Price Transparency
Office Visits and Physical Exams
In our effort to help you understand your healthcare options and the cost of care, we are providing self-pay information and resources about pricing for common procedures and services provided at Delta Health’s hospital clinics.
If you are covered by health insurance, you are strongly encouraged to consult with your health insurer to determine accurate information about your financial responsibility for a particular healthcare service provided at this facility. If you are not covered by health insurance, you are strongly encouraged to contact our Physician Billing office at 970.874.2470 to discuss payment options for the provider fees and 970.874.2226 to discuss the facility fees prior to receiving services from our healthcare facilities, as posted prices may not reflect the actual amount of your financial responsibility.
There is a range of charges for uninsured self -pay patients depending on the level of service for those who are treated in our clinics.
FACILITY Patient Estimator
Please click to launch our Patient Estimator that allows you to receive an estimate for some of our services. If your insurance isn’t on the list please contact your insurance for any assistance with your benefits. We can assist you with any questions you may have at 970.874.2226 or 970.874.2292. There are listings below for all Hospital items and services. If you need an estimate for a physician service please review the Physicians fee schedule below or call 970.874.2470.
**Disclaimer: The prices provided on this website are based on historical data and are an estimate of charges for the service without complications. This estimate does not include physician fees or charges for any additional vaccines, immunizations, procedures, tests or radiology ordered for your care. Your final bill will include charges for the actual services provided to you. For questions about your financial obligation, we encourage you to contact your insurance company to verify the details of your coverage.**
Disclaimer Pharmacy Pricing Transparency
Delta Health has published our chargemaster in compliance with CMS Hospital Price Transparency Rule effective January 1, 2019. Most hospitals use a chargemaster as a starting point for negotiations between health insurance and the hospital to determine hospital reimbursement rates. Unfortunately due to a complicated billing and reimbursement system for health care, the chargemaster is not effective for use in determining what patient’s out-of-pocket expenses will actually be.
Contractual prices are the difference between the charges the hospital submits to insurance and the reimbursement rates to the hospital as determined by contracts between insurance companies, Medicare, and Medicaid for healthcare services. As a result, we strongly recommend contacting your insurance provider to get a better estimation of your specific out-of-pocket costs considering your deductible and co-pay information. Inpatient and outpatient services differ as well as their reimbursement rates.
Pharmaceutical and Biological pricing is an estimation based on continuously changing current market prices. Pharmaceutical care is dose and disease state-specific and drug therapy is very patient-specific. Prices are highly variable due to drug shortages and changes in average wholesale prices. Drug prices have historically been increasing. These prices do not guarantee the availability or insurance coverage for a particular medication. Prices do not include professional fees and the cost to mix and administer drugs, which make comparison shopping dramatically different from retail pharmacy.
Hospital care is particularly challenging due to legal requirements to treat all patients regardless of their ability to pay sometimes resulting in uncompensated care. These prices do not necessarily include reimbursement for overhead cost, clinical education costs for healthcare providers, and regulatory compliance.
The pricing for Pharmacy Drugs and Biologicals can be viewed here.
**Disclaimer: The prices provided on this website are based on historical data and are an estimate of charges for the service without complications. This estimate does not include physician fees or charges for any additional vaccines, immunizations, procedures, tests or radiology ordered for your care. Your final bill will include charges for the actual services provided to you. For questions about your financial obligation, we encourage you to contact your insurance company to verify the details of your coverage.**