Southwest Health System is committed to pricing transparency for our patients. Please email us at email@example.com or call 970-564-2130 if you have questions about your bill or our billing process. We offer payment plans, financial assistance, and self pay discounts. The Patient Financial Services office at Southwest Health System offers a full range of support for patients. We understand that billing and collections for health care services can be confusing. Our team of billing and insurance specialists are committed to make the process as simple and as efficient as possible. Below you will find information about cost for common procedures and hospital visits. Please contact our patient financial services department for assistance or questions about our pricing.
Southwest Health System Pricing
Southwest Health System is committed to consumer pricing transparency. It’s important that patients and families have the information they need about the cost of care at Southwest Health System.
Keep in mind – this pricing applies only to services provided through the hospital and cannot account for a variety of factors that would alter the final bill including specialty services provided by independent providers’ professional fees (such as radiologists, pathologists or anesthesiologist/CRNA), complications, use of medical devices, length of stay as well as other additional variables such as implants, specialty drugs or secondary procedures.
- It does not reflect coverages for patients who have health insurance through Medicare, Medicaid, other government insurance programs or an insurance company.
- If a patient has health insurance, the patient’s health insurance policy (including deductibles, co-pay, co-insurance and out-of-pocket maximums) will apply and the amount the patient owes will depend on the patient’s insurance coverage.
- It does not include potential discounts to those eligible for the Colorado Indigent Care Program or our Financial Assistance Program. Information on both can be found here.
Here is our latest list of hospital-based charges for services provided at Southwest Memorial Hospital.
Here is our latest list of clinic-based charges for services at Southwest Medical Group (SMG).
Here is our or 2019 Diagnosis-Related Group (DRG) average pricing.
Here is our latest Pharmacy pricing.
What is a facility fee?
When patients need emergency care, hospitals charge a facility fee to pay for the patient’s care. Facility fees are based on how much care the patient needs on a scale from one to five.
How do you determine the facility fee?
Patients who need a higher level of care will be charged a higher facility fee. The facility fee is based on how involved the illness or injury is and the patient’s specific needs and resources required such as time with nurses and technical staff, special equipment, and other services (only some of which occur at the bedside).
A level 1 facility fee may be charged for a medical condition that can be diagnosed and addressed with very few steps, while a level 5 facility fee may be charged for a condition that requires multiple types of tests to diagnose and multiple complex clinical interventions to address. It is important to note that the facility fee level is not determined solely based on a patient’s diagnosis. The services rendered at the bedside and the coordination of care required by the specific patient’s condition could result in a different facility fee charge than another patient with the same diagnosis.
Average facility fee charges
The information below does not apply to patients who have health insurance through Medicaid, other government programs, an employer, or the private insurance market. If a patient has health insurance, the amount the patient owes will depend on their plan and can include deductibles, co-payments, and co-insurances. If you have health insurance, you should call your health insurer to find out what you would need to pay for services at Southwest Health System.
A typical emergency department visit will incur other charges that are not included in the facility fee. You may see separate charges on your bill for services such as imaging, labs, procedures, pharmacy, and supplies. If you have questions about your bill, please contact Southwest Health System’s Patient Financial Services team at 970-564-2130. Please note that the facility fee charges below do not include physician or advanced practice providers’ services. Patients may receive a separate bill for these services.
Please Note: This list of charges 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 healthcare needs.
The actual cost you may incur is also dependent on your insurance coverage, your deductible, and maximum out-of-pocket expenses . Please contact your insurance company if you need help understanding your benefits for the service chosen.
The following table shows facility fee charges for Current Procedural Terminology (CPT) Codes.
|Level 1||ER Facility Fee||$ 931.00|
|Level 2||ER Facility Fee||$ 1,095.00|
|Level 3||ER Facility Fee||$ 1,288.00|
|Level 4||ER Facility Fee||$ 3,097.00|
|Level 5||ER Facility Fee||$ 3,972.00|
|Inpatient (MedSurg)||Facility Fee/Room Charge||$ 2,054.00|
|ICU||Facility Fee/Room Charge||$ 4,536.00|
|Peds||Facility Fee/Room Charge||$ 2,228.00|
|OB (Post Post Partum)||Facility Fee/Room Charge||$ 2,054.00|
|Swing Bed||Facility Fee/Room Charge||$ 1,629.00|
|Nursery||Facility Fee/Room Charge||$ 1,361.00|
|Chest X-Ray with 2 Views||71046||$ 194.00||The most common views are posteroanterior, anteroposterior, and lateral. In an posteroanterior (PA) view, the x–ray source is positioned so that the x–ray beam enters through the posterior (back) aspect of the chest, and exits out of the anterior (front) aspect where the beam is detected.|
|EKG||713093005||$ 462.00||An EKG or ECG is a noninvasive, painless test with quick results. During an EKG or ECG, sensors (electrodes) that can detect the electrical activity of your heart are attached to your chest and sometimes your limbs. These sensors are usually left on for just a few minutes.|
|CT Spine w/o Contrast||72125||$ 1,729.00||A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. … CT scans may be done with or without “contrast.”Contrast refers to a substance taken by mouth or injected into an intravenous (IV) line that causes the particular organ or tissue under study to be seen more clearly.|
|MRI Spine Lumbar w/o Contrast||72148||$ 2,700.00||Your doctor may recommend an MRI to better diagnose or treat problems with your spine. Injury-related pain, disease, infection, or other factors could be causing your condition|
|UA Complete||81001||$ 70.00||The urinalysis is a set of screening tests that can detect some common diseases. It may be used to screen for and/or help diagnose conditions such as a urinary tract infections, kidney disorders, liver problems, diabetes or other metabolic conditions.|
|Complete CBC||80053||$ 77.00||A screening tool to confirm a hematologic disorder, to establish or rule out a diagnosis, to detect an unsuspected hematologic disorder, or to monitor effects of radiation or chemotherapy|
|Basic Metabolic Panel||80048||$ 63.00||The basic metabolic panel (BMP) is used to check the status of a person’s kidneys and their electrolyte and acid/base balance, as well as their blood glucose level – all of which are related to a person’s metabolism. It can also be used to monitor hospitalized patients and people with certain known conditions, such as hypertension and hypokalemia.|
|Blood Culture||87040||$ 156.00||Blood cultures are used to detect the presence of bacteria or fungi in the blood, to identify the type present, and to guide treatment.|
Who should I call if I am uninsured and have questions?
If you are uninsured, please call us at 970-564-2131 to talk to a financial services at Southwest Health System.
Hospital and health care billing is complicated, and we recognize that patients may have questions about their bills and financial responsibility. Immediately following a visit to your health care provider, patients who are covered by health insurance should receive an Explanation of Benefits (EOB) from your insurance provider. These are typically labeled “not a bill” and are designed to help patients understand how their individual insurance plan covers their health care.
Patients will likely receive bills from all of the providers involved in their care. These might include, but would not be limited to:
- Imaging Centers
Patients with questions about their hospital bill are encouraged to call our billing office at 970-564-2130 or email firstname.lastname@example.org. The billing office can answer questions about bills for care provided in the hospital. Questions about care provided and billed by others, even though it may have been within the hospital, such as physicians, should be directed to those organizations.
Patients have the right to receive a detailed bill, which will only be sent upon individual request. If you wish to receive a copy of your detailed bill, please call 970-564-2130.
If patients have concerns about their bill, please contact our billing office at 970-564-2130.
Southwest Health System is committed to helping our patients understand their bills and financial responsibility and are here to answer your question and discuss any billing complaints.
If you can not afford your medical bills, you may be eligible for financial assistance. We can assist you with an English application (o Español). Your personal information will be kept confidential. Our financial assistance programs have clear guidelines to determine who qualifies for reduced charge services. The amount of financial assistance is different for each person or family, depending on your financial circumstances. Southwest Health System, Inc. participates in the Colorado Indigent Care Program (more information here in English and Spanish) and Self Pay Discount Program to assist those uninsured or under insured patients who meet qualifying criteria. For details about Financial Assistance you may call 970-564-2131.
We will submit bills to your insurance company and do everything possible to expedite your claim. Keep in mind that your policy is a contract between you and your insurance company and you have the final responsibility for payment of your hospital bill. We have several payment options available to assist you in paying your bills.
You will not automatically receive an itemized statement for your hospital stay. However, if you would like a copy of a detailed bill, please call Patient Financial Services at 970-564-2130.
If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are for professional services rendered by doctors in diagnosing and interpreting test results while you were a patient at the hospital. Pathologists, radiologists, and anesthesiologists, are among the specialists who provide services and submit separate bills. If you have questions about these bills, contact the number on the statement when you receive them.
If you have insurance coverage, the hospital will bill your insurance carrier after health care services are rendered. Shortly thereafter, you will be sent a summary statement as an acknowledgement that your carrier has been billed. The Colorado Prompt Payment of Claims Statute 10-16-106.5 requires that “claims shall be paid, denied or settled within thirty calendar days after receipt.” If payment is not received within thirty days, please contact your carrier to help expedite payment. You will also be asked for any deductibles, co-pays and/or outstanding balances from prior services for you and your family members at the time your service is rendered.
Medicare patients will not receive a bill until Medicare has paid its share to the hospital. This may take from 15 to 60 days after you leave the hospital. As soon as we hear from Medicare, we will forward a bill to you.
If you have no insurance, a representative from Patient Financial Services will discuss financial arrangements with you. We can discuss options for those who are unable to make payment in full.
Deeanna Wilson, the Patient Financial Services Director email.