Our Commitment to Price Transparency
The Surgical Hospital at Southwoods is committed to working with consumers, insurance companies and policymakers to promote price transparency in support of better health, more cost effective services and patient-centered care. The hospital’s charges are compiled in the same manner for all patients, but please be aware that charge information by itself is not a good indicator in determining how much you may ultimately pay for a given service. A patient’s individual financial responsibility may vary depending on the agreements that are negotiated between the hospital and a particular insurance company as well as the out-of-pocket responsibilities that are associated with each health insurance plan. Similarly, charges can differ from patient to patient for similar services, depending on the time and intensity of services, treatments performed and/or supplies used during the procedure.
Southwoods supports price transparency and believes that it is important for our patients to understand what out-of-pocket costs they may incur for services provided at our facilities. Please note that any out-of-pocket financial responsibility is directly related to contractually agreed upon rates as well as any applicable co-pays, deductibles and co-insurance requirements. If you have reached your maximum out-of-pocket or met your deductible for the year or if you have secondary insurance coverage that provides additional coverage, you may not owe anything.
Southwoods encourages consumers to contact their insurance carrier directly, prior to receiving services, for the most accurate estimate of expected out-of-pocket costs. Additionally, patients may also call Southwoods and speak to one of our Financial Counselors at (330) 729-8086 to discuss the details of their expected services. We will review:
1. The specific service or procedure that you are planning to receive
2. The physician and facility providing the service
3. Your insurance, including what you may have already paid towards deductibles, co-pay and co-insurance amounts.
If you are interested in obtaining a more exact estimate of your out-of-pocket costs, we encourage you to contact one of our Financial Counselors.
In accordance with the Centers for Medicare and Medicaid Services (CMS) requirement for hospitals to post a list of their standard charges online in a machine-readable format, the file below is a comprehensive list of standard charges for services provided by Southwoods, and is commonly referred to as a chargemaster or CDM. Patients can read more about this requirement at [FY 2019 IPPS/LTCH PPS Final Rule; CMS-1694-F].
Prior to clicking on the link below to access a copy of Southwoods chargemaster, please take time to review the following important notices:
1. The accuracy of charges as well as the completeness of chargeable items provided are considered current as of the file date, and are subject to change at any time. In accordance with Southwoods commitment to patient satisfaction, this file will be updated as soon as possible to reflect any changes.
2. The charge amount provided is Southwoods standard fee for each medical service, drug or medical supply. The charge amount is not the cost a patient should anticipate. Please see the “Price Estimates” section above for more details.
3. Southwoods chargemaster is applicable to all hospital departments both on and off its main campus. While Southwoods strives for consistent pricing across its departments and locations, charges for the same and/or similar item or service may vary based on a variety of factors. Therefore, you may find items appearing to repeat in the chargemaster.
4. The chargemaster provided below is applicable to technical services performed by Southwoods, including the use of all rooms and any medical or technical supplies, equipment, or drugs. It is important to note that patients should expect to receive additional bills for any professional services provided, including but not limited to, charges from their surgeon, radiologist, pathologist or other professional provider that may have provided services during their visit to our facility.
5. It is important to understand that information represented in the CDM for certain items or services (i.e. surgeries, anesthesia and recovery) may be based on a unit of time and complexity. Accordingly, these items and services may be difficult to accurately estimate in advance.
Understanding health care terminology about price often creates certain challenges for patients. The definitions shown below are provided to help give our patients a better understanding of the terms that will be used during discussions on pricing:
• Charge: The dollar amount assigned to specific medical services before applying negotiated discounts from payers. The charge is different from the price. Very few patients pay the total charge regardless of their insurance status; and, therefore, this data is not entirely meaningful to most people.
• Price: The negotiated and contracted amount to be paid to providers by payers (also called the “allowed amount”). A patient’s out-of-pocket liability for health care services is based on this allowed amount. Note that the price for a given service varies by insurance plan as these are separately negotiated by plan/employer.
• Out-of-Pocket: Portion of the price for medical services and treatment for which the patient is responsible. This includes copayments, coinsurance, and deductibles.
o Deductible means the amount you need to pay for health care services before the insurance company begins to pay. A
deductible may not apply to all services.
o Copay means a fixed amount (for example, $20) you will have to pay for a covered health care service. This is paid at the time
you receive your care, either physician office visit, radiology exam or outpatient or inpatient surgery.
o Coinsurance means the percentage you pay for a covered health service (for example, 20% of the bill). This is based on the
amount your insurance company determines is the allowed amount for the service. You pay coinsurance plus any deductibles
and copays you may owe.
• Cost: The definition depends on the cost being referenced: To the provider, cost is the expense incurred to provide health care to patients. To the employer, cost is the expense related to providing health benefits. To the insurance plan, cost is the price paid to the provider. To the patient, cost is the out-of-pocket fees.
Clicking on the link below will initiate the process of downloading Southwoods chargemaster file. In doing do, you agree to have read and understood all of the information provided above.