Price estimates

Helping you understand costs

Health care costs can seem confusing. To make things clearer, keep these points in mind when looking at price estimates:

Estimates vs. final costs

Your estimate can differ from the final bill because of factors like:

• Specific insurance benefits
• Unexpected complications
• Additional services ordered by your doctor

Provider-based billing

The estimate only covers hospital charges. You may receive separate bills from physicians, anesthesiologists or other specialists who provide care during your visit.

Other impacts to cost

Your total cost depends on many factors, including:

• Your insurance plan: Your coverage, network and cost-sharing rules all play a role.
• The service provided: Procedures at Piedmont may vary in complexity or setting (e.g., inpatient vs. outpatient care).
• Additional discounts: Some discounts and financial assistance programs may reduce your out-of-pocket costs.

For questions about your costs or to receive a personalized estimate, call our patient financial care team at 855.788.1212.

Disclaimer

The comprehensive, machine-readable files below are posted to comply with federal regulations. Due to the nature of the files, they will likely be of limited utility to any specific patient.

To best understand your estimated out-of-pocket costs, it’s important for you to understand your insurance plan benefits and coverage before seeking medical care. Any amount not covered by your plan becomes your financial responsibility or the responsibility of a guarantor (such as a parent of a minor child).

The self-service Price Estimation Tool can help you and other consumers obtain cost estimates for many common services provided by Piedmont hospitals. For more specific cost estimates, please call 1-855-788-1212 to speak with a Patient Financial Care team representative.

To obtain the most accurate estimate, please consult with your physician to obtain the procedure codes that will be related to your treatment. This information will allow Piedmont to provide a service-specific hospital price estimate based on your circumstances and patient responsibility.

Piedmont Healthcare uses Epic’s standard output as the content for most facility-specific machine-readable standard charge files. Epic is a third-party patient billing information system that houses payer contract information.

Due to limitations in presenting complicated and differing contracted rate methodologies in a standardized way, the contracted rate (i.e., payer-specific negotiated charges) in the machine-readable files may not always reflect the contracted rate that applies in an individual patient’s case.

Several potential variables exist for patient and/or health insurance plans that must be considered to arrive at contracted rates applicable for specific items and services. Please read below for an explanation of each of the differing variables.

If there is a discrepancy between a payer-specific negotiated charge listed in the machine-readable file(s) and the contracted rate applicable to a specific patient claim, the terms of the payer contract will control, so the machine-readable file(s) may be of limited benefit to our patients. We recommend Piedmont patients use our Price Estimation tool for personalized cost estimates for Piedmont hospital services.

Accessing these posted files constitutes your agreement that you have read the above content and any additional supplementary disclaimers below.

Examples of potential contracted rate differences include, but are not limited to, the following: