Price Transparency Information
Our Financial Counselor is available to answer any questions you may have about the cost of an upcoming procedure, test or admission.
Contact us at 603-924-4699 ext 4281
Monday through Friday from 8:00 AM to 4:30 PM
BEFORE YOUR HOSPITAL PROCEDURE / STAY
Monadnock Community Hospital can help you better understand and plan for any out-of-pocket health care costs by providing our patients with information on costs for an upcoming service or procedure.
Please note that prices offered are estimates only. Procedure costs will vary based on your specific circumstances including health insurance status and changes in coverage; length of time spent in the hospital; additional tests or procedures ordered by your physician; or any unforeseen conditions or circumstances surrounding your care or recovery.
If you don’t have health insurance and would like to receive an estimate of your financial responsibility for an upcoming service or procedure, please call us at 603-924-4699 ext 4281, and we can help determine the estimated cost of an upcoming service or procedure.
KNOW YOUR INSURANCE COVERAGE
If you have health insurance and would like a price estimate, there are steps you can take to understand your insurance coverage and protect yourself from surprise bills. Your insurance
company can answer questions about your coverage and anticipated costs. You can contact your insurance provider by calling the telephone number on the back of your health insurance member card or by visiting their website.
Based on your insurance plan, you may be billed for deductibles, co-payments or co-insurance for your procedure or medical care. All covered services will be billed directly to your insurance company. Below are some questions you can ask that will help you in determining your healthcare costs:
- Ask your insurance company whether you need a pre-authorization or a referral before
scheduling the procedure at the hospital
- Ask your physician for the Current Procedure Terminology Code (CPT Code) or specific procedure descriptions – and then ask your insurance company if it is covered by your plan
- Ask your insurance company if the hospital is in-network with your insurance plan
- Ask the hospital if any additional tests will be ordered, or if there will be any additional physicians who will be taking care of you during your procedure / hospital stay. These might include surgical, anesthesiology, pathology, radiology, etc.
- Ask your insurance company for an estimate of out-of-pocket costs – this may include a copayment, deductible or co-insurance costs.
The Affordable Care Act requires health insurance companies to provide pricing information to their customers, including both the hospital portion as well as the physician services.
In-Network vs. Out-of-Network
Monadnock Community Hospital does participate in-network with most insurance plans; however we are not in-network with all insurance plans. If you receive care from an out-of-network hospital or physician it could increase your out-of-pocket costs. To verify your out-of-network services, contact your insurance company directly by calling the number listed on the back of your insurance card.
If you need assistance paying for your healthcare services, please contact us to learn more about our financial assistance programs and payment plans available to you.
IF YOU ARE UNINSURED
Monadnock Community Hospital provides care to everyone who needs it, regardless of their insurance status or ability to pay. If you don’t have insurance coverage, we can provide you with information on available insurance options, eligibility requirements and applying for health insurance coverage. In addition, Monadnock Community Hospital provides discounts for those without insurance. If you don’t have health insurance and would like to receive an estimate of your financial responsibility for an upcoming service or procedure, please call us and we can help determine the estimated out-of-pocket costs.
Please contact our Financial Counselor at 603-924-4699 ext 4281 for more information.
If you leave a message, please speak slowly and provide your full name (with spelling), date of birth, daytime and evening phone numbers, and tell us briefly about your question or concern. Our staff will return your call within 48 business hours.
UNDERSTANDING YOUR HOSPITAL BILL
Hospitals should provide information on billing and what to expect after their procedure or service, to help eliminate questions that might arise given that the billing process can be very confusing to patients – especially when why patients may get more than one bill for the same service.
After your procedure or discharge from the hospital, you will receive a hospital bill for services and care you received from the hospital during your procedure or stay. You may receive separate bills from your own physician, or from other physicians that provided care / services during your procedure or hospital stay.
If you have health insurance, we will bill your insurance company directly – you will see a summary of services billed directly to your insurance on your hospital bill.
You will receive an Explanation of Benefits from your insurance company which will explain what it paid the hospital for your care, or what it declines to pay. You may receive a bill for expenses not covered by your insurance company, such as co-pays, deductibles or co-insurance.
If you have any questions about your hospital bill, please contact Customer Service at 603-924-4656.
Our staff is available Monday through Friday from 8:00 AM to 4:30 PM
Certain services provided at Monadnock Community Hospital are billed directly by the Private Practice.
These services include:
Radiology reading – Southern NH Radiology Consultants – 800-688-6663
Monadnock OB/GYN – 603-924-9444
Monadnock Eye Physicians & Surgeons PC – 603-924-7070
New England Heart Institute – 603-669-0413
Rheumatology/Dr. Todd Daugherty – 603-924-4697
Matrix Pathology – 800-688-6663
Catholic Medical Center Hospitalist Service – 603-663-6922