El Camino Hospital Baby Delivery Cost Self Pay

While we make every effort to ensure the accuracy of our price estimates, the costs associated with diagnostic testing and medical care vary, depending on the medical needs and circumstances of the individual.

Since nosotros tin can't anticipate all the charges associated with a course of treatment, we can't make up one's mind the exact total price of a procedure in accelerate. As a result, the final nib may differ from the estimate provided. El Camino Infirmary makes no guarantees regarding the accuracy of the pricing data posted here and shall not be held liable for any inaccuracies.

How We Obtain Our Estimates

We obtain data from the about recent yr to decide pricing on our virtually common procedures and inpatient stays. The estimates provided include only charges related to your hospital bill. Doctors and other clinicians who provide services will pecker you separately. These may include separate bills from:

• Anesthesiologists, radiologists, pathologists, and other specialists.
• Independent lab and radiology services — those non direct associated with El Camino Hospital, but which may be used by your doctor.

If yous accept questions nearly those bills, please telephone call the telephone numbers on their statements for aid.

Out-of-Pocket Expense Estimates

The portion of your bill that's your responsibleness is ordinarily referred to equally your out-of-pocket expense, which varies from person to person and depends on individual insurance policies.

Your Rights and Protections Against Surprise Medical Bills

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When y'all get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from residue billing. In these cases, you shouldn't be charged more than your program'southward co-payments, coinsurance, and/ or deductible.

What is "rest billing" (sometimes called "surprise billing" )?

When you see a doctor or other healthcare provider, you may owe certain out-of-pocket costs, like a co-payment, coinsurance, or deductible. You may have boosted costs or accept to pay the entire bill if you run into a provider or visit a healthcare facility that isn't in your health programme'southward network.

"Out-of-network" ways providers and facilities that haven't signed a contract with your health program to provide services. Out-of-network providers may be allowed to beak you for the difference betwixt what your programme pays and the total amount charged for a service. This is called "balance billing." This amount is likely more than in-network costs for the aforementioned service and might not count toward your programme'southward deductible or almanac out-of-pocket limit.

"Surprise billing" is an unexpected balance pecker. This tin can happen when you tin can't command who is involved in your intendance - similar when y'all have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.

Y'all're protected from residuum billing for:

Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill y'all is your program's in-network cost-sharing corporeality (such as co-payments, coinsurance, and deductibles). You lot tin't be balance billed for these emergency services. This includes services yous may get later on you lot're in stable status, unless you lot give written consent and requite up your protections not to be balance billed for these post-stabilization services.

California law too prohibits remainder billing for emergency services if you lot are a fellow member of a health intendance service programme regulated under the Knox-Keene Act. In addition, California Assembly Neb 72 (AB 72) prohibits an out-of-network physician from billing you for non-emergency services yous receive at an in-network infirmary.

Certain services at an in-network infirmary or ambulatory surgical center
When you get services from an in-network hospital or convalescent surgical eye, certain providers in that location may be out-of-network. In these cases, the most those providers can bill you is your program'due south in-network toll-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can't residual nib you and may not ask you to surrender your protections not to exist balance billed.

If you get other types of services at these in-network facilities, out-of-network providers tin can't balance neb you, unless you give written consent and give up your protections.

You're never required to give up your protections from balance billing. Y'all also aren't required to become out-of-network intendance. You tin can choose a provider or facility in your program's network.

When residual billing isn't immune, you besides take these protections:

• You're only responsible for paying your share of the toll (like the co-payments, coinsurance, and deductible that you lot would pay if the provider or facility was in-network). Your health programme will pay any boosted costs to out-of-network providers and facilities directly.
• Generally, your health plan must:
  • Encompass emergency services without requiring you to get approval for services in accelerate (likewise known as "prior authorization").
  • Cover emergency services by out-of-network providers.
  • Base what you owe the provider or facility (toll-sharing) on what it would pay an in-network provider or facility and show that corporeality in your explanation of benefits.
  • Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit.

If you think you've been wrongly billed, contact the California Department of Managed Care (DMHC) at HealthHelp.ca.gov or 888-466-2219, or the California Department of Insurance (CDI) at insurance.ca.gov/01-consumers/101-help/alphabetize.cfm or 800-927-4357.

Visit cms.gov/nosurprises for more information about your rights under federal law. The federal phone number for information and complaints is: 800-985-3059.

Visit the following websites for more information well-nigh your rights under California's AB 72:

• DMHC: dmhc.ca.gov/portals/0/healthcareincalifornia/factsheets/fsab72.pdf
• CDI: insurance.ca.gov/01-consumers/110-health/lx-resource/NoSupriseBills.cfm

Practiced Organized religion Approximate

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You have the correct to receive a "Good Faith Estimate" explaining how much your medical care will price.

Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an approximate of the bill for medical items and services.

• Y'all have the correct to receive a Skillful Religion Approximate for the full expected toll of any not-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and infirmary fees.
• Make sure your wellness care provider gives you a Good Faith Estimate in writing at least one business day earlier your medical service or item. You can also enquire your health care provider, and any other provider you lot choose, for a Good Faith Judge before you lot schedule an particular or service.
• If you receive a beak that is at least $400 more than your Good Faith Gauge, you can dispute the neb.
• Make sure to save a copy or moving-picture show of your Proficient Faith Estimate.

For questions or more information about your correct to a Good Faith Estimate, visit www.cms.gov/nosurprises or call our El Camino Health fiscal counselors at 650-988-8275.

Request a Confidential Estimate

El Camino Infirmary can provide you with a free, confidential estimate for any diagnostic examination or medical process performed at the infirmary, including tests and procedures not listed on our website.

You lot tin can request an guess using our online request form or by:

• Calling an El Camino Hospital patient pricing representative at 650-988-8275.
• Emailing the states at patientpricing@elcaminohealth.org

Please allow two business organisation days for a response.

A Description of Hospital Charges

The lists of standard charges published on this website represent the pricing information for medical items and services that nosotros are displaying in response to the Centers for Medicare & Medicaid Services' Hospital Cost Transparency Dominion. The display of pricing data under this rule does not necessarily reflect your out-of-pocket financial responsibleness for your hospital visit, for several reasons, including only not express to the following. The information reflects prices paid by your insurer for services provided during your hospital visit, which will not necessarily reflect your share of the costs of these services nether the item terms of your wellness plan. In add-on, the actual medical items and services that are furnished to yous during your visit may vary from what is anticipated in your initial program of care. You may also receive services from physicians or practitioners who are non employed by this hospital; the price for services from these professionals would not be reflected in these listings.

These listings practise not guarantee coverage, benefits, or payments. Your financial liability may vary based on the detail terms of your insurance policy and the status of your health insurance benefits (i.e., deductibles, out of pocket maximum, co-insurance, and copays) at the time yous receive care. Your eligibility, and the amount, of your coverage is ultimately adamant past your wellness insurance provider.

We encourage the use of our price computer tool or please contact an El Camino Health patient pricing representative at (650) 988-8275 to obtain more specific data regarding your potential financial liability.

• El Camino Hospital Los Gatos – Standard Charges (Auto-readable; ODS format)

• El Camino Hospital Mount View – Standard Charges (Motorcar-readable; ODS format)

To view data about infirmary charges across the state visit the OSHPD website.

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Source: https://www.elcaminohealth.org/patients-visitors-guide/before-you-arrive/pricing-estimates

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