Under the Affordable Care Act and guidelines established by the United States Department of Health and Human Services, each hospital operating within the United States must make public on the Internet in a machine-readable format a list of the hospital’s standard charges for items and services provided by the hospital and the hospital’s standard charges for each diagnosis-related group (“DRG”), updated annually. The hospital’s “chargemaster” is a comprehensive listing of the standard prices established by the hospital for individual services and supplies provided by the hospital and may be accessed below. The hospital’s average charges for each DRG may be accessed below.
Since payment rates for hospital care provided to insured patients are either negotiated with health plans, set by the federal government for Medicare or set by state governments for Medicaid enrollees, the payments hospitals receive for patient care do not necessarily reflect the prices reflected in the chargemaster or the hospital’s average DRG charge. Further, uninsured patients are not generally expected to pay the hospital’s standard charges as reflected in the chargemaster and may be eligible for financial assistance.
Suppose you have private insurance and are interested in understanding your “out-of-pocket” costs for the care you receive at the hospital. In that case, we encourage you to contact your health insurance company because it is in the best position to help you understand your healthcare financial obligations. For patients with Medicare or Medicaid or without insurance, you may contact the hospital’s financial services department for estimates or additional information.
- Please click here to access North Central Surgical Center Shoppable Services (opens in new tab).
- Please click here to access North Central Surgical Center Standard Charges.
For any assistance regarding this information, please call (214) 265-2810.