The amount a facility bills for a patient's care is known as the charge. This is not the same as the actual cost or amount paid for the care. The amount collected by a health care facility for each service is almost always less than the amount billed. There are three common examples: * Government programs such as Medicare and Medicaid typically pay health care providers much less than the billed charge. These payments are determined by government agencies. Hospitals have no ability to negotiate reimbursement rates for government-paid services. * Commercial insurers or other purchasers of health care services usually negotiate discounts with health care facilities on behalf of the patients they represent. * Hospitals typically have policies that allow low-income persons to receive reduced-charge or free care. Negotiations between hospitals and payers generally begin with the charge amount. While each facility's charge structure may vary in important ways, charges represent a consistent, though imperfect, way to compare health care costs.
Because there are so many variables that factor into the cost of a particular service and every patient represents a unique case, charge ranges are displayed to provide a reasonable estimate on what it might cost for a particular service. The charge range is a summary of average charges based on actual billing information during a recent twelve-month period. Average hospital charges for a service are calculated as well as the "Higher" and "Lower" ends of the range representing about 68% of all patients. (Statistically, this is referred to as +/- one standard deviation from the mean.) These ranges are provided for comparison purposes only. Always remember that the charge for your services will be based on individual circumstances surrounding your treatment, your insurance deductibles and co-pays, and your ability to pay. For specific information on your cost estimate, please contact your healthcare provider and/or insurance company directly.
Source(s):
Copyright © 2026 eLLeNow.com All Rights Reserved.