Before calling or utilizing the website for an out-of-pocket cost estimate, it would be best to call your physician's office to get the necessary codes (see below) so that we have the best description possible for the services you need. If you will be an inpatient, you will need to obtain a diagnosis code and procedure description. If you are going to be an outpatient, you will need to obtain the CPT/Procedure code.
If you have insurance, it is also a good idea to call your insurance company to make sure that the services are a covered benefit under your specific insurance plan. Your insurance plan may also require pre-authorization before services are provided. It is your responsibility to make sure the guidelines in your plan are met. If the services you would like to receive are not covered, you will be considered "uninsured" for those services and the self pay rates will apply.
When calling or requesting an out-of-pocket cost estimate online, you will be asked to provide the following information so that we can provide you with our best estimate of your out-of-pocket cost:
- Description of services needed (CPT and diagnosis codes)
- Type of service needed (inpatient or outpatient)
- Physician/Specialists name and phone number
If you have insurance, we will need you to provide the following information:
- Name of insurance company
- Policy number
- Group number
- Name of the insured