be_ixf;ym_202208 d_15; ct_50

Price Transparency

The information provided in the hospital price transparency links below includes a comprehensive list of charges for each inpatient and outpatient service or item provided by our hospitals. The data provided is compiled from rolling prior twelve month data.

This information is provided in compliance with the Centers for Medicare and Medicaid Services (CMS) requirements for pricing transparency. Beacon hospitals provide a list of our standard charges via the Internet in a machine-readable format and as a list of standard charges by diagnostic related group (DRG).

The Hospital standard charges worksheet displays the hospital’s gross charges, discounted cash prices, payer negotiated rates, and minimum and maximum payer negotiated rates. The hospital may have payer negotiated rates for services that are not included in the hospital’s chargemaster. If the hospital’s chargemaster does not include a service, the applicable gross charge and discounted cash prices indicate NA,zero or blank. If a payer does not have a negotiated rate for the applicable service, the applicable cell will indicate NA, zero or blank, including the minimum and maximum negotiated charges.  These instances occur as payors pay differently for services based on negotiated terms and conditions of their contract with the Hospital.  This can include bundling of charges into packages that don’t correlate to direct payment of charges on a one to one basis.

It’s important to know that actual patient charges are based on an individual’s specific needs and will differ greatly from the historic average charges shown using this tool. There are many factors that affect what patients actually pay for care, including health plans, insurers, Medicare or Medicaid.

For information about the cost of your specific care, please contact our financial counseling staff.  For questions about Memorial Hospital of South Bend, please call 574.647.7167.  For questions related to Elkhart General Hospital, please call 574.647.7167.  For questions related to Community Hospital of Bremen, please call 574.647.6647. For questions related to Three Rivers Health, please call 269.273.9645.

Learn more about and access our price estimator tool

Access Hospital Price Transparency Tools

Hospital Standard Charges (machine readable files)

The information provided below is a comprehensive list of charges for each inpatient and outpatient service or item provided by a hospital, also known as a chargemaster. Hospital Charges are the same for everyone, including our payors.  The charges listed are subject to change and may not reflect the exact amount billed due to variation in services provided based on specific needs of each patient.  Medication and supplies can fluctuate and vary based on dosage, frequency and variation in manufacturer’s average wholesale price. It is not a helpful tool for patients to comparison shop between hospitals or to estimate what health care services are going to cost them out of their own pocket. Please see our Hospital Price Transparency and Price Estimator Tool to assist with estimation of your costs.


COVID-19 Testing

Hospital testing and specimen collection:

Charges for our Covid-19 test and specimen collection will be submitted to your insurance company by this Beacon hospital. If you currently do not have medical insurance and you have provided all of the information requested upon specimen collection registration Beacon will submit a request for payment through a federal program for the uninsured. If the information is not provided the guarantor will receive a bill for the services.

 

Test name CPT Code Charge
2019 Novel Coronavirus 87635 $103
2019 Novel Coronavirus U0003 $103
HOPD COVID-19 SPECIMEN COLLECTION C9803 $46

Beacon Medical Group site testing and specimen collection:

Charges for our Covid-19 test and specimen collection will be submitted to your insurance company. The test charge will be submitted by Labcorp and the specimen collection charge will be submitted by Beacon Medical Group. If you currently do not have medical insurance and you have provided all of the information requested upon specimen collection registration Beacon will submit a request for payment through a federal program for the uninsured.  If the information is not provided the guarantor will receive a bill for the services.

Specimen Collection: $46

Testing Options at Beacon