Knowing what you’re going to be responsible for paying out of pocket is essential to planning for your healthcare. Clifton-Fine Hospital’s easy online tool lets you create an estimate of your personal out of pocket costs for many common “shoppable”procedures and services.
Examples of common shoppable services include, but are not limited to, imaging (x-rays, CT scans, etc.), laboratory services, medical and surgical procedures, and outpatient clinic visits.
If you have any questions regarding the use of this tool or the information provided, please contact one of our Patient Account Representatives at (315)848-8000.
Items Affecting Your Out-Of-Pocket Expenses
It is very important to verify with your insurance that this service or procedure is a covered benefit under your plan, requires pre-authorization, and if Clifton-Fine Hospital is considered an in-network provider. We are verifying active coverage only and possible out of pocket patient reliability left at the time of the inquiry (deductible, co-insurance & copay).
Deductible- The amount of money you must pay annually before your health insurance plan begins to pay for other medical expenses.
Co-Insurance- A cost-sharing requirement in which you are responsible for paying a certain percentage of the cost and the insurance company is responsible for the remaining percentage of the covered medical expenses after your deductible is met.
Co-Payment- Also known as a co-pay, this refers to a specific flat fee for each health service.
In an effort to encourage price transparency by improving public accessibility of charge information, a list of all our standard charges in machine-readable format can be downloaded here.
While we provide this information to comply with federal regulations, healthcare billing is complex. It is extremely important for you, as the consumer, to understand that standard charges may not be a relevant starting point for estimating what costs you may incur during an episode of care, and the amount actually paid by a patient will depend on that patient’s insurance coverage, policy provisions and other factors. Everyone’s case is different based on that patient’s medical condition. Furthermore, the actual amount paid by a patient will depend on that patient’s insurance coverage, as benefit plans vary greatly.
For further information on hospital pricing, please see the Financial Information section
Hospital charges are the same for all patients; however, the total charges will vary depending on acuity and length of stay. Click here to download a list representing our most common hospital and ancillary service charges. These charges do not include fees for medications, supplies or additional procedures that may be required in your care. If you have any questions or would like additional information, please contact a Patient Account Representative at (315) 848-8000.