As part of our commitment to helping our patients understand their financial obligations and rights associated with their medical care, we offer several ways to find pricing estimates on services. When you have a procedure or are treated in the hospital, your care is customized to exactly what you need. Hospitals charge for care based on individual services, which are then combined to determine the total bill sent to your insurance provider, Medicare, Medicaid, or whichever payer is covering your expenses. This is like a “sticker price” and is generally not what Englewood Hospital gets paid. Government payers, such as Medicare and Medicaid, have a formula they use to determine what they will pay a hospital, and the hospital negotiates discounts with commercial insurance companies. Our price estimator tool can be used to generate an estimate for your care based on these negotiated rates.

Online Price Estimator for Common Services

Englewood Hospital’s price estimator tool offers estimates for 300 common tests and procedures, helping you gauge out-of-pocket costs based on your insurance coverage. If you’re uninsured, the tool can also provide discounted self-pay prices. Available through our MyChart patient portal, you can use the tool as a guest for a general estimate by entering insurance information manually, or log into MyChart for customized estimates based on the insurance details we have on file.

Download File of All Charges

You can download a machine-readable file of all standard charges (600+ MB CSV file format). Standard charges are defined by Medicare as:

• Gross charge: The charge for an individual item or service that is reflected on a hospital’s chargemaster, absent any discounts.
• De-identified maximum negotiated charge: The highest charge that a hospital has negotiated with all third-party payers for an item or service.
• De-identified minimum negotiated charge: The lowest charge that a hospital has negotiated with all third-party payers for an item or service.
• Discounted cash price: The charge that applies to an individual who pays the self-pay rate (or cash equivalent) for a hospital item or service.

The services are defined by the codes we bill with. DRGs (Diagnosis-Related Groups), are used in most cases for inpatient stays. CPT codes are used for oupatient procedures. NDCs (National Drug Codes), are used to define the drug and manufacturer. If you have insurance and would like to know your out-of-pocket rate, please use our Estimator Tool by clicking on the link above.

The information on this site is provided as required by The Centers for Medicare & Medicaid Services’ Price Transparency Final Rule and is not a guarantee of final billed charges, which may vary from these estimates for many reasons including the individual patient’s unique medical condition, complications, unknown circumstances, other diagnoses, and recommended treatments. Please note that physician services are billed directly from the physician practice, and Englewood Hospital is not able to provide that pricing information.