Welcome to Sidney Health Center’s Price Transparency web
page as mandated by the U.S. Department of Health and Human Services and
Centers for Medicare & Medicaid Services. The data presented in the
Charge Master Listing File
charges. This format may be difficult for the average consumer to use for help
in calculating the total charges you may incur during a hospital visit as well
as the related out-of-pocket expenses you may be responsible for paying.
As another option, we encourage our patients to visit our
web page or contact our Patient
Financial Services Director at 406-488-2112 for help with specific procedures
and individual circumstances.
The prices depicted in this section are from Sidney Health
Center’s current charge master and reflect the prices as of December 31, 2018.
Hospital prices are updated annually with the most recent overall price change
being implemented at the start of each fiscal year on the first of July. There
could be instances where charges in an individual department or an isolated
charge may change during the calendar year.
Click Here to View:
Hospital charges are the
amount a hospital bills a patient or insurer for a service. For most patients,
hospitals are reimbursed at a level well below charges. Patients covered by
commercial insurance products have negotiated rates with hospitals. Patients covered by Medicare or Medicaid
programs have hospital reimbursement rates determined by federal and state
Hospital charges may also
include bundled procedures, personnel, services and supplies. An example would be room rates that include
the space, equipment, nursing personnel and supplies.
It is important when a
patient has the opportunity to shop for medical services that he or she
contacts his or her own insurance carrier to understand which costs will be
covered and which will be the patient's responsibility.
When reviewing the charges listed in the Charge
Master spreadsheet, please keep in mind:
Due to government and insurance
payment methodologies, charges may not appear the same on all bills depending
on the payer. For example, a clinic visit for a Medicare patient will be a
two-part charge where it will be only one charge for most other insurances.
Supplies and pharmaceuticals are
charged based on the cost to the hospital and fluctuate throughout the year.
Not all services are charged based
on a flat fee. Some services are charged by the unit, which may vary from one
department to another. For example, charges may be based on minutes, hours or
mileage, to name a few.
For additional information
about understanding healthcare prices, please check out the following consumer
guides that are published by the Healthcare Financial Management Association.
Surprises in Your Medical Bills.pdf
to Healthcare Prices.pdf