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This document lists the gross charge for all services and items that would potentially be provided to UCSF Medical Center patients, insurers and guarantors. This list represents line-item charges for many different elements of the care we provide, such as the surgery itself, as well as hospital rooms and special facilities (e.g., operating rooms), supplies, devices, procedures, tests and ...
- In November 2019, CMS published a requirement that hospitals post a machine readable file containing gross charges, discounted cash prices, payer-s...
- Yes, we have complied with this new regulation by posting a machine readable file above. In addition to the steps CMS has required us to take, we a...
- Yes, and actually, UCSF Health has been posting these prices online with the State of California Office of Statewide Health Planning and Developmen...
- The prices that hospitals are required to publish may not reflect the price you will pay. As an individual patient, your responsibility would depen...
- There are no specific requirements or consistent guidelines for how hospitals determine their charges. As a result, one hospital might combine the...
- Yes, this is extremely confusing. At UCSF Health, we have a team of financial assistance and counselors to help current and prospective patients un...
Please note that UCSF provides many complex services, which are reimbursed at a variable rate. This means that the reimbursement is dependent on many factors: the length of stay, medications and supplies provided with the service, and other variable factors.
- The No Surprises Billing Act: Patient Rights and Protections
- Notice: Open Payments Database
- Statements and Payments
- Types of Coverage
- What You'll Pay
As of January 1, 2022, when patients get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, the No Surprises Billing Act protects them against surprise billing or balance billing. Find out more about your rights under this act and protections against surprise medical bills.
The Open Payments databaseis a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. For informational purposes only, a link to the federal Centers for Medicare & Medicaid Services (CMS) Open Payments website is provided here. The federal Physician Payments Sunshine Act requires that detailed i...
MyChart paperless statements UCSF and our affiliate practices are now sending paperless statements. If you have a MyChart account, you don't have to do a thing: You're already receiving paperless statements. If you have a MyChart account, and would like to continue receiving a paper statement, log in to MyChartand choose "cancel paperless billing" ...
Medicare If you're covered by Medicare, we will submit your claims to Medicare on your behalf. After Medicare makes its payment, we'll bill your supplemental or secondary insurance carrier for the balance, as determined by Medicare. If you don't have supplemental or secondary insurance, you will be responsible for the remaining balance. For more in...
Estimating your out-of-pocket costs At UCSF Health, we're committed to helping patients and their families make informed decisions about every aspect of their care, including out-of-pocket costs. Those costs will be affected by insurance plan coverage, by co-pays and deductibles (if any), and by the wide range of services provided and other variabl...
A co-payment is typically required for each office visit. Aside from the co-payment, the patient does not pay for services from a physician or hospital. However, the patient is responsible for the cost of services that are not covered benefits or the cost of unauthorized services that the patient elects to receive. Health Savings Account (HSA)
The name of the procedure or service; While this tool can help you estimate some health care costs, it’s important to know that it only provides a partial estimate. The estimate includes the hospital’s charges and fees, but it does not include physician fees, such as charges for your emergency room physician, radiologist or anesthesiologist.
Hospital services include costs for room and board, ancillary services such as diagnostic tests (for example, X-rays, EKGs and laboratory tests) and medications. Professional services include care from the physicians who treated you during an outpatient visit or hospital stay, as well as physicians who read and interpreted your test results (such as a radiologist).
People also ask
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The chart below highlights what UC SHIP covers and how much you pay for services. For certain services, you will pay a deductible for care you receive outside SHCS, UC doctors or facilities. After you meet the deductible, the plan will pay a portion of the cost. Certain expenses and services are excluded from medical coverage.
