Pricing Estimates
You have the right to receive a “Good Faith Estimate”
To provide helpful information based on each patient’s personal healthcare
coverage, we must first determine your private insurance or government
coverage (such as Medicare or Medicaid). If you have any questions about
determining such call 626-821-2354. Your estimate will be a “good
faith estimate” and not a final price as additional procedures may
be performed or complications may arise. Additionally, your insurer has
the final say on coverage, contract pricing and your financial responsibility.
If you are uninsured or choose not to use your insurance, federal law
gives you the right to a “Good Faith Estimate.” (See
PDF document or you can go to
www.cms.gov/nosurprises)
First, you need to contact your insurance company to ensure that the services
you require are “covered services.” If some or all of the
services are not covered under your plan, please refer to our uninsured
information. You also will need to contact your physician’s office
to get the specific diagnosis or procedure description.
Our procedure pricing tool provides cost estimates for insured and uninsured
patients. When using this tool, you will need to have the information
listed in No. 1 and No. 2 below. Be sure to have the following information
available, so that we can provide the best estimate possible:
- Description of services needed: we will need as much information as possible
about the specific services described by your physician.
- Type of services needed: we need to know if you will be admitted to the
hospital as an inpatient overnight or if you will be treated as an outpatient.
- Physician/specialist name: if you are having surgery, we will need the
surgeon’s name.
- Your insurance card: please have your card available so that we can get
the following information: insurance company, type of policy (HMO, PPO,
POS, Indemnity, etc.), policy holder’s name, group name and number,
policy number, insurance company phone number.
- Policyholder’s personal information: the insurance company might
want us to verify the Social Security Number and date of birth of the
primary insurance policyholder.