Price Transparency
Carson Valley Health believes you have the right to understand your healthcare options and the cost of care.
If you are covered by health insurance, we encourage you to contact your health insurance provider to determine accurate information about your financial responsibility for a particular health care service provided at this facility. It you are not covered by health insurance, you are strongly encouraged to contact our Patient Financial Counselor at 775.783.3080 to discuss payment options prior to receiving services from Carson Valley Health, as posted prices are general estimates and do not reflect your personal financial responsibility.
Shoppable Services
The MyChart Price Estimator Tool provides a consumer-friendly display of standard charges for at least 300 ‘shoppable’ services, including the 70 services mandated by CMS and at least 230 more services commonly scheduled at our facility. Healthcare consumers can use this Price Estimator Tool to obtain an estimate of the amount they will be obligated to pay for a shoppable service. Please consider the following when using this Price Estimator Tool:
- Charges are current as of January 1 of the current calendar year.
- Price estimates are not a guarantee of third-party reimbursement or coverage and are subject to change at any time due to a variety of reasons, including complexity of case, severity of illness, additional services utilized, and more.
- Price estimates do not include physician charges or charges for services rendered by providers other than the hospital.
- Patients could also call the hospital directly to discuss estimates specific to amounts potentially owed (e.g., deductibles, copayments, and coinsurance balances).
No Surprises Act
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost. Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
“Surprise billing” is an unexpected balance bill. This can happen when you cannot control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider. Surprise medical bills could cost thousands of dollars depending on the procedure or service.
Standard Charges
The file provided below displays the standard charges for items and services that may be offered by Carson Valley Health. Please consider the following when using this file:
- We strongly encourage patients shopping for services to use the Shoppable Services Price Estimate tool or contact their health insurance provider to determine applicable benefit limits and out-of-pocket costs. Patients could also call the hospital directly at 775.782.1500 to discuss estimates specific to amounts potentially owed (e.g., deductibles, copayments, and coinsurance balances).
- This file does not account for all financial assistance or uninsured/underinsured discounts that are available to eligible patients and does not facilitate the calculation of other patient responsibility amounts, which vary by patient and visit type.
- Payers might not reimburse for each service or item using the same methodology, which inhibits comparison between payers for those services and items without applying rate structures related to specific patient stays. Rates provided do not account for outlier reimbursement, carve-out services and items, add-ons, and rate structures related to specific patient stays (e.g., length of stay or maximum daily rate). Based on negotiated contractual agreements, payers might also adjust the reimbursement listed in this file based on value-based or quality-based assessments.
- This file does not include charges for services not provided by the hospital or charges billed for non-hospital services, such as the provider’s professional fees. Only prices for negotiated services and items are included in this file. Anything left blank is either not reimbursed or not separately reimbursed by the applicable payer.
- While negotiated rates are provided for chargemaster items, many are not separately reimbursable when billed in association with a procedure paid at an all-inclusive rate, even when a charge amount is listed. This is common for supplies and drugs that are packaged in reimbursement, which make up a significant amount of the overall chargemaster line items.
- Charges, minimums, and maximums are provided for payers with negotiated rates. Typically, negotiated rates for managed Medicare/Medicaid payers are benchmarked against government payer reimbursement, which might be less than commercial reimbursement. Therefore, these rates should not be compared.
- In some cases, reimbursement might be capped to a maximum of billed charges regardless of the negotiated rates. Additionally, charges measured in increments (e.g., hours, milliliters) might be reimbursed based on a fixed amount that’s not directly proportional to the quantity billed.
- Rates and applicable payers are subject to change.