Pricing Information 3


HOSPITAL CHARGE LISTING

 

Disclaimer:

This charge data is required to be posted online in machine-readable format by the Center for Medicare and Medicaid Services (CMS) Inpatient Prospective Payment System FFY 2019 rule.The information contained here complies with federal regulations, but healthcare billing is very complex and while standard charges may be compared, hospital “charges” are not the “prices” that are actually paid by patients or insurers, so this information is virtually meaningless as far as what you will pay for care at FMC.

Understanding the information presented requires knowledge of medical terminology and abbreviations commonly used in healthcare billing and coding.

Description of information presented here:

“Patient Charges” are similar to “list price,” and have little relevance to what is actually paid to FMC. Medicare and Medicaid have government-mandated fee schedules, insurers negotiate prices, and uninsured patients are eligible for significant discounts off these “list prices.”

Patient charges are accumulated on individual patients based on the goods and services actually received by that specific patient. Many factors (such as severity, health risk factors, etc.) can cause patient charges for patients with similar conditions to have different patient charges.

Patient charges presented here are only for services billed by FMC: hospital inpatient and outpatient, Winnsboro Rural Health Clinic, Surgery Clinic and Urology Clinic.

Services provided by others such as Emergency Room physician (Island Medical), Anesthetists (Riverside Anesthesia), some radiologists (Virtual Radiology) and other providers not employed or contracted by FMC (if you use a non-FMC provider) are not on this list.

Your cost of care at FMC:

The amount you are actually responsible for will vary greatly from the prices presented here based on factors related to your specific insurance coverage.

If you have Medicare:

Medicare has many different parts, and not everyone has the same type of Medicare coverage. Medicare will pay for many of your healthcare expenses but not all of them.Special rules apply if you have employer group health insurance coverage through your job or a spouse’s job.

If you have a supplemental health insurance policy, it may cover some costs that Medicare does not cover.

The best way to be sure of what your Medicare plan covers is to call 1-800-MEDICARE, or visit the website at www.mymedicare.gov.

If you have Medicaid:

Contact your local Medicaid office at 1-888-544-7996, or visit the Louisiana Department of Health at www.http://ldh.la.gov/ to determine all the factors affecting your financial responsibility.Generally Medicaid recipients are not responsible for any portion of the bill, but there are services that may not be covered by Medicaid.

If you have other Insurance:

Contact your insurance company to understand all of the factors affecting your financial responsibility.Numerous factors such as the type of plan, co-pay, co-insurance, deductible, out-of-pocket maximums, provider network and other specific limitations can affect your financial responsibility.

The prices on this list do not include charges for physician or other professional fees outside of FMC providers.

The prices on this list do not include any negotiated discounts between your insurance company and the hospital.

If you have no insurance:

Franklin Medical Center offers financial assistance to patients who qualify. This policy provides discounts for uninsured patients based on their ability to pay. Please contact FMC business office at 318-412-5233 to determine if you meet the criteria for financial assistance.The bottom line:

If you are trying to find out how much a procedure or service will cost you, whether you have insurance or not, please call us and let us give you an estimate based on your individual circumstances.

 

Download Charge Listing-2019