Patient Price Information List

Disclaimer: Sparta Community Hospital 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, Sparta Community Hospital has partnered with Hospital Pricing Specialists LLC to analyze current charges, based off CMS adjudicated claims through 9/30/2019. Sparta Community Hospital's charges are displayed and compared with the local market charge, consisting of the following hospitals:

Hospital Name
Location

Marshall Browning Hospital

Du Quoin

IL

Memorial Hospital East

Shiloh

IL

Memorial Hospital-Belleville

Belleville

IL

Memorial Hospital-Carbondale

Carbondale

IL

Memorial Hospital-Chester

Chester

IL

Pinckneyville Community Hosp

Pinckneyville

IL

Red Bud Regional Hospital

Red Bud

IL

St Joseph Memorial Hospital-Murphysboro

Murphysboro

IL

St. Elizabeth's Hospital

Belleville

IL

Washington County Hospital

Nashville

IL

INPATIENT ROOM AND BOARD DAILY CHARGES

Description

Our Charge
Market Charge

Variance

Private Room

$700
$1,551

55% lower than market

Semi-Private Room

$700
$1,498

53% 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

$166
$328

50% lower than market

Emergency Department Visit - Level 2

$221
$523

58% lower than market

Emergency Department Visit - Level 3

$386
$804

52% lower than market

Emergency Department Visit - Level 4

$772
$1,128

32% lower than market

Emergency Department Visit - Level 5

$1,075
$1,519

29% lower than market

Emergency Critical Care, First 30 Minutes

$1,819
$2,698

33% 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

Application of Electrical Stimulation - 15 Minutes

$174
$166

5% higher than market

Electric Stimulation for Therapy

$124
$152

19% lower than market

PT Evaluation - Moderate Complexity

$307
$304

1% higher than market

Physical Therapy 1 or More Regions (15 min)

$124
$156

20% lower than market

Physical Therapy Exercise, 15 Minutes

$182
$157

16% higher than market

Physical Therapy, standard evaluation - 20 minutes

$230
$269

15% 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

Therapeutic Activities Involving Functional Activities (15 min)

$106
$129

18% 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

Holter Testing - 48-Hour EKG

$515
$798

36% lower than market

Routine EKG - Minimum 12 Leads

$189
$344

45% lower than market

Spirometry - medicated breathing procedure

$725
$676

7% higher than market

OUTPATIENT SPEECH THERAPY CHARGES

Description

Our Charge
Market Charge

Variance

Speech Therapy

$225
$299

25% lower than market

Swallow Treatment

$225
$291

23% 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

Ammonia level

$183
$187

2% lower than market

Amylase (enzyme) level

$87
$211

59% lower than market

Analysis for antibody to Rickettsia (bacteria)

$153
$291

47% lower than market

Analysis of Substance Using Immunoassay Technique

$146
$316

54% lower than market

Bacterial Culture for Aerobic Isolates

$63
$88

29% lower than market

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

$116
$220

48% lower than market

Bacterial culture and colony count

$116
$155

26% lower than market

Bilirubin level (Direct)

$106
$108

2% lower than market

Blood Typing, Rh (D)

$89
$85

4% higher than market

Blood creatinine level

$77
$102

25% lower than market

Blood glucose (sugar) level

$87
$90

3% lower than market

Blood potassium level

$76
$73

4% higher than market

Blood test, basic group of blood chemicals

$124
$164

25% lower than market

Blood test, basic group of blood chemicals

$185
$260

29% lower than market

Blood test, clotting time

$77
$84

9% lower than market

Blood test, comprehensive group of blood chemicals

$247
$373

34% lower than market

Blood test, lipids (cholesterol and triglycerides)

$224
$312

28% lower than market

Blood test, thyroid stimulating hormone (TSH)

$252
$234

8% higher than market

Body fluid cell count with cell identification

$152
$239

37% lower than market

Carbamazepine level

$210
$193

9% higher than market

Carcinoembryonic antigen (CEA) protein level

$258
$308

16% lower than market

Coagulation Function Measurement; D-dimer; quantitative

$196
$295

34% lower than market

Complete blood cell count - automated differential WBC count

$50
$156

68% lower than market

Complete blood cell count - automated test with out Differential

$50
$131

62% lower than market

Creatine kinase Level (cardiac enzyme) - Total

$88
$139

37% lower than market

Creatine kinase level (cardiac enzyme) - Muscle/Brain

$114
$188

39% lower than market

Culture, typing; immunologic method, other than immunofluorescence (eg, agglutination grouping), per antiserum

$42
$55

25% lower than market

Detection Test for Hepatitis B

$146
$154

5% lower than market

Detection test for Influenza virus, A or B

$112
$234

52% lower than market

Detection test for bacteria toxin (shiga-like toxin)

$88
$341

74% lower than market

Digoxin level

$162
$157

4% higher than market

Drug test(s); includes specimen validity testing, per day; 8-14 drug class(es)

$214
$279

23% lower than market

Ferritin (blood protein) level

$204
$225

9% lower than market

Gammaglobulin Measurement

$172
$208

17% lower than market

Gonadotropin (reproductive hormone) analysis

$123
$200

38% lower than market

Hemoglobin A1C level

$130
$141

8% lower than market

Hepatitis C Antibody Measurement

$143
$147

3% lower than market

Immunologic analysis for detection of tumor antigen (CA 125)

$300
$320

6% lower than market

Ionized Calcium

$170
$199

14% lower than market

Iron Binding Capacity

$80
$101

21% lower than market

Iron level

$76
$134

43% lower than market

Kidney Function Blood Test Panel

$124
$266

53% lower than market

LDL cholesterol level

$112
$116

4% lower than market

Lactate dehydrogenase (enzyme) level

$78
$110

29% lower than market

Lipase (fat enzyme) level

$106
$155

32% lower than market

Liver enzyme (SGOT), level

$96
$126

24% lower than market

Liver enzyme (SGPT), level

$101
$120

16% lower than market

Liver function blood test panel

$277
$275

1% higher than market

Magnesium Level

$101
$119

15% lower than market

Measurement C-reactive protein

$188
$196

4% lower than market

Measurement of Complement (Immune System Proteins)

$103
$199

48% lower than market

Other closed skull fracture without mention of intracranial injury, with loss of consciousness of unspecified duration

$192
$263

27% lower than market

PSA (prostate specific antigen) measurement

$124
$246

50% lower than market

Coagulation assessment blood test

$80
$115

30% lower than market

Phenytoin level

$168
$208

20% lower than market

Phosphate level

$80
$91

12% lower than market

Procalcitonin (hormone) level

$311
$287

8% higher than market

Prostate Cancer Screening Test

$118
$213

45% lower than market

Protein Measurement, Serum

$166
$184

10% lower than market

Red Blood Cells, Leukocytes Reduced, Each Unit

$561
$668

16% lower than market

Red blood cell sedimentation rate, to detect inflammation

$77
$97

21% lower than market

Rheumatoid factor analysis

$91
$153

40% lower than market

Rheumatoid factor level

$93
$122

24% lower than market

Screening Test for Red Blood Cell Antibodies

$157
$194

19% lower than market

Screening test for Pathogenic Organisms

$33
$127

74% lower than market

Smear for Parasites

$58
$157

63% lower than market

Special Stain for Microorganism; Gram or Glemsa Stain

$52
$83

37% lower than market

Special stained specimen slides to examine tissue including interpretation and report

$33
$144

77% lower than market

Stool Analysis for Blood

$44
$64

31% lower than market

Stool culture - salmonella and shigella species

$88
$219

60% lower than market

Stool culture - additional pathogens

$119
$107

11% higher than market

Strep Test

$59
$156

62% lower than market

Syphilis Detection Test

$91
$101

10% lower than market

Tacrolimus Level

$366
$461

21% lower than market

Test for Influenza Virus

$106
$142

25% lower than market

Testosterone (hormone) level

$379
$348

9% higher than market

Testosterone Level; Free

$227
$247

8% lower than market

Thyroxine (thyroid chemical) measurement - Free Thyroxine

$154
$179

14% lower than market

Urea nitrogen level to assess kidney function

$91
$95

4% lower than market

Uric acid level, blood

$87
$117

25% lower than market

Urinalysis with Examination, using Microscope

$44
$122

64% lower than market

Urinalysis, Automated Test

$34
$63

46% lower than market

Urinalysis, Manual Test

$6
$29

78% lower than market

Urine Pregnancy Test

$91
$117

22% lower than market

Urine microalbumin (protein) level

$60
$183

67% lower than market

Valproic acid level

$187
$180

4% higher than market

Vancomycin (antibiotic) level

$176
$217

19% lower than market

Vitamin D-3 Level

$244
$268

9% lower than market

White blood cell measure, stool specimen

$80
$129

38% lower than market

OUTPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Application of mechanical traction to 1 or more areas

$124
$162

23% lower than market

Heart rhythm analysis, interpretation and report of 48-hour EKG

$569
$749

24% lower than market

Hydration Infusion into a Vein

$143
$187

23% lower than market

Hydration Infusion into a Vein - 31 Minutes to 1 Hour

$252
$370

32% lower than market

Infusion (Additional) for Therapy, Diagnosis or Prevention

$143
$237

40% lower than market

Infusion into a Vein for Therapy, Diagnosis, or Prevention

$143
$185

23% lower than market

Infusion of Drug or Substance into Vein for Therapy or Diagnosis

$252
$435

42% lower than market

Injection Beneath the Skin for Therapy, Diagnosis, or Prevention

$129
$162

20% lower than market

Injection of Same Drug into Vein for Therapy or Diagnosis

$129
$196

34% lower than market

Irrigation of implanted venous access drug delivery device

$90
$201

55% lower than market

Multiple measurements of oxygen saturation in blood using ear or finger device

$115
$132

13% lower than market

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

$4,403
$4,496

2% lower than market

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

$125
$117

6% higher than market

Vein Infusion for Therapy, Prevention or Diagnosis, Concurrent with Another Infusion

$143
$275

48% lower than market

OUTPATIENT OTHER CHARGES

Description

Our Charge
Market Charge

Variance

Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes

$56
$114

51% lower than market

Diabetes outpatient self-management training services, individual, per 30 minutes

$94
$148

37% lower than market

Injection, gadobenate dimeglumine (multihance), per ml

$5
$20

74% lower than market

Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries

$179
$334

46% lower than market

Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries

$147
$204

28% lower than market

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf

$40
$45

11% lower than market

OUTPATIENT PHARMACY AND DRUG ADMINISTRATION CHARGES

Description

Our Charge
Market Charge

Variance

Administration of 1 Vaccine

$67
$100

33% lower than market

Injection of Drug or Substance into Vein for Therapy or Diagnosis

$129
$280

54% lower than market

Injection of New Drug into Vein for Therapy or Diagnosis

$129
$232

44% lower than market

Injection, Cefazolin Sodium, 500 mg

$18
$19

2% lower than market

Injection, Ceftriaxone Sodium, per 250 mg

$8
$20

59% lower than market

Injection, Diphenhydramine HCL, up to 50 mg

$8
$17

53% lower than market

Injection, Fentanyl Citrate, 0.1 mg

$9
$19

54% lower than market

Injection, Furosemide, up to 20 mg

$8
$13

39% lower than market

Injection, Heparin Sodium, per 1000 Units

$8
$16

47% lower than market

Injection, Hydromorphone, Up to 4 mg

$9
$22

61% lower than market

Injection, Lorazepam, 2 mg

$9
$17

49% lower than market

Injection, Methylprednisolone Sodium Succinate, up to 125 mg

$51
$77

34% lower than market

Injection, Metoclopramide HCL, Up to 10mg

$8
$20

60% lower than market

Injection, Midazolam Hydrochloride, per 1 mg

$9
$9

2% higher than market

Injection, Morphine Sulfate, up to 10 mg

$14
$22

35% lower than market

Injection, Vancomycin HCL, 500 mg

$25
$41

40% lower than market

Injection, epoetin alfa, (for non-esrd use), 1000 units

$111
$356

69% lower than market

Injection, ertapenem sodium, 500 mg

$285
$290

2% lower than market

Injection, lidocaine hcl for intravenous infusion, 10 mg

$8
$22

63% lower than market

Injection, methylprednisolone acetate, 40 mg

$11
$38

73% lower than market

Injection, methylprednisolone acetate, 80 mg

$28
$69

59% lower than market

Injection, perflutren lipid microspheres, per ml

$320
$389

18% lower than market

Injection, zoledronic acid, 1 mg

$150
$335

55% lower than market

Tetanus Vaccine

$91
$240

62% 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

Arterial Puncture

$51
$86

41% lower than market

CO Diffusion Capacity

$197
$346

43% lower than market

Nebulizer Treatment

$60
$146

59% lower than market

Pulse Oximetry

$78
$109

28% lower than market

Thoracic Gas Volume

$370
$452

18% lower than market

OUTPATIENT SUPPLIES CHARGES

Description

Our Charge
Market Charge

Variance

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

$416
$645

35% lower than market

OUTPATIENT SURGICAL SERVICES CHARGES

Description

Our Charge
Market Charge

Variance

Application of Short Arm Splint

$322
$948

66% lower than market

Biopsy of Large Bowel, Using an Endoscope

$3,498
$4,248

18% lower than market

Biopsy of prostate gland

$1,470
$5,040

71% lower than market

Biopsy of the Esophagus, Stomach, Using an Endoscope

$2,186
$4,348

50% lower than market

Colonscopy

$3,498
$3,657

4% lower than market

Colorectal Cancer Screening; Colonoscopy on Non-High Risk Patient

$3,498
$3,395

3% higher than market

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

$4,496
$2,827

59% higher than market

Epidural Injection Thoracic

$2,434
$2,077

17% higher than market

Removal of cataract with insertion of lens

$5,073
$5,472

7% lower than market

Gallbladder Removal Using an Endoscope

$7,840
$13,894

44% lower than market

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

$2,434
$1,784

36% higher than market

Injection of substance into spinal canal or lower back using imaging

$1,012
$1,377

27% lower than market

Insertion of Indwelling Bladder Catheter

$299
$595

50% lower than market

Insertion of Needle into Vein to Collect Blood

$35
$37

6% lower than market

Removal of one knee cartilage using an endoscope

$5,600
$8,968

38% lower than market

Colonoscopy with removal of polyp(s)

$3,498
$4,038

13% lower than market

Removal of skin and tissue

$1,323
$1,846

28% lower than market

Removal of skin and tissue first 20 sq cm or less

$1,323
$3,566

63% lower than market

Repair of groin hernia patient age 5 years or older

$8,000
$10,758

26% lower than market

Ultrasound measurement of bladder capacity after voiding

$187
$365

49% lower 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 Density Scan (DEXA Scan)

$481
$540

11% lower than market

Breast Ultrasound - Limited

$798
$849

6% lower than market

CT Abdomen & Pelvis with Contrast

$4,804
$5,259

9% lower than market

CT Abdomen & Pelvis with and without Contrast

$6,137
$6,002

2% higher than market

CT Abdomen & Pelvis without Contrast

$3,487
$4,484

22% lower than market

CT Angiogram Abdomen & Pelvis with and without Contrast

$5,110
$4,736

8% higher than market

CT Angiogram Chest with and without Contrast

$3,255
$3,493

7% lower than market

CT Head Brain without Contrast

$2,216
$2,095

6% higher than market

CT Pelvis with Contrast

$3,187
$2,338

36% higher than market

CT Pelvis without Contrast

$2,616
$2,357

11% higher than market

CT Spine Cervical without Contrast

$2,925
$2,730

7% higher than market

CT Spine Lumbar without Contrast

$2,777
$2,635

5% higher than market

Chest X-Ray; 2 Views

$255
$451

43% lower than market

Chest X-Ray; Single View

$154
$292

47% lower than market

Diagnostic mammography, bilateral

$469
$462

1% higher than market

Diagnostic mammography, unilateral

$359
$385

7% lower than market

Imaging of Abdomen and Chest

$391
$632

38% lower than market

Imaging of Abdomen; 2 Views

$322
$638

50% lower than market

Imaging of Abdomen; Single View

$197
$364

46% lower than market

Imaging of Liver and Bile Duct System with Use of Drugs

$2,874
$2,983

4% lower than market

MRI Abdomen with and without Contrast

$3,970
$4,502

12% lower than market

MRI Arm Joint without Contrast

$2,737
$3,470

21% lower than market

MRI Brain with and without Conrast

$3,902
$4,988

22% lower than market

MRI Brain without Contrast

$3,208
$3,682

13% lower than market

MRI Leg Joint without Contrast

$2,793
$3,594

22% lower than market

MRI Spine Cervical without Contrast

$3,068
$3,553

14% lower than market

MRI Spine Lumbar without Contrast

$3,237
$3,573

9% lower than market

MRI Spine Thoracic without Contrast

$2,642
$2,872

8% lower than market

Myocardial Perfusion, Tomographic

$4,148
$6,022

31% lower than market

Screening Mammography, Bilateral, with CAD

$616
$379

62% higher than market

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography

$3,418
$3,796

10% lower than market

Ultrasound Abdomen - Complete

$1,111
$1,367

19% lower than market

Ultrasound Abdomen - Limited

$854
$1,185

28% lower than market

Ultrasound Behind Abdominal Cavity - Complete

$1,061
$1,269

16% lower than market

Ultrasound Blood Flow Outside the Brain

$1,959
$2,127

8% lower than market

Ultrasound Head Neck

$929
$1,162

20% lower than market

Ultrasound Heart

$2,583
$4,166

38% lower than market

Ultrasound Pelvis NonOB

$1,008
$1,225

18% lower than market

Ultrasound Pelvis through Vagina

$997
$859

16% higher than market

Ultrasound Veins of Both Arms or Legs

$2,031
$1,928

5% higher than market

Ultrasound Veins of One Arm or Leg

$1,333
$1,268

5% higher than market

Whole Body Bone Scan

$2,161
$2,373

9% lower than market

X-Ray Ankle, 3 Views

$248
$465

47% lower than market

X-Ray Both Hips and Pelvis, 2 Views

$311
$481

35% lower than market

X-Ray Elbow, 3 Views

$279
$434

36% lower than market

X-Ray Femus, 2 Views

$220
$515

57% lower than market

X-Ray Fingers, 2 Views

$240
$390

38% lower than market

X-Ray Foot, 3 Views

$244
$434

44% lower than market

X-Ray Forearm, 2 Views

$214
$362

41% lower than market

X-Ray Hand, 3 Views

$245
$506

52% lower than market

X-Ray Hip and Pelvis, 2 Views

$298
$376

21% lower than market

X-Ray Knee, 3 Views

$274
$548

50% lower than market

X-Ray Knee, 4 or More Views

$322
$626

49% lower than market

X-Ray Lower Leg, 2 Views

$211
$483

56% lower than market

X-Ray Lower Sacral Spine, 2-3 Views

$309
$740

58% lower than market

X-Ray Lower Sacral Spine, 4 or More Views

$438
$970

55% lower than market

X-Ray Pelvis, 1-2 Views

$202
$367

45% lower than market

X-Ray Pelvis, 2 Views

$229
$473

52% lower than market

X-Ray Shoulder, 2 Views

$232
$438

47% lower than market

X-Ray Toes, 2 Views

$225
$383

41% lower than market

X-Ray Upper Arm, 2 Views

$225
$424

47% lower than market

X-Ray Upper Spine, 4-5 Views

$523
$864

40% lower than market

X-Ray Wrist, 3 Views

$277
$426

35% lower than market

X-Ray of Middle Spine; 3 Views

$302
$806

63% lower than market

X-ray Ribs One Side, Minimum 3 Views

$296
$514

42% lower than market

INPATIENT MEDICINE CHARGES

Description

Our Charge
Market Charge

Variance

Infection of the skin

$7,211
$16,694

57% lower than market

Stomach Disorder without complications

$5,015
$14,739

66% lower than market

INPATIENT ORTHOPEDIC SURGERY CHARGES

Description

Our Charge
Market Charge

Variance

Total Knee or Hip Replacement

$35,381
$51,116

31% lower than market

INPATIENT PULMONOLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Pneumonia with complications

$7,496
$18,730

60% lower than market

Pneumonia without complications

$5,061
$14,139

64% lower than market

Respiratory Failure

$6,584
$21,579

69% lower than market

INPATIENT UROLOGY CHARGES

Description

Our Charge
Market Charge

Variance

Kidney & urinary Infection without complications

$3,075
$14,248

78% lower than market

BILLING PROCESS AND INFORMATION

How You Can Help

Thank you for choosing Sparta Community Hospital for your healthcare needs. 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 at Sparta Community Hospital, 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 Sparta Community Hospital is 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 from your hospital visit, including your family doctor, specialists, physicians that read x-rays, providers that give anesthesia, or physicians that interpret 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 Sparta Community Hospital 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 Billing Department at 618-443-1338.

If you need more information about the price of a future service, please contact our Customer Service at 618-443-1400. A physician’s order or CPT code is strongly encouraged when you call to assist us in providing you with the most accurate estimate. You can obtain the CPT code from the ordering physician.