Effective January 1, 2021 the Centers for Medicare & Medicaid Services (CMS) requires that all hospitals provide clear, accessible pricing information online about the items and services provided in two ways:
In compliance with CMS rules, Southwest General offers our Patient Bill Estimator tool that can be accessed anytime to provide a customized estimate of your out-of-pocket costs (deductible, co-insurance and co-pay) based on your health insurance plan and the shoppable service you select.
To get the most accurate estimate of your out-of-pocket expense for your care, or to see if you qualify for financial assistance, we recommend you contact our Financial Clearance Department at 440-816-4701, 8 a.m. - 4:30 p.m., Monday through Friday.
Our dedicated staff can calculate and explain your individual financial responsibility based on several factors including your insurance coverage and benefits, as well as determine if you qualify for any financial assistance or discounts.
We have provided the following resources below to help with understanding hospital charges.
Charges and base rates are not all inclusive and can include additional charges and payments for carve out drug and supplies.
The base rate shown represents the allowable payer specific rate and in some instances, due to complications, stop loss or lesser of provisions for atypical claims or physician ordering patterns, utilization and other factors, the allowable amount for a particular claim can be significantly lower or higher.
The hospital and physician chargemasters as well as the NDC data represents the most current available as of the Machine-Readable run date. Line item charges and subsequent payments can be subject to packaging. For example, items with a negotiated rate of 0.
Service Package under rate methodology within the hospital charge master, represents items that are displayed as an inpatient MS-DRG.
EAPG's are cross walked to a HCPCS, if the EAPG weight is 0.00, the base rate is $0.
Where there are rates displayed for salaried physicians, in some instances where the payer fee schedule is absent of a facility rate, the non facility rate is what will be displayed.
If the hospital has employed physicians, the MRF will display a separate CDM within the billing code type field with standard charges in accordance with CMS regulations.
In compliance with federal law, Southwest General Health Center is providing a machine-readable file of standard charges for all items and services that are provided by the hospital. These charges apply to all SWG locations. The charges listed are subject to change and may not reflect the exact amounts billed.
These prices are correct as of April 30, 2024.
As a reminder, the chargemaster itself is not a helpful tool to use for comparison-shopping between hospitals or to estimate out-of-pocket expenses. In order to get a personalized and more accurate estimate, please use the Patient Bill Estimator tool or contact the Financial Clearance Department at 440-816-4701, 8 a.m. - 4:30 p.m., Monday through Friday, for more information.
The hospital's charges are the same for all patients and applied consistently, but individual financial responsibility varies depending on payment plans negotiated with health insurers and other factors.
Additionally, Southwest General Health Center has a comprehensive financial assistance program for uninsured or underinsured patients that is available here, or contact the Financial Clearance Department for more information.
For a comprehensive list of standard charges for all items and services provided to our patients click on the link below to download.
View SWG Price Transparency MRF
Please utilize our Patient Price Estimator tool for a customized estimate of your out-of-pocket costs (deductible, co-insurance and co-pay) based on your health insurance plan and the shoppable service you select.
Click on link to be redirected to the tool: Patient Bill Estimator
