Patient Price Information List

Disclaimer: Franklin County Medical Center determines its standard charges for patient items and services through the use of 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 particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient’s care at the Hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

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, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the Hospital. It does not reflect the charges for physicians, such as the surgeon, anesthesiologist, radiologist, pathologist, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

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.

LOCAL MARKET HOSPITALS

In order to present a meaningful comparison, Franklin County Medical Center has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 9/30/2019. Franklin County Medical Center's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Cache Valley Hospital

North Logan

UT

Logan Regional Hospital

Logan

UT

Portneuf Medical Center

Pocatello

ID

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$1,250
$1,734

28% lower than market

Semi-Private Room

$1,250
$2,314

46% lower than market

Intensive Care Unit

$1,824
$5,243

65% lower than market

OUTPATIENT EMERGENCY DEPARTMENT CHARGES

Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with Level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

Description

Our Charge
Market Charge

Variance

Emergency Department Visit - Level 1

$154
$344

55% lower than market

Emergency Department Visit - Level 2

$238
$631

62% lower than market

Emergency Department Visit - Level 3

$416
$1,025

59% lower than market

Emergency Department Visit - Level 4

$607
$1,573

61% lower than market

Emergency Department Visit - Level 5

$1,019
$2,564

60% lower than market

OUTPATIENT PHYSICAL THERAPY CHARGES

The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Electric Stimulation for Therapy

$74
$59

26% higher than market

Gait Training - 15 Minutes

$77
$76

1% higher than market

PT Evaluation - Moderate Complexity

$165
$277

40% lower than market

PT to Re-Educate Brain to Muscle Function (15 min)

$85
$76

11% higher than market

Physical Therapy 1 or More Regions (15 min)

$96
$77

24% higher than market

Physical Therapy Exercise, 15 Minutes

$80
$71

13% higher than market

Physical Therapy, complex evaluation

$185
$365

49% lower than market

Physical Therapy, re-evaluation

$70
$166

58% lower than market

OUTPATIENT OCCUPATIONAL THERAPY CHARGES

The following charges reflect the most common services offered by our Occupational Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Occupational Therapy Evaluation - Moderate Complexity

$165
$265

38% lower than market

Occupational Therapy, complex evaluation

$185
$447

59% lower than market

Occupational Therapy, re-evaluation

$67
$207

68% lower than market

OUTPATIENT PULMONARY THERAPY CHARGES

The following charges reflect the most common services offered by our Pulmonary Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

CPAP Initiation & Management

$689
$653

5% higher than market

Holter Testing - 48-Hour EKG

$295
$228

29% higher than market

Routine EKG - Minimum 12 Leads

$159
$220

28% lower than market

Spirometry - breathing test

$158
$380

58% lower than market

Spirometry - medicated breathing procedure

$360
$603

40% lower than market

Stress Test with EKG tracing

$677
$502

35% higher than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Evaluation of Speech Sound Production and Language Comprehenson

$280
$441

37% lower than market

Speech Therapy

$177
$263

33% lower than market

Swallow Evaluation

$255
$426

40% lower than market

OUTPATIENT LABORATORY AND PATHOLOGY CHARGES

The following charges reflect our most common laboratory procedures. For all lab specimens collected via blood draw, the venipuncture will be charged separately.

Description

Our Charge
Market Charge

Variance

Acute hepatitis panel

$239
$280

15% lower than market

Albumin (protein) level

$25
$39

36% lower than market

Amylase (enzyme) level

$70
$80

13% lower than market

Analysis for Gastrointestinal Bacteria

$85
$147

42% lower than market

Analysis for antibody to Rubella (German measles virus)

$39
$61

37% lower than market

Analysis for antibody to Rubeola (measles virus)

$85
$120

29% lower than market

Analysis for antibody to West Nile virus

$75
$54

40% higher than market

Antibody Screen

$161
$319

49% lower than market

Antithrombin III antigen (clotting inhibitor) activity

$60
$128

53% lower than market

Antithrombin III antigen (clotting inhibitor) level

$62
$95

35% lower than market

Bacterial Culture, Any Source Except Urine, Blood, or Stool

$102
$108

5% lower than market

Bacterial urine culture

$60
$75

20% lower than market

Bacterial urine culture; quantitative colony count

$62
$69

10% lower than market

Bilirubin level (Total)

$30
$42

29% lower than market

Blood Typing, ABO

$45
$66

32% lower than market

Blood Typing, Rh (D)

$50
$58

14% lower than market

Blood Unit Compatibility Test; Antiglobulin Technique

$124
$317

61% lower than market

Blood creatinine level

$40
$55

28% lower than market

Blood glucose (sugar) level

$25
$39

36% lower than market

Blood glucose (sugar) level after receiving dose of glucose

$75
$77

3% lower than market

Blood potassium level

$25
$44

43% lower than market

Blood sodium level

$25
$40

38% lower than market

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)

$48
$55

12% lower than market

Blood test, basic group of blood chemicals

$127
$55

131% higher than market

Blood test, clotting time

$45
$45

1% higher than market

Blood test, comprehensive group of blood chemicals

$75
$84

11% lower than market

Blood test, lipids (cholesterol and triglycerides)

$68
$88

23% lower than market

Blood test, thyroid stimulating hormone (TSH)

$75
$103

27% lower than market

Cholesterol level

$30
$43

31% lower than market

Chromium level to test for poisoning or deficiency

$87
$54

61% higher than market

Complete blood cell count - automated differential WBC count

$50
$87

42% lower than market

Complete blood cell count - automated test with out Differential

$40
$60

34% lower than market

Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)

$120
$104

15% higher than market

Copper level

$55
$79

30% lower than market

Creatine kinase Level (cardiac enzyme) - Total

$48
$62

22% lower than market

Cyanocobalamin (vitamin B-12) level

$92
$133

31% lower than market

Detection Test for Hepatitis B

$75
$84

11% lower than market

Detection Test for Neisseria Gonorrhoeae

$100
$96

4% higher than market

Detection test for HIV-1 and HIV-2

$75
$75

Approximately equal to market

Detection test for Hepatitis B surface antigen

$66
$72

8% lower than market

Detection test for Rotavirus

$125
$164

24% lower than market

Detection test for Staphylococcus aureus (bacteria)

$125
$239

48% lower than market

Detection test for aspergillus (fungus)

$120
$159

25% lower than market

Detection test for bacteria toxin (shiga-like toxin)

$76
$58

31% higher than market

Detection test for clostridium difficile toxins (stool pathogen)

$100
$104

4% lower than market

Detection test for giardia; immunoassay technique

$110
$65

68% higher than market

Detection test for multiple organisms; amplified probe technique

$400
$671

40% lower than market

Detection test for organism; amplified probe technique

$175
$225

22% lower than market

Dihydroxyvitamin D, 1, 25 level

$75
$172

56% lower than market

Drug test(s) presumptive, any number of drug classes, includes sample validation when performed

$115
$182

37% lower than market

Estradiol (hormone) level

$126
$205

39% lower than market

Estrogen analysis; fractionated

$87
$160

46% lower than market

Estrone (hormone) level

$85
$108

21% lower than market

Ferritin (blood protein) level

$80
$115

31% lower than market

Folic acid; serum

$82
$107

23% lower than market

General health panel

$242
$233

4% higher than market

Gonadotropin (reproductive hormone) analysis

$48
$43

12% higher than market

Gonadotropin, chorionic (reproductive hormone) level

$75
$106

29% lower than market

Gonadotropin, follicle stimulating (reproductive hormone) level

$135
$133

1% higher than market

Gonadotropin, luteinizing (reproductive hormone) level

$135
$117

16% higher than market

HDL cholesterol level

$46
$45

3% higher than market

Hemoglobin A1C level

$78
$88

11% lower than market

Hepatitis B Antibody Measurement

$78
$113

31% lower than market

Hepatitis B core antibody (IgM) measurement

$78
$110

29% lower than market

Hepatitis Be antibody measurement

$78
$52

50% higher than market

Hepatitis C Antibody Measurement

$78
$124

37% lower than market

Homocysteine (amino acid) level

$65
$126

49% lower than market

Human growth hormone level

$50
$97

48% lower than market

IgE (immune system protein) level

$88
$72

23% higher than market

Immunologic analysis for detection of organism; qualitative or semiquantitative; multiple-step method

$95
$176

46% lower than market

Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique

$209
$244

15% lower than market

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus, quantification

$300
$289

4% higher than market

Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (6-11 targets)

$390
$646

40% lower than market

Insulin Measurement; Total

$58
$111

48% lower than market

Insulin antibody measurement

$73
$146

50% lower than market

Iron Binding Capacity

$55
$76

28% lower than market

Iron level

$35
$58

40% lower than market

Ketone bodies analysis, quantitative

$46
$65

29% lower than market

Kidney Function Blood Test Panel

$68
$77

12% lower than market

Lactate dehydrogenase (enzyme) level

$45
$47

5% lower than market

Lead level

$50
$19

160% higher than market

Lipase (fat enzyme) level

$44
$84

48% lower than market

Lithium Level

$60
$79

24% lower than market

Liver enzyme (SGOT), level

$30
$36

16% lower than market

Liver enzyme (SGPT), level

$30
$36

16% lower than market

Liver function blood test panel

$62
$84

27% lower than market

Magnesium Level

$45
$80

43% lower than market

Measurement C-reactive protein

$94
$75

26% higher than market

Measurement for Strep antibody (strep throat)

$58
$82

29% lower than market

Measurement of Antibody for Assessment of Autoimmune Disorder

$101
$77

31% higher than market

Measurement of Hepatitis A antibody (IgM)

$78
$103

24% lower than market

Measurement of antibody (IgE) to allergic substance

$75
$23

222% higher than market

Measurement of antibody for assessment of autoimmune disorder

$34
$96

65% lower than market

Measurement of antibody for rheumatoid arthritis assessment

$106
$98

8% higher than market

Measurement of complement (immune system proteins)

$100
$146

32% lower than market

Microsomal Antibodies Measurement

$82
$136

40% lower than market

Myelin basic protein (nerve protein) level, spinal fluid

$95
$100

5% lower than market

Myoglobin (muscle protein) level

$98
$102

4% lower than market

Natriuretic peptide (heart and blood vessel protein) level

$191
$128

49% higher than market

PSA (prostate specific antigen) measurement

$90
$131

31% lower than market

PSA Measurement; Free

$100
$150

33% lower than market

Parathormone

$85
$211

60% lower than market

Coagulation assessment blood test

$60
$61

1% lower than market

Phosphate level

$35
$43

18% lower than market

Progesterone (reproductive hormone) level

$130
$156

16% lower than market

Prostate Cancer Screening Test

$90
$116

22% lower than market

Red blood cell sedimentation rate, to detect inflammation; non-automated

$35
$59

41% lower than market

Screening Test for Red Blood Cell Antibodies

$85
$98

13% lower than market

Screening test for Pathogenic Organisms

$50
$67

25% lower than market

Specimen analysis for blood

$22
$30

27% lower than market

Streptoccus

$75
$117

36% lower than market

Tacrolimus Level

$80
$215

63% lower than market

Testosterone (hormone) level

$135
$197

32% lower than market

Testosterone Level; Free

$150
$167

10% lower than market

Thyroid Hormone, T3 Measurement, Free

$75
$104

28% lower than market

Thyroid stimulating immune globulins (thyroid related protein) level

$195
$258

24% lower than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$75
$95

21% lower than market

Uric acid level, blood

$30
$39

24% lower than market

Urinalysis with Examination, using Microscope

$47
$62

25% lower than market

Urinalysis, Automated Test

$28
$40

31% lower than market

Valproic acid level

$98
$106

8% lower than market

Vitamin D-3 Level

$166
$170

2% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Hydration Infusion into a Vein

$80
$217

63% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$300
$509

41% lower than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$119
$189

37% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$204
$658

69% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$78
$147

47% lower than market

Injection of Same Drug into Vein for Therapy or Diagnosis

$244
$223

9% higher than market

Sleep Monitoring with CPAP

$3,816
$2,689

42% higher than market

Sleep monitoring of patient (6 years or older) in sleep lab

$3,498
$2,421

44% higher than market

Training in use of orthotics (supports, braces, or splints) for arms, legs and/or trunk each 15 minu

$74
$64

16% higher than market

Water pool therapy with therapeutic exercises to 1 or more areas, each 15 minutes

$66
$81

19% lower than market

OUTPATIENT RESPIRATORY THERAPY CHARGES

The following charges reflect the most common services offered by our Respiratory Therapy department. Patients may have additional charges, depending on the services performed.

Description

Our Charge
Market Charge

Variance

Nebulizer Treatment

$82
$174

53% lower than market

Pulse Oximetry

$94
$118

21% lower than market

OUTPATIENT SUPPLIES CHARGES

Description

Our Charge
Market Charge

Variance

Technetium tc-99m sestamibi, diagnostic, per study dose

$273
$412

34% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Biopsy and/or removal of polyp of the uterus using an endoscope

$2,994
$2,921

3% higher than market

Biopsy of Large Bowel, Using an Endoscope

$1,590
$2,682

41% lower than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$1,413
$2,501

44% lower than market

Colonscopy

$1,467
$2,094

30% lower than market

Diagnostic Examination of Esophagus, Stomach, and/or Upper Small Bowel with Endoscope

$1,447
$1,859

22% lower than market

Epidural Injection Thoracic

$1,250
$1,445

13% lower than market

Removal of cataract with insertion of lens

$1,520
$3,091

51% lower than market

Gallbladder Removal Using an Endoscope

$4,492
$6,800

34% lower than market

Injection of anesthetic and/or steroid into lower spine nerve root using imaging

$522
$2,188

76% lower than market

Insertion of Needle into Vein to Collect Blood

$25
$27

7% lower than market

Removal of one knee cartilage using an endoscope

$4,492
$3,712

21% higher than market

Lumbar Joint Injection

$1,250
$1,209

3% higher than market

Colonoscopy with removal of polyp(s)

$1,590
$1,829

13% lower than market

Repair of groin hernia patient age 5 years or older

$1,129
$5,972

81% lower than market

Shaving of shoulder bone using an endoscope

$4,492
$3,502

28% higher than market

OUTPATIENT X-RAY AND RADIOLOGICAL CHARGES

The following charges reflect our most common x-ray and radiological procedures. For all exams requiring contrast, the contrast will be charged separately.

Description

Our Charge
Market Charge

Variance

Bone and/or joint imaging

$1,083
$1,252

13% lower than market

Breast Ultrasound - Limited

$210
$440

52% lower than market

CT Abdomen & Pelvis with Contrast

$2,050
$2,109

3% lower than market

CT Abdomen & Pelvis with and without Contrast

$2,404
$2,457

2% lower than market

CT Abdomen & Pelvis without Contrast

$1,202
$1,545

22% lower than market

CT Angiogram Chest with and without Contrast

$1,343
$1,692

21% lower than market

CT Angiogram Neck with and without Contrast

$1,250
$2,339

47% lower than market

CT Chest with Contrast

$1,181
$1,584

25% lower than market

CT Chest without Contrast

$914
$1,240

26% lower than market

CT Face without Contrast

$869
$1,369

37% lower than market

CT Head Brain without Contrast

$790
$1,302

39% lower than market

CT Pelvis with Contrast

$1,184
$1,401

15% lower than market

Chest X-Ray; 2 Views

$230
$252

9% lower than market

Diagnostic mammography, bilateral

$280
$443

37% lower than market

Diagnostic mammography, unilateral

$180
$332

46% lower than market

Digital breast tomosynthesis; bilateral

$330
$135

144% higher than market

Imaging of Abdomen and Chest

$438
$359

22% higher than market

Imaging of Abdomen; 2 Views

$302
$296

2% higher than market

Imaging of Abdomen; Single View

$239
$209

15% higher than market

MRA Head without Contrast

$1,534
$2,583

41% lower than market

MRI Arm Joint without Contrast

$1,600
$2,322

31% lower than market

MRI Brain with and without Conrast

$2,452
$3,243

24% lower than market

MRI Brain without Contrast

$1,694
$2,293

26% lower than market

MRI Leg Joint with and without Contrast

$1,900
$4,216

55% lower than market

MRI Leg Joint without Contrast

$1,600
$1,737

8% lower than market

MRI Spine Cervical without Contrast

$1,845
$2,101

12% lower than market

MRI Spine Lumbar without Contrast

$1,977
$1,928

3% higher than market

Myocardial Perfusion, Tomographic

$2,534
$3,303

23% lower than market

Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view

$282
$231

22% higher than market

Screening Mammography, Bilateral, with CAD

$254
$358

29% lower than market

Ultrasound Abdomen - Complete

$552
$531

4% higher than market

Ultrasound Abdomen - Limited

$497
$459

8% higher than market

Ultrasound Behind Abdominal Cavity - Complete

$495
$459

8% higher than market

Ultrasound Blood Flow Outside the Brain

$786
$646

22% higher than market

Ultrasound Head Neck

$497
$479

4% higher than market

Ultrasound Heart

$950
$1,516

37% lower than market

Ultrasound Pelvis NonOB

$497
$478

4% higher than market

Ultrasound Pelvis through Vagina

$183
$608

70% lower than market

Ultrasound Pregnant Uterus < 14 Weeks Pregnant

$297
$550

46% lower than market

Ultrasound Pregnant Uterus > 14 Weeks Pregnant

$497
$671

26% lower than market

Ultrasound Scrotum

$497
$472

5% higher than market

Ultrasound Veins of Both Arms or Legs

$840
$735

14% higher than market

Ultrasound Veins of One Arm or Leg

$583
$511

14% higher than market

Ultrasound re-evaluation of pregnant uterus, per fetus

$162
$602

73% lower than market

X-Ray Ankle, 3 Views

$276
$254

9% higher than market

X-Ray Both Hips and Pelvis, 2 Views

$359
$496

28% lower than market

X-Ray Collar Bone

$279
$288

3% lower than market

X-Ray Elbow, 3 Views

$293
$290

1% higher than market

X-Ray Femus, 2 Views

$239
$243

2% lower than market

X-Ray Fingers, 2 Views

$230
$225

2% higher than market

X-Ray Foot, 3 Views

$276
$278

1% lower than market

X-Ray Forearm, 2 Views

$237
$260

9% lower than market

X-Ray Hand, 3 Views

$264
$254

4% higher than market

X-Ray Heel, 2 Views

$234
$209

12% higher than market

X-Ray Hip and Pelvis, 2 Views

$293
$351

16% lower than market

X-Ray Knee, 1-2 Views

$233
$218

7% higher than market

X-Ray Knee, 4 or More Views

$305
$343

11% lower than market

X-Ray Lower Leg, 2 Views

$269
$265

2% higher than market

X-Ray Lower Sacral Spine, 2-3 Views

$322
$321

Approximately equal to market

X-Ray Lower Sacral Spine, 4 or More Views

$508
$503

1% higher than market

X-Ray Middle Spine, 3 Views

$302
$259

17% higher than market

X-Ray Neck Spine, 2-3 Views

$264
$290

9% lower than market

X-Ray Pelvis, 1-2 Views

$287
$279

3% higher than market

X-Ray Pelvis, 2 Views

$230
$353

35% lower than market

X-Ray Shoulder, 1 View

$230
$189

22% higher than market

X-Ray Shoulder, 2 Views

$293
$300

2% lower than market

X-Ray Toes, 2 Views

$230
$233

1% lower than market

X-Ray Upper Arm, 2 Views

$243
$267

9% lower than market

X-Ray Upper Spine, 4-5 Views

$342
$379

10% lower than market

X-Ray Wrist, 2 Views

$186
$315

41% lower than market

X-Ray Wrist, 3 Views

$293
$289

1% higher than market

X-ray Ribs One Side, Minimum 3 Views

$355
$375

5% lower than market

X-ray of bones of face, minimum of 3 views

$364
$428

15% lower than market

X-ray of bones of nose, minimum of 3 views

$234
$318

26% lower than market

X-ray of middle and lower spine, 2 views

$302
$236

28% higher than market

X-ray of spine, 1 view

$219
$409

46% lower than market

INPATIENT CARDIOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Abnormal or Irregular Heartbeat with complications

$16,746
$17,133

2% lower than market

Abnormal or Irregular Heartbeat without complications

$11,038
$14,691

25% lower than market

Acute myocardial infarction, discharged alive without complications

$2,252
$32,876

93% lower than market

Cardiac arrhythmia & conduction disorders with major complications

$10,507
$25,229

58% lower than market

Chest pain

$2,918
$19,041

85% lower than market

Heart Failure with complications

$6,688
$26,451

75% lower than market

Heart Failure with major complications

$9,406
$31,294

70% lower than market

Heart failure & shock without complications

$6,340
$13,497

53% lower than market

Hypertension with major complications

$5,115
$33,504

85% lower than market

Hypertension without major complications

$3,394
$17,961

81% lower than market

Peripheral vascular disorders with complications

$1,709
$18,472

91% lower than market

Peripheral vascular disorders with major complications

$7,996
$51,816

85% lower than market

Syncope & collapse

$6,065
$20,379

70% lower than market

INPATIENT ORTHOPEDIC SURGERY CHARGES

Description

Our Charge
Market Charge

Variance

Total Knee or Hip Replacement

$38,691
$62,817

38% lower than market

Total Knee or Hip Revision

$53,393
$89,676

40% lower than market

Total Shoulder Replacement

$51,005
$75,840

33% lower than market

INPATIENT PULMONOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Pneumonia with complications

$7,526
$19,564

62% lower than market

BILLING PROCESS AND INFORMATION

How You Can Help

Thank you for choosing Franklin County Medical Center for your healthcare needs. As part of our commitment to delivering EXCELLENT service, we want to make understanding and paying your bill as easy as possible. Here are some ways you can help us as we work to make the billing process go smoothly.

• Please give us complete health insurance information.

In addition to your health insurance card, we may ask for a photo ID. If you have been seen atFranklin County Medical Center, let us know if your personal information or insurance information has changed since your last visit.

• Please understand and follow the requirements of your health plan.

Be sure to know your benefits, obtain proper authorization for services and submit referral claim forms if necessary. Many insurance plans require patients to pay a co-payment or deductible amount. You are responsible for paying co-payments required by your insurance provider and Franklin County Medical Center, s responsible for collecting co-payments. Please come to your appointment prepared to make your co-payment.

• Please respond promptly to any requests from your insurance provider.

You may receive multiple bills for your hospital visit, including your family doctor, specialists, physicians to read x-rays, give anesthesia, or do blood work. Insurance benefits are the result of your contract with your insurance company. We are a third-party to those benefits and may need your help with your insurance. If your insurance plan does not pay the bill within 90 days after billing, or your claim is denied, you will receive a statement from Franklin County Medical Center indicating the bill is now your responsibility. All bills sent to you are due upon receipt.

Questions about Price and Billing Information

Our goal is for each of our patients and their families to have the best healthcare experience possible. Part of our commitment is to provide you with information that helps you make well informed decisions about your own care.

To ask questions or get more information about a bill for services you've received, please contact our Customer Call Center at 208-852-0137.

If you need more information about the price of a future service, please contact our us at 208-852-0137.A CPT code is strongly encouraged when you call. You can obtain the CPT code from the ordering physician.