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Price Transparency

TRANSPARENT PRICING

At Carle Richland Memorial Hospital, we are committed to helping you make informed choices about your care. That includes helping you know how much you will be charged for services and goods and what to expect on your bill.

Beginning January 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services requires hospitals and health systems to post their “current, standard charges.” You can view these at the link here.

When patients have the opportunity to shop for medical services, they should contact their insurance carrier to understand which services and goods will be covered and which will be the patients’ responsibility.

Hospital charges are the amount a hospital bills for a service. Because of varying reimbursements for hospitals, patients most often pay far less than the amount listed. For charges that show up as zero dollars or blanks, the prices are determined on an individual basis, and as a result the price cannot be listed in the charge master but is determined only and if the particular charge is used.

In addition, the Centers for Medicare & Medicaid Services requires hospitals and health systems to post the average amount charged for diagnosis-related groups (DRG).

  • Carle Richland Memorial Hospital DRG

Our Patient Financial Services representatives are available to answer questions regarding charges and assist you in getting estimates Monday through Friday, 8 a.m. to 4:30 p.m. at 618.395.6021.

For questions about your insurance coverage, please call the telephone number on your member ID card.

Please be prepared to provide the following:

  • Description of service
  • Procedure code(s) which you can get from your physician’s office