At UTMB Health, you’re protected from balance billing for:.Surprise medical bills could cost thousands of dollars depending on the procedure or service. “Surprise billing” can happen when you can’t control who is involved in your care-like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your plan’s deductible or annual out-of-pocket limit. Out-of-network providers may be allowed to bill you for the difference between what your plan pays, and the full amount charged for a service. “Out-of-network” means providers and facilities that haven’t signed a contract with your health plan to provide services. If you see a provider or visit a health care facility that isn’t in your health plan’s network, you may have additional costs or have to pay the entire bill. When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, like a copayment, coinsurance, or deductible. UTMB Hospital and Physician Standard Charges.You may want to consider quality, safety, experience, scope of available services and other measures in your deliberations. Charges for the same condition can vary from patient to patient due to complications or different approaches to treatment needed due to an individual’s unique health condition.Īlso, remember when considering cost, that like with any product or service, price is but one of several factors to evaluate in your decision. Hospital charges are based on the actual care offered to each patient and the resources used to provide that care. Charges for physician services are typically not included and are billed separately. The price typically is intended to cover costs for hospital infrastructure, nursing, equipment, and general personnel. The chargemaster prices are for admission to or for the use of hospital services only. Providers, by law, are required to use uniform charges as the starting point for all bills. The charges listed in a health care organization’s (like UTMB Health’s) chargemaster are the amount set before any discounts. A hospital “chargemaster” is a comprehensive listing of items that can be billed to a patient, payer or other entity.
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