At Hillsboro Area Hospital, we agree that transparency about the cost of health care is important. Listed below are several resources to help patients understand and compare costs.

Obtain a Cost Estimate

For the most accurate estimate of the cost of care, patients can contact a Hillsboro Area Hospital patient account representative at 217-532-4203 for assistance in understanding the charges and related costs for a procedure or visit. Please refer to our Patient Billing page for additional information.

Hillsboro Area Hospital Standard Charges

To improve price transparency, all U.S. hospitals and health systems are required to provide lists of standard hospital charges ― also called a chargemaster ― so patients can compare prices across hospitals. Here are a few considerations to keep in mind as you view the list of standard charges (chargemaster)(1/1/2021).

  • These charges are rarely the price that patients pay. The chargemaster lists the dollar amount set for each service prior to insurance contract/benefit plan discounts or self-pay discounts being applied, so the price patients pay tends to be less than the standard charge.
  • Hospital charges differ from patient to patient for the same service depending upon variations in treatment. The actual price that patients pay depends on the particular insurance policy coverage, deductible, and coinsurance. Patients may contact their insurance company for this information.
  • Hospital charges differ from patient to patient for the same service depending upon variations in treatment or severity of illness.
  • The self-pay column includes the 10% prompt-pay discount. Patients who are eligible for financial assistance also receive additional discounts. Please visit our Financial Assistance page for details.
  • Items included in a charge vary across hospital systems. For example, what’s included in one hospital’s charge for room and board may differ from another hospital’s charge ― some hospitals bundle services together into a single charge that others may list separately. Also, many factors, such as insurance coverage, will affect a patient’s out-of-pocket expenses, so the chargemasters are not complete tools to use for estimates of out-of-pocket expenses or comparison shopping between hospitals.
  • Looking at various hospital charges does not provide any indication of quality of service and outcomes.

Hillsboro Area Hospital Average Charges by Type of Patient Group

All hospitals and health systems also are required to provide a listing of average charges by types of patient groups, referred to as MS-DRGs (Medicare Severity Diagnosis Related Groups). Patients can view similar listings posted by different hospitals, which provide a more direct comparison of charges than the standard charges in the chargemaster. View the list of average charges by type of patient group (MS-DRGs)( 1/1/2021).

Hillsboro Area Hospital Shoppable Services Prices

All hospitals and health systems also are required to post a list of at least 300 Shoppable Services along with the corresponding prices for each of those services. Each of these Shoppable Services includes the following amounts: Gross Charge, Discounted Cash Price (Prompt-Pay Discount), Payer-Specific Negotiated Charges, De-Identified Minimum Negotiated Charge, and De-Identified Maximum Negotiated Charge.

As with the list of standard hospital charges discussed above, the prices on the primary care procedures list represent the standard amount for each service prior to insurance contract/benefit plan discounts or self-pay discounts being applied. What a patient actually pays will depend on their unique benefit plan terms.

View the Unavailable Shoppable Services and the Shoppable Services Available at Hillsboro Area Hospital( 1/1/2021).

Disclaimer

The estimate cannot be relied on as the final set cost for services you may receive since actual expenses can and will vary from patient to patient depending upon your physician’s treatment choices and your particular health care needs.

Your out of pocket costs for these services are based on several factors, including your insurance plan deductible, co-payment and co-insurance amounts, and how much of your out of pocket maximum and deductible have been met to date this year. This amount may vary slightly, depending on actual services you receive.

You may also receive bills from other medical specialty services that you may use during your visit with us, including but not limited to Family Practice Physician charges, Radiology and Cardiology reading fees, and Pulmonology, Surgeon and Anesthesia professional fees. Charges from these medical specialists will be billed separately to you and your insurance carrier. You can download the Separate Billing Information Document from our Financial Assistance page for more specific details.

The estimate above is not a quote nor a guarantee of the charges for a service or the amount that you will owe. If you have insurance, your insurance policy coverage (including deductibles, co-pay, co-insurance and out-of-pocket maximums) will determine the amount you owe.

If you have additional questions regarding patient charges, please contact our Business Office at 217-532-4203 to speak with a patient account representative.

In compliance with the CMS Price Transparency rules taking effect on 01/01/2021 (CMS Price Transparency), please click the link(s) below to view a full list of Hospital charges:

The estimate cannot be relied on as the final set cost for services you may receive as actual expenses can and will vary from patient to patient depending upon your physician’s treatment choices and your particular health care needs.

The estimated patient cost is based on the information entered. If you have requested an estimate for a surgical procedure, this estimate may not include:

  • Pre-Procedure Office Visits
  • Post-Procedure Office Visits
  • Diagnostic Testing
  • Primary Care Physician
  • Surgeon
  • Anesthesiologist
  • Pathologist
  • Radiologist
  • Cardiologist

If you have met all or part of your deductible or maximum out-of-pocket expenses, the actual amount you owe may be different.

Note: The estimated cost is not a guarantee of insurance coverage.

Please check with your insurance company if you need help understanding your benefits for the service chosen.

In order to continue to the Out-Of-Pocket Cost Estimator, please check the following and "understand and agree" at the bottom of the page.

I HAVE READ AND UNDERSTAND THE ABOVE LIMITATIONS AND I FULLY UNDERSTAND.

THIS IS ONLY AN ESTIMATE. MY ACTUAL CHARGES MAY BE DIFFERENT (HIGHER OR LOWER) THAN THE ESTIMATE.

In compliance with the CMS Price Transparency rules taking effect on 01/01/2021 (CMS Price Transparency), please click the link(s) below to view a full list of Hospital charges:

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