On August 2, 2018, the Centers for Medicare & Medicaid Services (“CMS”) issued a final rule (CMS-1694-F) updating Medicare payment policies, specifically requiring hospitals “make available a list of their current standard charges via the Internet in a machine-readable format and to update this information at least annually, or more often as appropriate.”
To meet this requirement, Summit Pacific Medical Center has made our standard charges available to the public via the links below:
As required by CMS, standard charges will be updated annually.
Disclaimer: In compliance with Centers for Medicare and Medicaid Services (CMS), this price list is provided containing our hospital standard charges. Summit Pacific Medical Center determines its standard charges for patient items and services using a chargemaster system, which is a list of charges for the components of patient care that go into every patient’s bill. These are the baseline rates for items and services provided at the Hospital. The chargemaster is similar in concept to the manufacturer’s suggested retail price (“MSRP”) on a product or good. Inpatient charges (MS-DRG) may vary from the hospital price list, due to a variety of reasons including, but not limited to, medical complications.
Standard charges are the same for all patients, but a patient’s responsibility may vary, depending on payment plans negotiated with individual health insurers. Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient’s actual care, such as specific equipment or supplies required, additional tests, or any changes in care or unexpected conditions or complications that arise.
Individuals with questions about their out-of-pocket costs of service and other financial information should contact the hospital or consider contacting their insurers for further information.
This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any service, it is not binding, and the actual charges for items and services may vary.