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Melvin Amey
Our Cost Estimator is a convenient way for you to estimate your out-of-pocket costs for a procedure or service. This user-friendly tool allows you to search from hundreds of our most commonly accessed services to find out what your estimated out-of-pocket cost is, based on your health insurance coverage. With this tool, you will be able to see the following information for each service:
Our Cost Estimator is free to use and does not require a user registration or password to access. You will be asked to provide some basic information, including information about your health insurance coverage (if you are insured), to provide the most accurate estimate possible.
The Cost Estimator includes 70 pre-determined services designated by the Centers for Medicare & Medicaid Services (CMS), as well as at least 230 of the most commonly accessed services at our facilities.
Your cost estimate is, as its title states, only an estimate of your final cost. Final out-of-pocket cost is dependent on several factors, including your individual health insurance coverage, as well as patient-specific financial needs and other considerations. Additionally, cost estimates may not include some specific services, like physician/provider services and pathology services, that are not provided by the hospital and may be billed separately, as well as any unforeseen charges based on ultimate length of stay and any unexpected complications that may arise.
We recommend that all patients utilize the Cost Estimator tool to determine an estimate for their out-of-pocket costs, refer to the additional information on this page and then reach out to their health insurer or a patient services representative at 435-637-4800 Ext 4011 with any further questions specific to their individual situation.
Primary services in the Cost Estimator are "bundled" with ancillary services that typically correspond with that primary service so that you can get as complete of an estimate of your out-of-pocket costs as possible. However, your estimate does not include any potential charges related to any unforeseen extension of stay or any unexpected complications that may arise from your service.
Your estimate is, as its title states, merely an estimate. It is non-binding and intended only to provide you with a predicted range of costs to help you make a prepared and knowledgeable decision about your healthcare. Healthcare costs are based on contractual agreements with third party payers, like health insurance companies, and other factors, and thus are subject to potential fluctuations. Please see our Cost Estimator disclaimer for more information.
Also, any charges that a patient incurs are dependent on a variety of factors such as how long he or she has to stay in the hospital, any unexpected complications that may arise, specific supplies and items needed for care, and additional testing required or recommended to assess a patient's condition. One patient's needs may be vastly different from another's even though they come to the hospital for the same procedure. It is difficult to estimate how this can differ.
We do encourage all patients to contact their insurer or our business office to discuss their individual situations and determine the potential out-of-pocket costs of care they or a loved one may need.
Healthcare providers' prices are based on multiple factors, including but not limited to the cost of the service (i.e. equipment and supplies, personnel, etc.) and prices of similar services offered.
Hospital prices are set to take into account the expected mix of patients seen and reflect expected payments from varied third party payers, such as insurance companies and the government. In addition, they are typically set to achieve an overall small positive margin, so a hospital can keep up with community needs, reinvest in the hospital's services and facilities, provide care for those who can't pay, and collaborate with and support organizations that share in its mission so that the hospital can continue to provide the best possible care for the community.
Prices vary because all hospitals are different. Size, staffing, technology and equipment, services offered, the intensity of care provided, patients served, and many other factors all impact how much money a hospital needs to operate -- and how much it charges for services.
While we are subject to many legal and regulatory restrictions when it comes to patient costs, a patient services representative can help individuals determine the potential costs of care they or a loved one may need and explore what programs, payment options and discounts may be available to them.
The costs contained in the Cost Estimator are not necessarily equivalent to your actual final financial responsibility for any service. They are only intended to provide you with an estimated range of your out-of-pocket costs for care Final out-of-pocket cost is dependent on several factors, including discounts associated with health insurance coverage, as well as potential patient-specific discounts based on financial needs and other considerations. We recommend that all patients utilize the Cost Estimator tool to determine an estimate for their out-of-pocket costs, refer to the additional information on this page and then reach out to their health insurer or our business office with any further questions specific to their individual situation. For a hospital charge listing, click here.
This tool is designed to help you estimate your premium and out-of-pocket (OOP) costs for health insurance in a given year. The cost estimator will generate the estimated total cost for the year as well as the largest possible amount an individual may pay.
Disclaimer:This tool is just an estimate of your cost. Information from this tool should not be regarded as definitive or exact. No tool can provide an exact estimate or perfectly predict insurance costs. In addition, this estimate does not account for out-of-pocket costs (e.g., co-payments) after the deductible is met but before you reach your maximum out-of-pocket costs.
The results above take into account additional financial assistance you may be eligible for to lower your out-of-pocket costs, like co-payments and deductibles, based on your estimated income, if you enroll in a silver product.
Q. How can the patient estimator tool help me?
A. Part of our mission to create a healthier Hawaii includes making sure that we provide you with information you need to better understand your health care expenses. Our new online Patient Estimator tool can help provide you with approximate out-of-pocket cost for services from our facilities in advance. Health care services, including ongoing check-ups, are an important part of your overall well-being and we want to provide you with the tools you need to make an informed decision.
Q. How does the patient estimator tool work?
A. Our patient estimator tool uses historical claims data, fee schedules, and benefit information from insurance providers to calculate the out-of-pocket costs for services to give you an estimate. It is part of MyChart, our online patient portal. You can sign up for a MyChart account. You can also use our patient estimator tool as a guest. To learn more about MyChart and how to sign-up, click here.
Q. How do I create an estimate?
A. If you have a MyChart account, follow our step-by-step guide to creating estimates in MyChart. Alternatively, if you would like to create an estimate as a guest, follow our guide for guests.
Q. What is usually included in an estimate?
A. Estimates are based on what specific services would cost. This may include physician fees from health care providers employed by the Hawaii Pacific Health Medical Group, facility fees, drugs and supplies. Some estimates may include anticipated fees for items such as room and board, operating rooms, and anesthesia when applicable. Please note that services provided by a physician not employed by Hawaii Pacific Health Medical Group are not included in the estimate and you may receive a bill from a third-party.
Q. Why is my bill different from my estimate?
A. While we are making every attempt to provide you with an accurate estimate up-front, please know that the amount you end up paying may be different. There are many reasons for this including:
Q. What do I do if I cannot find my insurance on the list of insurances on the patient estimator tool?
A. We use electronic verification of patient-specific benefits from the insurance providers; however, some insurance providers are unable to verify benefits electronically. In this case, we can still offer representative insurance plans so you can choose a plan that is similar to your insurance.
We want to empower you with the information you need to make smart healthcare decisions and manage healthcare costs for you and your family. Our ARA insurance experts will help you with an estimate of your expenses with or without insurance, including self-pay estimates, day-of-service payment, and payment plans.
The members of our Eligibility team are here to help. Please call (512) 453-6100 (option 4) between 8am and 5pm, Monday through Friday. We can also help you through any questions you have about the out-of-pocket estimator.
Austin Radiological Association is a Radiology Partners Practice All Rights Reserved
References to the Practice, ARA, Radiology Partners, RadPartners and RP include its managed and owned medical practices that provide radiology services to patients throughout the United States, including Singleton Associates, PA.
As part of new regulations in effect January 1, 2022, Good Faith Estimates will be provided for all scheduled admissions and services to patients without insurance information on file. Learn more about Good Faith Estimates.
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