Patient Estimates
Disclaimer
The estimate provided is based upon your current coverage and benefit information of your insurance company. The average charge is based upon recent historical averages for patients receiving similar services. The out of pocket estimate takes into consideration your insurance coverage and allowed amounts, co-pays, deductibles, and coinsurance. Other factors may affect your out of pocket costs. This information is an estimate only and is in no way a quote or a guarantee of the amount that you will owe or what the actual charges for services provided will be. The estimate cannot and should not be relied upon as the actual charges and/or payments you will be responsible for paying. The actual charges and/or payments may be either lower or higher than the estimate. The final cost of the services cannot be accurately determined until all care has been provided. For example, actual charges on the final bill may vary from the estimate due to many factors, including: the patient's medical conditions; complications; final diagnoses; treatments ordered by the physician(s), etc. The estimate does not include professional service fees charged outside of Stormont Vail Health, such as those provided by a radiologist, pathologist, anesthesiologist, or other independent practitioner. This information is provided "as is" without express or implied warranties. Stormont Vail Health will not be responsible or liable for errors or omissions, or for damages resulting from the use of or reliance upon the estimate provided. For questions about your potential financial obligation, we encourage you to contact your insurance company to verify the details of your coverage and particular situation. Patients who are unable to pay for services may be eligible to qualify for our Financial Assistance Program. If you have any questions regarding your estimate, billing statement or other financial concerns, please contact us at www.stormontvail.org/mychart, 24 hours/day & 7 days/week, or by e-mail at billinghelp@stormontvail.org, or by phone (785) 354-1150 or (800) 637-4716, 8:00am-5:00pm, Monday-Friday (excluding holidays.).