Charges
Current Established Charges for Service
Horizon Health provides pricing information online to help you make informed healthcare decisions.
We understand the insurance process can be confusing. That’s why it’s important to plan in advance and review your insurance plan.
Understanding what portion of the costs will be your responsibility can help you and your family plan effectively for the cost of your care. Most insurance plans do not cover 100% of your hospital stay or other visits. To better understand your coverage, talk to your insurance provider.
Note that out-of-pocket costs vary from patient to patient based upon each patient's clinical need and specific insurance coverage. The amount you actually pay will depend upon your insurance plan's deductible and coinsurance obligations, if any.
For a personalized estimation on a service, visit Up-Front Cost Estimates.
Standard Charges
Standard Charges are charges for inpatient and outpatient services. However, it is important for you as the patient to understand that standard charges should be considered only a starting point for estimating what costs you may incur.The link below provides access to all chargeable items and services provided by Horizon Health for our hospitalregistered inpatients and outpatients. In accordance with federal requirements, each item and service include the following standard charges:
- Gross charge: The charge for an individual item or service that is reflected on our chargemaster without any discounts. Our patients do not pay this amount.
- Discounted cash price: The charge that applies to an uninsured individual who pays for a hospital item or service. A patient or guarantor must apply for the uninsured/discounted cash price discount within 60 days of the date of service.
- Minimum negotiated charge: The lowest charge that we have negotiated with all third-party payers for an item or service.
- Maximum negotiated charge: The highest charge that we have negotiated with all third-party payers for an item or service.
- Payer-specific negotiated charges: The charge that we have negotiated with a specific third-party payer for an item or service.
Shoppable Services
Below is a patient friendly “shoppable” database. This includes
tests or procedures you can schedule ahead of time, usually on an outpatient
basis. The link includes our standard charges for up to 300 shoppable
services. Each is grouped with ancillary charges that are customarily
provided by the hospital in conjunction with the shoppable service.
In accordance with federal requirements, each 'shoppable service' is displayed with the following standard charges:
- Discounted cash price: The charge that applies to an uninsured individual who pays cash for a hospital item or service. A patient or guarantor must apply for the uninsured/discounted cash price discount within 60 days of the date of service.
- Minimum negotiated charge: The lowest charge that we have negotiated with all third-party payers for an item or service.
- Maximum negotiated charge: The highest charge that we have negotiated with all third-party payers for an item or service.
- Payer-specific negotiated charges: The charge that we have negotiated with a specific third- party payer for an item or service.
