Elbert Memorial Hospital is committed to empowering patients, in partnership with their care team, to make informed decisions about their healthcare. This includes helping patients understand the cost of their care, as well as Financial Assistance Application that may be available.

Click HERE to see the current Patient Price Information List and Out-Of-Pocket Cost Estimator Tool. 

In compliance with federal and state law, Elbert Memorial will provide standard chargemaster prices to anyone who requests it. However, the list price of a hospital service is not the actual amount a patient will pay. The amount a patient pays is based on many factors, including health insurance and other applicable discounts and the unique needs of the patient.

To help patients plan for their medical care, we provide estimates for many common hospital services. All patients have access to a variety of payment plans and financial assistance programs.

Annually, Elbert Memorial reviews our rates to ensure they accurately reflect industry standards. In some cases, our prices  may differ from other providers due to level of care provided and unique clinical expertise. Overall, Elbert Memorial Hospital works with patients, providers and partners to lower the cost of care through wellness, disease management and quality care.

What is Price Transparency?

People have the right to meaningful information about the price of their hospital care. Price transparency is an effort to make financial information available and easy to understand to help consumers compare provider costs and anticipate their own expenses. Elbert Memorial Hospital is committed to sharing information that will help you make important decisions for your health care plans. Please contact our facility at 706-213-2689 for information about your bill or for an estimate of the cost of the care that you may recieve, based on the specific services ordered by your doctor.

What We Charge

On our website, we have provided a complete chargemaster which includes charges for all items and services provided by our facility. Providing meaningful information to our patients about their healthcare costs has long been a goal of our hospital.

How do I estimate the amount that I will be required to pay?

Understanding what you will have to pay for healthcare services can be very complicated. Unlike most bills you receive, it can be difficult for you to determine exactly what you will pay for an item or service. It can be difficult for your hospital to estimate prior to care received, what may be billed as every patient’s care is different and determined after admission. We are most often are not aware of the agreement you have with your insurer. This agreement of coverage defines your personal out-of-pocket responsibility.

The amount of money you will be responsible to pay is generally determined by your insurance coverage or managed care company, not by the hospital. These amounts are determined directly by contracts with your insurer. Also, all doctors, hospitals or services may not be covered by your plan. Unfortunately, we do not always have this information available before you receive care from our hospital. The best source of information your payment will come from your insurance company. They are already aware of services covered expected payment for care and the amount you will be responsible for paying out-of-pocket.

Medicare and Medicaid pay hospitals according to a set fee schedule. It represents a discount from a hospital’s billed charges. Numerous factors, such as co-insurance and deductibles affect your own financial responsibility. A summary of Medicare patient payment requirements is provided at Medicare.gov.

If you do not have insurance coverage, our hospital provides discounts and needs-based payment assistance. You can review our policies and complete an application at emhcare.net. Our staff is here to help determine what assistance you may qualify for and to help determine affordable payments options.

Elbert Memorial Hospital wants to provide the care that you need, when you need it, delivered at the highest quality and at the most affordable prices.

During your stay

You may receive services from individuals or companies not employed or owned by our hospital. As an example, statute requires that a licensed radiologist review your radiology exams and advise your physician on their findings. These radiologists are often not employed by our facility; therefore, you will receive a bill directly from their office for their services and these charges will not be included in your bill from our hospitals. Even if our hospital is in your insurer’s network, it is possible that individual doctors or other providers are out-of-network. Each of these providers contracted with insurance companies directly apart from our hospital’s contracts. Because of this, it is possible that your insurance discount will not apply to their charges. Our hospital is not aware of these private contracts between the physician and your insurance company. Your insurance carrier can also inform you of which providers are in-network on your plan and will be able to provide estimations of their coverage for these services.

NO Surprise Billing

You may receive services from individuals or companies not employed or owned by our hospital.  As an example, statue requires that a licensed radiologist review your radiology exams and advise your physician of their findings.  These radiologist are often not employed by our facility; therefore, you will receive a bill directly from their office for their services and these charges will not be include in your bill from our hospital.  Even if our hospital is in your insurer’s network, it is possible that individual doctors or other providers are out of network.  Each of these providers contract with insurance companies directly, apart from our hospital’s contract.

Suggested Reading

• Machine Readable Files: https://hospitalpricetransparencyfiles.com/elbert-memorial-hospital/582191830_Elberton-Elbert-County-Hospital-Authority_standardcharges.csv
• A chargemaster FAQ that describes what the chargemaster is and is not https//www.cms.gov
• A consumer guide to health care prices prepared by the Healthcare Financial Management Association https//www.hfma.org
• The Final Rule 2019 CMS IPPS Final Rule contains the actual final ruling that dictates the release of the chargemaster data. https//www.cms.gov
• A summary of the rule and related CMS guidance https//www.cms.gov
• A consumer guide to avoiding surprise medical bills jointly prepared by the American Hospital Association https//www.aha.org

Disclaimer

The information on this page is intended to meet the requirements of The Centers for Medicare & Medicaid Services final inpatient prospective payment system, or IPPS, rule (see pages 2135-2142) for federal fiscal year 2019. The IPPS rule contains a transparency provision that will be effective Jan 1. 2019. The prices included on this website may not reflect the most current charge items or charge amounts of this facility as additions and changes are frequently made to the listing. Therefore, these charges may not be representative of the charges you will receive on your bill for services provided by our facility. CMS requires that hospitals update the charge transparency data at least annually. This data was last updated December 31st 2019.

The detailed chargemaster information on this site is intended only to meet federal requirements and for informational purposes only and should not be used solely when making healthcare decisions.

The information on this page contains only charges on Elbert Memorial Hospital chargemaster and may not include all related charges for physician office fees, clinic charges, radiologists, pathologists, and other services provided in conjunctions with our hospital services.

For further information or questions on Pricing & Price Transparency please contact:
Luke Kelland
Director of Revenue Cycle
706-213-2632
BillingQuestions@emhcare.net