In an effort to ensure transparency related to healthcare costs, SUNY Downstate Medical Center is providing you with information to assist you in determining the cost of the medical services we provide and to help you make better informed healthcare decisions.
It is important to note that what we listed here are prices for medical procedures, which are subject to change.
The estimated price is an approximate calculation of the total hospital prices for a specific inpatient, outpatient or diagnostic procedure. These prices may vary based on pre-existing conditions and the actual procedure performed, such as in the following situations:
- Additional testing, medications, services or procedures that may be required.
- Pre-existing factors that may impact your medical needs. Examples include obesity, smoking and diabetes.
- Your physician may determine that a different procedure needs to be performed than originally planned.
Please note that these prices do not include physicians' fees, as these offices will bill you separately.
Examples of these include prices from your surgeon, anesthesiologist, pathologist, or radiologist. Please contact those offices directly for their price information.
Physicians who provide services at SUNY Downstate Medical Center may or may not participate with the same health care plans as SUNY Downstate Medical Center. Please check with the physician arranging your hospital services to determine the health care plans in which the physician participates.
Most importantly, the figures listed are not what you may pay out-of-pocket for the service/procedure listed. The amount you will owe depends on your insurance plan.
Coverage benefits can differ greatly from plan to plan. The amount of any co-pays, co-insurance or deductibles will be dependent on your specific insurance plan. If you have health insurance, you should contact your insurance company directly to determine what your financial obligation will be. You may be asked to provide a procedure code, which can be obtained from your physician's office.
Note: Any payments in addition to the insurance coverage, such as co-pays, deposits and other co-insurance amounts that are the responsibility of the patient, will be due at the time the services are provided. You should verify which services are covered by your insurance plan prior to receiving such services as any charges not covered by your insurance plan will be your responsibility.
Please recognize that you may receive more than one bill for services received at UHB such as physician, hospital and possible ambulance service.
Good Faith Estimates
If you are uninsured, you have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost.
Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
- 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.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
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 www.cms.gov/nosurprises.
Billing Policy Summary
If you have questions or need assistance with your bill, we provide Patient Account Representatives to assist you. They provide information, make payment arrangements and help you resolve insurance billing problems.
Monday - Friday from 10 am to 3 pm.
If you have questions regarding charges prior to a service, charity care, applying for Medicaid or a health exchange product, please contact Patient Financial Services Representatives at:
Monday - Friday from 8 am to 4 pm.
We offer a variety of ways to pay your bill: by mail, by phone using a credit card (call our Customer Service Lines) or by visiting the Cashier at SUNY Downstate located in the front lobby.
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