HTML Report for http://www.elcaminohospital.org/patients-visitors-guide/before-you-arrive/pricing-estimates
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On line 362, column 9 <!DOCTYPE html> <html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# "> <head> <meta charset="utf-8" /> <meta name="description" content="For your convenience, El Camino Hospital provides estimates for commonly requested diagnostic tests. Learn how these estimates are obtained." /> <meta name="keywords" content="chargemaster, CDM, MS-DRG, Out-of-Pocket Expense Estimates, cost estimate" /> <link rel="shortlink" href="https://www.elcaminohealth.org/node/121316" /> <link rel="canonical" href="https://www.elcaminohealth.org/patients-visitors-guide/before-you-arrive/pricing-estimates" /> <meta property="og:site_name" content="El Camino Health" /> <meta property="og:type" content="article" /> <meta property="og:url" content="https://www.elcaminohealth.org/patients-visitors-guide/before-you-arrive/pricing-estimates" /> <meta property="og:title" content="Pricing &amp; Estimates" /> <meta property="og:description" content="For your convenience, we provide price estimates for many of the most commonly requested diagnostic tests and services requested at El Camino Hospital and with our affiliates." /> <meta property="og:image" content="" /> <meta property="og:image:secure_url" content="" /> <meta property="og:updated_time" content="2023-12-21T13:16:38-08:00" /> <meta property="article:published_time" content="2015-05-06T09:13:20-07:00" /> <meta property="article:modified_time" content="2023-12-21T13:16:38-08:00" /> <meta name="twitter:card" content="photo" /> <meta name="Generator" content="Drupal 10 (https://www.drupal.org)" /> <meta name="MobileOptimized" content="width" /> <meta name="HandheldFriendly" content="true" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <link href="https://assets.sitescdn.net/answers/v1.5/answers.css" rel="stylesheet" type="text/css" /> <script src="https://assets.sitescdn.net/answers/v1.5/answers.min.js" onload="ANSWERS.domReady(initAnswers)" defer></script> <link rel="stylesheet" href="https://fonts.googleapis.com/css?family=Roboto:400,500,700&amp;display=swap" type="text/css" /> <link rel="icon" href="/themes/custom/ech/favicons/favicon.ico" type="image/vnd.microsoft.icon" /> <script 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class="section-menu__item section-menu__item--expanded section-menu__item--active-trail section-menu-level-2"> <a href="/patients-visitors-guide/before-you-arrive/pricing-estimates" data-icon-position="before" title="Pricing &amp; Estimates (Before You Arrive)" class="is-active section-menu__link" data-drupal-link-system-path="node/121316">Pricing &amp; Estimates</a> <ul class="section-menu__submenu"> <li class="section-menu__item section-menu-level-3"> <a href="/patients-visitors-guide/before-you-arrive/pricing-estimates/price-transparency" data-icon-position="before" class="section-menu__link" data-drupal-link-system-path="node/174841">Price Transparency</a> </li> <li class="section-menu__item section-menu-level-3"> <a href="/patients-visitors-guide/before-you-arrive/pricing-estimates/request-confidential-price-estimate" class="section-menu__link" data-drupal-link-system-path="node/120906">Request a Price Confidential Estimate</a> </li> <li class="section-menu__item section-menu-level-3"> <a href="https://elcaminohealth.patientsimple.com/guest/#/estimates/patientestimate" data-icon-position="before" target="_blank" class="section-menu__link">Self-Service Price Estimator Tool</a> </li> </ul> </li> <li class="section-menu__item section-menu__item--collapsed section-menu-level-2"> <a href="/patients-visitors-guide/before-you-arrive/visitors-information" class="section-menu__link" data-drupal-link-system-path="node/120986">Visitors Information</a> </li> </ul> </li> <li class="section-menu__item section-menu__item--collapsed"> <a href="/patients-visitors-guide/while-youre-here" class="section-menu__link" data-drupal-link-system-path="node/120936">While You're Here</a> </li> <li class="section-menu__item section-menu__item--collapsed"> <a href="/patients-visitors-guide/after-you-leave" class="section-menu__link" data-drupal-link-system-path="node/120941">After You Leave</a> </li> </ul> </div> </nav> </div> </div> <div class="page-content--with-left-sidebar"> <div class="region-content"> <div data-drupal-messages-fallback class="hidden"></div><div id="block-ech-content" class="d-block region-content__d-block"> <div class="node__top-region title__duplicate"> <div class="node__top-text"> <h1 class="node__title"><span property="schema:name">Pricing &amp; Estimates</span> </h1> <div class="node__body-summary"> For your convenience, we provide price estimates for many of the most commonly requested diagnostic tests and services requested at El Camino Hospital and with our affiliates. </div> </div> </div> <article about="/patients-visitors-guide/before-you-arrive/pricing-estimates" typeof="schema:WebPage" class="node node--type-page node--view-mode-full"> <span property="schema:name" content="Pricing &amp; Estimates" class="hidden"></span> <div class="node__content"> <!-- Start Two Column Content --> <div class="layout--two-column article-full__body"> <!--Left Column Start --> <div class="layout--two-column__large"> <div class="node__body"> <div property="schema:text"><p>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.</p> <p>Since we can't anticipate all the charges associated with a course of treatment, we can't determine the exact total cost of a procedure in advance. As a result, the final bill may differ from the estimate provided. El Camino Hospital makes no guarantees regarding the accuracy of the pricing information posted here and shall not be held liable for any inaccuracies.</p> <h2>How We Obtain Our Estimates</h2> <p>We obtain data from the most recent year to determine pricing on our most common procedures and inpatient stays. <strong>The estimates provided include only charges related to your hospital bill.</strong> Doctors and other clinicians who provide services will bill you separately. These may include separate bills from:</p> <ul> <li>Anesthesiologists, radiologists, pathologists, and other specialists.</li> <li>Independent lab and radiology services — those not directly associated with El Camino Hospital, but which may be used by your doctor.</li> </ul> <p>If you have questions about those bills, please call the telephone numbers on their statements for assistance.</p> <h2>Out-of-Pocket Expense Estimates</h2> <p>The portion of your bill that's your responsibility is commonly referred to as your out-of-pocket expense, which varies from person to person and depends on individual insurance policies.</p> <h2>Self-Service Price Estimator Tool</h2> <p>Available online 24/7, you can access this tool from your home computer or through your mobile device to get a price estimate for a medical procedure.</p> <p><a class="btn--green btn" href="https://elcaminohealth.patientsimple.com/guest/#/estimates/patientestimate" style="margin-left: auto; margin-right: auto;" target="_blank">Go to the Price Estimator Tool</a></p> <h2 style="padding-top:15px;">Request a Confidential Estimate</h2> <p>El Camino Hospital can provide you with a free, confidential estimate for any diagnostic test or medical procedure performed at the hospital, including tests and procedures not listed on our website.</p> <p>You can request an estimate using our <a href="/patients-visitors-guide/before-you-arrive/pricing-estimates/request-confidential-price-estimate">online request form</a> or by:</p> <ul> <li>Calling an El Camino Hospital patient pricing representative at <strong><a href="tel:650-988-8275">650-988-8275</a></strong>.</li> <li>Emailing us at <a href="mailto:[email protected]">[email protected]</a></li> </ul> <p style="padding-top:15px;">Please allow two business days for a response.</p> <h2>Your Rights and Protections Against Surprise Medical Bills</h2> <p>Download <a href="/sites/default/files/2022-01/no-surprises-act-model-one-page-disclosure.pdf" target="_blank">Your Rights and Protections Against Surprise Medical Bills</a> (pdf)</p> <div style="background:#eee; padding:15px; border:#ccc 1px solid;">When you 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 balance billing. In these cases, you shouldn't be charged more than your plan's co-payments, coinsurance, and/ or deductible.</div> <h3 style="padding-top:15px;">What is "balance billing" (sometimes called "surprise billing")?</h3> <p>When you see a doctor or other healthcare provider, you may owe certain <u>out-of-pocket</u> costs, like a <u>co-payment</u>, <u>coinsurance</u>, or <u>deductible</u>. You may have additional costs or have to pay the entire bill if you see a provider or visit a healthcare facility that isn't in your health plan's network.</p> <p>"Out-of-network" means providers and facilities that haven't signed a contract with your health plan to provide services. 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. This is called "<strong>balance billing.</strong>" 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.</p> <p>"Surprise billing" is an unexpected balance bill. This 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. Surprise medical bills could cost thousands of dollars depending on the procedure or service.</p> <h3>You're protected from balance billing for:</h3> <p><strong>Emergency services</strong><br> 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 you is your plan's in-network cost-sharing amount (such as co-payments, coinsurance, and deductibles). You <strong>can't</strong> be balance billed for these emergency services. This includes services you may get after you're in stable condition, unless you give written consent and give up your protections not to be balance billed for these post-stabilization services.</p> <p>California law also prohibits balance billing for emergency services if you are a member of a health care service plan regulated under the Knox-Keene Act. In addition, California Assembly Bill 72 (AB 72) prohibits an out-of-network physician from billing you for non-emergency services you receive at an in-network hospital.</p> <p><strong>Certain services at an in-network hospital or ambulatory surgical center</strong><br> When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers can bill you is your plan's in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers <strong>can't</strong> balance bill you and may <strong>not</strong> ask you to give up your protections not to be balance billed.</p> <p>If you get other types of services at these in-network facilities, out-of-network providers can't balance bill you, unless you give written consent and give up your protections.</p> <p><strong>You're <u>never</u> required to give up your protections from balance billing. You also aren't required to get out-of-network care. You can choose a provider or facility in your plan's network.</strong></p> <h3>When balance billing isn't allowed, you also have these protections:</h3> <ul> <li>You're only responsible for paying your share of the cost (like the co-payments, coinsurance, and deductible that you would pay if the provider or facility was in-network). Your health plan will pay any additional costs to out-of-network providers and facilities directly.</li> <li>Generally, your health plan must: <ul> <li>Cover emergency services without requiring you to get approval for services in advance (also known as "prior authorization").</li> <li>Cover emergency services by out-of-network providers.</li> <li>Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.</li> <li>Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit.</li> </ul> </li> </ul> <p style="padding-top:15px;"><strong>If you think you've been wrongly billed</strong>, contact the California Department of Managed Care (DMHC) at <a href="https://www.dmhc.ca.gov/?referral=healthhelp.ca.gov" target="_blank">HealthHelp.ca.gov</a> or 888-466-2219, or the California Department of Insurance (CDI) at <a href="https://www.insurance.ca.gov/01-consumers/101-help/index.cfm" target="_blank">insurance.ca.gov/01-consumers/101-help/index.cfm</a> or 800-927-4357.</p> <p>Visit <a href="https://www.cms.gov/nosurprises" target="_blank">cms.gov/nosurprises</a> for more information about your rights under federal law. The federal phone number for information and complaints is: 800-985-3059.</p> <p>Visit the following websites for more information about your rights under California's AB 72:</p> <ul> <li>DMHC: <a href="https://dmhc.ca.gov/portals/0/healthcareincalifornia/factsheets/fsab72.pdf" target="_blank">dmhc.ca.gov/portals/0/healthcareincalifornia/factsheets/fsab72.pdf</a></li> <li>CDI: <a href="https://www.insurance.ca.gov/01-consumers/110-health/60-resources/NoSupriseBills.cfm" target="_blank">insurance.ca.gov/01-consumers/110-health/60-resources/NoSupriseBills.cfm</a></li> </ul> <h2 style="padding-top:15px;">Good Faith Estimate</h2> <p>Download <a href="/sites/default/files/2022-02/no-surprises-act-good-faith-estimates-disclosure-selfpay_feb22.pdf" target="_blank">You have the right to receive a "Good Faith Estimate"</a> (pdf)</p> <h3>You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost.</h3> <p>Under the law, health care providers need to give <strong>patients who don't have insurance</strong> or who are not using insurance an estimate of the bill for medical items and services.</p> <ul> <li>You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.</li> <li>Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.</li> <li>If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.</li> <li>Make sure to save a copy or picture of your Good Faith Estimate.</li> </ul> <p style="padding-top:15px;">For questions or more information about your right to a Good Faith Estimate, visit <a href="https://www.cms.gov/nosurprises" target="_blank">www.cms.gov/nosurprises</a> or call our El Camino Health financial counselors at 650-988-8275.</p> </div> </div> </div> <!-- Left Column End --> <!-- Right Column Start --> <div class="layout--two-column__small"> <div id="block-additionalinformation" class="d-block region-sidebar-right__d-block sidebar-block"> <div class="wysiwyg-block"><h3 class="wysiwyg-block__title">Additional Information</h3><!--<script>var ECH__URL = window.location.href; if (ECH__URL.indexOf("safe-care")==-1){document.write("<a class=\"btn btn--blue\" |
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