The following pricing may not reflect the total amount due on a claim, nor does it reflect your financial responsibility as a patient. Pricing and services included reflect a typical encounter; however, your physician may render a different variation of services to provide you the best level of care.

Pricing listed represents negotiated rates effective as of the original posting date of this file. Individual payors have unique effective dates and update parameters within their contracts, which may result in variation of pricing for some services as changes are implemented by each payor. Pricing will be updated annually in accordance with stated requirements.

The inclusion of pricing does not indicate that a service is covered under your benefit plan.

Actual claim reimbursement made by payor can vary based on many factors including but not limited to individual benefit structures, utilization management decisions, diagnosis, and case by case treatment rendered. Members should always consult with their health plans and physician(s) to validate treatment and cost planning decisions.

"Included in primary procedure" indicates that, typically, the specified service is not separately priced; rather, it is considered packaged with the primary procedure pricing by a specific payor.

Professional services provided by a physician or other practitioner not employed by HCH are separately billable. These services are contracted with the applicable professional and thus not reflected in the hospital agreement or consumer table.

Current rates listed as "Contact Health Plan" were unavailable from the health plan at time of posting. If you require information regarding lab benefits or out of pocket costs, please contact your HR department or the health plan member services department.