Patient Estimates
Disclaimer
I accept that this is only an estimate of what I should expect to pay and is not a guarantee of the final amount I will owe. The estimate approximates my out-of-pocket responsibility based on the information I provide. Anesthesiologist and/or additional services ordered by my physician may not be included in this estimate. My actual cost may be higher or lower than the estimate depending on many factors including unforeseen complications, additional services required by my diagnosis or length of stay. If insurance was selected, this estimate does not include any changes to my insurance coverage or benefits. These changes could include benefit limitations, outstanding deductible, maximum out-of-pocket, co-insurance, or other network limitations imposed by my health insurance. For more information about my out-of-pocket expenses and to verify if this is a covered service under my benefit plan, I should contact my insurance provider directly. I also understand and acknowledge that I will be responsible for the difference between the estimated and actual charges. By clicking "Accept and Continue" below, I understand and acknowledge that the amount presented here is an estimate as described above, and that the actual charges may be different.