Price Transparency Commitment
As we move towards the 2019 Healthcare price transparency rules, St. Rose Hospital has become an advocate of transparency and pricing simplicity. Especially today, when so many people are uninsured or underinsured, it is important for individuals to have access to meaningful healthcare pricing information.
St. Rose is committed to making this information readily available to our patients so they can better anticipate and understand their financial responsibilities as well as help make informed healthcare decisions for themselves and their families before any scheduled services take place. We believe in providing quality, value and outstanding service to our patients, prospective patients, employers, and payers.
We understand that healthcare is complex and that a general listing of prices for our common procedures will not meet everyone’s needs. Please contact our Patient Advocate at 510-780-4342 for an estimated service quote. Our goal in centralizing this information and making it easy to access is to remain a leader in key healthcare initiatives aimed at excellent patient care.
A chargemaster, also known as charge description master or CDM, is a comprehensive listing of items that could potentially be billed to a patient, insurance company or another responsible party.
Pharmacy charges listed are only an average charge for a particular medication. Pharmacy charges are dependent on the cost of the medication at the time of purchase from that specific vendor. Pharmacy billing algorithms are based on cost and are dependent on the patient dose, charge requirements (including HCPCS units) and workload requirements. The dose is extremely variable among patients.
The chargemaster is a lengthy and complex document. It should not be used to accurately estimate or determine the final patient cost of a service. It is provided for informational purposes only. The charges in our CDM are the same for all patients regardless of payer or plan benefits.
The hyperlink below displays our chargemaster (CDM) in Excel format. The CDM includes our standard charges with the item number, item description and charge amount.
Our Average Charges by Diagnosis-Related Group
Diagnostic Related Groups, also known as DRG, is a system of classification for inpatient hospital services based on principal diagnosis, secondary diagnosis, surgical procedures, age, gender and presence of complications. This system of classification is used as a financing mechanism to reimburse hospitals and selected other healthcare professionals for services rendered.
Be advised that our CDM charges and average charges by DRG may not reflect the actual amount of reimbursement required from you, your insurance company or another responsible party. The reimbursement is determined by a variety of factors, including negotiated health plan rates, government rates, or upfront payment discount. Your responsibility may also vary, depending on the type of care you receive, your insurance plan benefits and how your insurance company processes the charges.
The hyperlink below is our DRG listing in Excel format for your convenience. This listing is the DRG number along with the average cost for that particular DRG.