PRICE TRANSPARENCY

We support price transparency and believe it is important for you to know what out-of-pocket costs you will incur for services provided at Hawarden Regional Healthcare (HRH). We have established three easy ways for you to obtain estimate of your costs – call, email or click:

Patient Estimator Tool: Please click here to get an estimate for our most common services.

Call or Email: By calling or emailing our Financial Counselor. We can give you an accurate estimate of your out-of-pocket costs for a medical service or procedure at Hawarden Regional Healthcare.  We review:

  • the specific service or procedure you will receive

  • the physician providing the service

  • your insurance, including what you have already paid towards your deductible

Call: 712-551-3100
Email:
Mindi.Dorhout@mercyhealth.com

Additionally, in compliance with the CMS requirements, a list of HRH's charges are available for viewing or download in machine readable formats prescribed by CMS.  A charge is different from price and represents the dollar amount assigned to specific medical services before negotiating any discounts from payers. These hospital charges vary based on the type of care provided, treatments, individual health condition and other factors.  The price can differ from patient to patient for the same services.  The price will be different for complications or different treatment for the patient's personal health condition. If you need an exact estimate of your out-of-pocket cost, please call or submit a request online as described above. PLEASE NOTE THESE CHARGES DO NOT INCLUDE FEES FROM YOUR SURGEON, ANESTHESIOLOGIST OR OTHER PROFESSIONAL SERVICES BILLED BY THE PHYSICIAN. Typically, you will be billed separately for these professional services.

Click here to download the hospital's current standard charges.

Whether you call, click or email, please understand the information provided is an estimate of the costs for a medical service or procedure at HRH and is not a guarantee of what you will be charged.  The information provided is a best estimate based on the information we currently have and is not a guarantee of what you will be charged. Please understand that in many cases it is impossible to predict the final charges that will result, as there are variables involved in your actual services such as: the length of time spent in surgery or recovery, specific equipment, supplies and medications required, additional tests required by your physician, and/or any unusual special care or unexpected conditions or complications. This estimate does not include any physician charges (e.g. office visit, surgeon, anesthesiologist, emergency room physician, radiologist, pathologist, consulting physicians, etc.). If you have insurance, your benefits will ultimately determine the amount you owe (including deductibles, co-pay, co-insurance, and out-of-pocket maximums).


Helpful Definitions


Understanding health care terminology around price poses significant challenges for patients. If you ask a group of people to define what "price" is, it is likely you will get a variety of answers. Below are definitions to help frame understanding on this issue:

Charge: The dollar amount assigned to specific medical services before negotiating any discounts from payers. The charge is different from the price. Very few patients pay the charge regardless of their insurance status; and, therefore, this data is not meaningful to people.

Price: The negotiated and contracted amount to be paid to providers by payers (also called the "allowed amount"). A patient's out-of-pocket liability for health care services is based on this allowed amount. Note that the price for a given service varies by insurance plan as these are separately negotiated by plan/employer.

Out-of-Pocket: Portion of the price for medical services and treatment for which the patient is responsible. This includes copayments, coinsurance, and deductibles.

Cost: The definition depends on the cost being referenced: To the provider, cost is the expense incurred to provide health care to patients. To the employer, cost is the expense related to providing health benefits. To the insurance plan, cost is the price paid to the provider. To the patient, cost is the out-of-pocket fees.

Gloved hands thumbs up