Beginning January 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services are requiring hospitals and health systems to post “current, standard charges.”
Hospital charges are the amount a hospital bills an 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 governments. Patients without insurance may also be eligible for discounts under the MN Attorney General Discount Program.
The prices depicted on Perham Health’s price transparency web page are from the current chargemaster and reflect prices that were in effect as of the new fiscal year, beginning October 1, 2019. There could be instances where charges in an individual department or an isolated charge may change during the fiscal year and may have been updated since this document was created.
Hospital charges may include bundled procedures, personnel, services and supplies. An example would be room rates that include the space, equipment, nursing personnel and supplies.
The data presented will show individual charges and may be difficult for an individual to use for help in calculating the total charges he or she may incur during a visit and the applicable out-of-pocket expenses he or she may be responsible for. We encourage our patients to contact Patient Financial Services at (218) 347-1350 for help with specific circumstances.
When a patient has the opportunity to shop for medical services, he or she should contact his or her own insurance carrier to understand which costs will be covered and which will be the patient’s responsibility.
In addition to resources on this website, there are additional resources available that provide summarized charge data at either a diagnosis-related group (DRG) level or outpatient procedure level. The Minnesota Hospital Association website can provide an estimated cost for procedures performed at Perham Health as well as cost compare to other facilities.