Determining your out-of-pocket expenses
We know that paying for healthcare is a big concern for many. We are committed to providing you with as much information as possible regarding what you can expect in terms of cost to help you make informed decisions about your care.
Your out-of-pocket costs depend on several factors, including:
- The services or procedures you receive
- Your insurance provider
- Your specific health benefits policy, including expenses such as your deductible, co-insurance, co-payment and the limit of out-of-pocket expense requirements
- Your eligibility for financial assistance
Our price estimation tool, WPH Estimate, can help you determine any out-of-pocket expenses for the most common services before you proceed with your care. For more detailed information regarding your estimated out-of-pocket expense for any procedure, we recommend that you contact one of the members of our Patient Estimate Team. They can assist you further by providing a comprehensive estimate based on your insurance and benefits information and/or your personal financial situation.
Call 914.681.1004 weekdays from 9 a.m. to 4 p.m.
Standard rates
The Centers for Medicare & Medicaid Services’ Hospital Price Transparency Rule requires all hospitals to post a list of standard rates that represent the pricing information for all medical items and services that White Plains Hospital provides, as well as negotiated rates with insurance companies. It is important to note that the list of pricing information required by this rule does not necessarily reflect your out-of-pocket financial responsibility for your hospital visit. Why?
The most common reasons are:
- We are required to list the price paid by your insurer—but this does not necessarily reflect your out-of-pocket cost.
- The medical services provided may vary from what was originally planned based on necessary circumstances at the time of your care.
- You may also receive services from physicians or practitioners who are not employed by this hospital; their fees are not reflected in this listing.
It is also important for you to know that this price listing does not guarantee coverage, benefits, or payments. Since your financial liability may vary based on the particular terms of your insurance policy and the status of your health insurance benefits (i.e., deductibles, out-of-pocket maximum, co-insurance, and copays) at the time you receive care, your eligibility and the amount of your coverage will ultimately be determined by your health insurance provider. It is for this reason, White Plains Hospital utilizes a price estimator tool that provides consumers with out-of-pocket cost estimates based on their personalized health plan benefits. We encourage you to utilize our consumer-friendly tool and/or take advantage of speaking with one of our Managers at 914-681-1004
We are committed to being transparent and compliant with the Centers for Medicare & Medicaid Services rules, and are providing the following link to our machine-readable file. As stated earlier, the price information contained in this file is NOT an estimate of your out-of-pocket costs nor an accurate representation of charges since each episode of care is unique and charges are based on the actual services received. Additionally, while the file is posted based on the Centers for Medicare and Medicaid Services reporting requirements, it may be too large for consumers to open without special software. We again encourage you to utilize our consumer-friendly tool and/or take advantage of speaking with one of our Managers at 914-681-1004
You may view or download the standard rates file * (file last updated 6/29/2024).
*Effective 6/29/2024
Information about charges
For healthcare services provided at White Plains Hospital, you may receive bills reflecting both professional charges from providers, such as anesthesiologists, pathologists, oncologists or other specialists who have contributed to your care, as well as hospital charges, which include the cost of providing all other aspects of your care and that are billed separately from professional services, such as hospital stay, support staff, supplies and medications. In addition, if your care was provided by a doctor who is affiliated with the Hospital but also has a private practice, you may also receive separate bills from this doctor, as is typical billing practice.
What are hospital and professional charges and how do they impact you?
Charges are the dollar amount a provider sets for services provided before negotiating any discounts. The charge is different from the amount paid. Patients covered by Medicare, Medicaid, commercial insurance plans and uninsured patients who qualify for financial assistance never pay full charges. For patients who do not qualify for financial assistance but are uninsured, we also offer steeply discounted rates
Call us at 914.681.1004
Hospital charges
Hospitals are required by law to maintain and make available a list of prices for every service and procedure they offer. These standard prices do not reflect or represent the actual payment the hospital will receive for those services, nor do they represent your out-of-pocket costs. However, patients are entitled by law to request and receive this list of standard prices, and may do so by calling 914-681-1004.