At Hayes Green Beach Memorial Hospital, soon to be Sparrow Eaton Hospital in October 2019, the needs of our Patients come first. Our mission is to enhance the overall health and vitality of the people and communities we serve. With healthcare reform, increasing copays and deductibles, insurance plans encouraging low-cost options, and increased focus on healthcare costs, we understand consumers want more information on healthcare prices. We are committed to supporting healthcare price transparency by providing you with the information you need to understand the costs of care and make informed decisions.
Hospital prices are established based on many factors. First, the direct cost of the staff, the supplies, the drugs or the equipment needed for that particular service or item. Second, a mark-up is added to each price to account for the administrative expenses involved in operating a hospital, such as technology, registration and billing, regulatory compliance, buildings and facilities, housekeeping, food and nutrition, and many more.
Below are links to pricing information for common procedures, along with pricing FAQs:
- Click here to download standard charges for services prior to insurance contract discounts.
- Click here to download standard inpatient charges by DRG groups.
- Click here to review pricing FAQs
Note that itemized charges are incurred for each individual services provided to a patient during their inpatient hospital stay or outpatient visit. Charges can include procedure time, supply items, room and board, drugs prescribed, lab and radiology tests, medical devices, equipment usage and more. These charges are accumulated into a single bill that is sent to your insurance company for payment. The hospital has a contract with each insurance plan that defines how services are paid. This may mean discounts on itemized charges, a single fixed payment based on the service performed, a single fixed payment for the entire inpatient stay, the level of service performed, etc. The amount authorized for payments by your insurance plan may sometimes be referred to as the "allowed amount."
The patient balance owed is dependent on your benefit plan deductible, coinsurance and copay amounts. All patient balances are based on the "allowed amount" from their insurance payment – not the itemized charges per the standard charge listing.
For further information related to hospital pricing, please contact HGB's financial counselor at (517) 543-1050, ext. 52740.