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FirstHealth Price Transparency

| Date Posted: 1/1/0001

FirstHealth of the Carolinas is committed to providing useful price information for our patients in order to help them make informed health care decisions and better understand health care costs and their out-of-pocket responsibilities.  Because hospital billing is complex and insurance coverage is sometimes not clear, the best way to understand your true out-of-pocket costs for health care services is to speak directly with your insurance company or to request an estimate from our team.

 

How to Receive a Cost Estimate:

MyChart:  You may access cost estimates within your personal MyChart account. Login to your account, select the Billing tab at the top of the page and then click on Estimates. If you don’t have a MyChart account, you may set up an account on the MyChart home page.

 

If you do not want a MyChart account, FirstHealth also provides a guest estimate website to help you understand the cost of your care.  The link below is a self-service tool that can assist you in estimating the out of pocket costs for 300 shoppable services, as required by the Centers for Medicare and Medicaid Services (CMS).

 

https://www.firsthealthmychart.org/mychartprd/GuestEstimates/

 

If you are a Medicare patient, or would prefer to speak to a FirstHealth team member regarding an estimate, please call the number provided below.

 

Diagnostic and Imaging Testing: (910) 715-6282

Surgical Services: (910) 715-1869

Obstetrics and Deliveries: (910) 715-1869

Cardiac Catheterization: (910) 715-8564

 

To receive an estimate for all other services, please call (910) 715-6282. Please have your insurance information available for our specialists. Please keep in mind that this is only an estimate. Actual charges may vary depending on the treatment your physician orders for you. 

 

Billing Questions: If you have questions about your FirstHealth bill, please call (910) 715-1010 or toll free at (800) 798-6946. Monday - Friday 8:30 a.m. - 5 p.m.

 

Financial Assistance: For more information about our Financial Assistance Policy, please contact Patient Accounts at (910) 715-1010 or click here.

 

Also, as required by CMS, FirstHealth is providing a comprehensive list of charges for each inpatient and outpatient service or item provided by FirstHealth of the Carolinas. This list is known as a chargemaster. A chargemaster lists charges only and is different than your actual payment. Chargemaster information is not a helpful tool for patients to estimate what they will pay for health care.

 

Please keep in mind that the amount listed in the chargemaster is not necessarily the amount a patient will pay for services. Hospitals typically collect much less than the amounts posted on the chargemaster due to discounts negotiated with commercial insurance companies, Medicare, Medicaid and Tricare, as well as discounts that are offered for the uninsured and patients who need financial assistance. We recommend all patient contact their insurer and invite them to speak with a FirstHealth Team Member at 910-715-6282 to discuss their individual situations and obtain an estimate for upcoming services.

 

Please click on the following links to view FirstHealth’s chargemaster, average charges and negotiated rates for inpatient and outpatient services.

 

FIRSTHEALTH MOORE REGIONAL HOSPTIAL (Moore, richmond and hoke campuses)

FIRSTHEALTH MONTGOMERY MEMORIAL HOSPTIAL

 

WHAT IS A CHARGEMASTER?

A chargemaster is a comprehensive list of charges for each inpatient and outpatient service or item provided by a hospital – each test, exam, surgical procedure, room charge, etc. Given the many services provided by hospitals 24 hours a day, seven days a week, a chargemaster contains thousands of services and related charges.

The chargemaster amounts are billed to an insurance company, Medicare, or Medicaid, and those insurers then apply their contracted rates to the services that are billed. In situations where a patient does not have insurance, our hospital has financial assistance policies that apply discounts to the amounts charged. 

Health insurance companies contract with hospitals to care for their customers. Hospitals are paid the insurance company’s contract rate, which generally is significantly less than the amount listed on the chargemaster. The insurance company’s contract rate, not the chargemaster, is the basis for determining the patient’s actual out-of-pocket costs. As an example, a hospital may charge $1,000 for a particular service, while the insurer’s contract rate may be $700. If the patient’s insurance plan indicates the patient is responsible for 20 percent of the contract rate, the patient would owe $140 (20 percent of $700).

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