Please read the following and click "I Agree" to proceed to the charge estimate for hospital services page.

 

The information provided on this website is an average estimate of the charge for a medical service or procedure at Saint Alphonsus and is not a guarantee of what you will be charged. Please understand that in many cases it is impossible to predict the final charges that will result, as there are variables involved in your actual services such as:

    •  the length of time spent in surgery or recovery
    •  specific equipment used
    •  supplies and medications required
    •  additional tests required by your physician
    •  and/or any unusual special care or unexpected conditions or complications

Please note: This estimate does NOT include any physician charges (e.g. office visit, surgeon, anesthesiologist, emergency physician, radiologist, pathologist, consulting physicians, etc.).

If you have insurance, your benefits will ultimately determine the amount you owe (including deductibles, co-pay, co-insurance, and out-of-pocket maximums). Please check with your insurance company if you need helping understanding your benefits for the service chosen.

I HAVE READ THE DISCLAIMER AND UNDERSTAND THE INFORMATION ON THE FOLLOWING PAGES IS AN ESTIMATE ONLY. THE ACTUAL AMOUNT I WILL BE REQUIRED TO PAY MAY BE DIFFERENT.

CPT © 2022 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to Government Use. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or disperse medical services. The AMA assumes no liability for data contained or not contained herein.

U.S. Government Rights

This product includes CPT® and/or CPT® Assistant and/or CPT® Changes, which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable, for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (December 2007) and/or subject to the restricted rights provisions of FAR 52.227-14 (December 2007) and FAR 52.227-19 (December 2007), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.