Also as of January 1, 2021, The Centers for Medicare Services (CMS) requires that all hospitals provide a list of their “shoppable services.” CMS has defined a “shoppable service” as a service package that can be scheduled by a healthcare consumer in advance. Shoppable services are typically those that are routinely provided in non-urgent situations that do not require immediate action or attention to the patient, thus allowing patients to price shop and schedule a service at a time that is convenient for them. A shoppable list of services can also be found at the links below.
Premier Specialty Hospital does not provide any services that can be scheduled in advance. Please refer to Premier Specialty Hospital’s list of standard charges for charges related to those items and services provided to patients admitted as an inpatient to Premier Specialty Hospital.
Requesting an Estimate
Hospital prices are complex. Our standard charge list does not represent what you will pay for healthcare services.
Premier Specialty Hospital and Premier Surgery Center provide no guarantee related to the accuracy of the estimates we provide our patients. Each patient may receive a unique set of items and services based on their individual needs, making it difficult to estimate your true costs. Therefore, the final costs may vary from your initial estimate. The tools offered on our website are strictly for you to view what we charge and to be used as a guide for the estimated care you plan to receive. Patients seeking a more accurate view of the potential costs of their care may request an estimate of anticipated charges by contacting us at 214-774-2116. One of our financial counselors will respond within twenty-four (24) hours with an estimate. Please note that due to the Emergency Medical Treatment and Labor Act (EMTALA) we are not able to provide estimates for emergency care in advance. Depending on the emergency or life threatening condition of the patient, or the severity of the emergency, individualized care varies. We provide estimates for only those services that can be scheduled in advance.
Before calling, be prepared with the following information:
1. Description of the services you need, and if possible, the CPT-4 code which can be obtained from your physician’s office. We will also need details such as any implants that will be used or other items, and if the services or procedure will be conducted as an outpatient, inpatient, or same day surgery.
2. The name of your physician, surgeon, or specialist.
3. Your insurance ID card information so that we can contact your insurance provider to obtain your out-of-pocket costs.
4. We will then be able to provide you with an estimate of the costs for the services you need.
Not Included in an Estimate:
When we provide you with estimates, we do not provide quotes on physician billing or any professional services for Radiology, Anesthesia, Emergency Medicine, Surgeon, other Specialists, etc. These providers will bill you separately. If you have questions about those bills, please contact the physician’s billing office at the number provided on your statement from those providers.
Our Billing Process in Summary:
1. Patient receives care at our facility.
2. After discharge, a claim will be sent to your insurance provider.
3. Your insurance company may contact you for additional information. For example, for the coordination of benefits. We ask that you kindly respond as quickly as possible to avoid payment processing delays.
4. The timeframe for processing your claim with your insurance provider can take from 30 days to sometimes a year.
5. After your insurance provider processes the claim and issues payment, we will provide you with a statement with the amount you owe, which should compare to the explanation of benefits you will receive from your insurance provider.
Our providers’ primary focus is to stabilize and preserve human life. If a patient is in a lifethreatening situation and additional services are needed to maintain life, these are unforeseen complications which we cannot predict or quote an estimate. Each patient may receive a unique set of items and services based on their individual needs at the time of care that could not have been predicted when scheduling the service. Therefore, a final bill for the services we provide may likely differ substantially from the estimate we provide. Our facilities will not be held responsible for any inaccuracies or discrepancies in our estimates versus final bills due to the limited information we receive at the time of the estimate.