcare cost based on qualifying needs. You can review our policies and download an application [application attached]. Our Financial Counselors are here to help you determine the type of assistance you may qualify for and assist in establishing an affordable payment plan.

Multiple Physician Billing

During your stay, you may receive services from individuals or companies not employed or owned by Fayette County Memorial Hospital. For example, the law requires that a licensed radiologist review your radiology exams and advise your physician of their findings. Radiologists are not employed by our facility; therefore, you will receive a bill directly from their office for their services. These charges will not be included in your bill from our hospital. Even if our hospital is in your insurer’s network, it is possible that individual doctors or other providers are out-of-network. Independent providers contract with insurance companies directly, apart from our hospital’s contracts. Your insurance carrier can also inform you which providers are in-network on your plan and will be able to provide estimate of their coverage for these services.

It is our goal to make you aware of any charges that will be billed to you separately by other providers. If your doctor orders services such as radiology, advanced lab testing, or anesthesia a separate provider fee may be assessed. Feel free to ask our staff for assistance in determining cost.

Disclaimer

The information on this page is intended to meet the requirements of The Centers for Medicare & Medicaid Services (CMS) final inpatient prospective payment system (IPPS) rule (see pages 2135-2142) for federal fiscal year 2019. The IPPS rule contains a transparency provision that will be effective Jan. 1, 2019. The prices included on this website may not reflect the most current charge items or charge amounts of this facility as additions and changes are frequently made to the listing. Therefore, these charges may not be representative of the charges you will receive on your bill for services provided by our facility. CMS requires that hospitals update the charge transparency data at least annually. This data was last updated January 14, 2018.

The detailed Chargemaster information on this site is intended only to meet federal requirements and for informational purposes only and should not be used solely when making healthcare decisions.

The information on this page contains only charges on Fayette County Memorial Hospital’s Chargemaster and may not include all related charges for physician office fees, clinic charges, radiologists, pathologists and other services provided in conjunction with our hospital services.