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Patient Estimates


Eskenazi Hospital is committed to empowering patients, in partnership with their care team, to make informed decisions about their healthcare. This includes helping patients understand the cost of their care, as well as financial assistance that may be available. We will do our best to provide you with a personalized estimate tailored to your care plan. You can call 1.855.202.1053 for additional information. The amount a patient pays is based on many factors, including health insurance, benefit plans and other applicable discounts, and the services provided based on each patient's unique needs. In addition, you may incur other charges from physicians and other providers separate from the hospital charges for the services identified in the list of standard charges. The other charges could include, for example, pathology, radiology, anesthesia, emergency care, and other physician or surgeon charges. These services may be billed directly by your physician or another third-party provider. In calculating this estimate, Eskenazi Health relied on the information available from third party payors that are applicable to your estimate. You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost. If you don't have insurance or don't intend to use insurance to pay for scheduled non-emergency health care services, federal law requires that health care providers and facilities provide you with an estimate of the expected charges for medical items and services at least 1 business day before the scheduled services are to be performed. o If you are uninsured or not using insurance to pay for your health care services, and receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Any patient may request an estimate of the expected charges for non-emergency health care services that have been ordered, scheduled or referred and state law requires that health care providers and facilities provide you with an estimate of the expected bill for medical items and services within 5 business days of the request. o You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. o If you request an estimate and the actual charge for the health care services exceeds your Good Faith Estimate by the greater of: (i) $100; or (ii) 5%, we will provide a written explanation as to why the charges exceed the estimate. Please contact us at 1.855.202.1053 if this occurs. o Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit or call 1-800-985-3059. If you have insurance: Your insurer determines what services are covered and sets the rate for your deductible, co-pay, and co-insurance obligations. You are financially responsible for your deductible, co-pay, and co-insurance amounts owed after insurance coverage. If your insurer denies a claim because they deem the service not medically necessary, not appropriately pre-authorized, or if Eskenazi Health is out of network, you may be obligated to pay the total charges. Your insurer may or may not have a contractual arrangement with Eskenazi Health and its medical staff. We encourage you to confirm that services received at Eskenazi Health are in your health insurance network. If you do not have insurance: Eskenazi Health will consider your residency and other information to determine your eligibility for a discount. You can contact Financial Eligibility offices at 1.855.202.1053 for an appointment. Rates, codes, and services are subject to change. You can find a list of all our standard charges here: . The price estimator may not reflect the current charges for every item and service.

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