Consumer Guide & Video to Help Understand Hospital Price Transparency

The Centers for Medicare & Medicaid Services issued its final payment system rule for 2019. The rule contains a transparency provision, that went into effect Jan. 1, 2019. It requires hospitals to provide medical pricing information to the public.

This document is designed for the consumer and/or patient to help you understand the complex system of hospital billing and patient charges for medical procedures. Our goal is to assist you in finding your out-of-pocket costs and avoid surprise charges.

This document includes common terms and definitions, frequently asked questions and the right questions to asks hospitals, providers and insurance companies to understand medical charges.


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