How much will Copley charge for your visit or procedure? How much will you have to pay?
The healthcare reimbursement system is incredibly complex, so getting the answer to this question is not always simple.
Copley’s Patient Financial Services can help.
Contact Copley’s Patient Financial Services office at 802-888-8338 to request an estimate
before you receive services at Copley Hospital.
What you may pay depends on your individual insurance coverage. Your insurance plan sets your out-of-pocket expenses, such as your co-payments, co-insurance, and/or deductible.
Copley’s Patient Financial Services can help you work with your insurance company to figure out what you may owe. We can also help you apply for financial assistance if you should need it.
To help you make an informed decision, the Hospital Report Card on the Vermont Department of Financial Regulation website lists the average charges at Vermont hospitals for the most commonly used health care services.
In addition, Copley Hospital publishes its list of its standard charges, also known as the “chargemaster.”
The standard charge is the gross dollar amount estimated for that service before any adjustments or discounts are applied. The standard charge is rarely the amount owed or paid. Discounts are almost always applied due to contracts with insurance companies and government programs as well as full or partial discounts offered through Copley’s Financial Assistance Program. Like the”list price” used in many other industries, the standard charges listed in a hospital’s chargemaster are usually different from the actual amount owed or paid. The actual amount you owe depends on your individual insurance coverage or other discounts for which you may be eligible.
The best way to figure out how much you may owe is to contact our Patient Financial Services Office at 802-888-8338 to request an estimate.
To help us provide you with the best possible estimate in the most efficient manner, please be prepared with your most current insurance information and ask your doctor’s office for the “CPT” code(s) that would be billed for the procedure or test being ordered.
The Healthcare Financial Management Association (HFMA) has developed a guide to help consumers understand where to get answers to their questions about healthcare prices, compare prices among providers, and manage their out-of-pocket costs. We encourage you to check out Understanding Healthcare Prices: A Consumer Guide.