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Price Transparency

Price Transparency

Standard Charges at St. Rose Hospital

As of January 1, 2021, in accordance with the Centers for Medicare & Medicaid Services (CMS) Price Transparency rule, St. Rose Hospital provides a comprehensive machine-readable file of our standard charges. This file includes information on discounted cash prices and negotiated charges with our health plans, helping patients make informed decisions about their care and associated costs.

Important Notes:

  • Compliance: St. Rose Hospital has made every effort to include all applicable standard charge information in the machine-readable file, as required by CMS § 180.50. We believe this information is true, accurate, and complete as of the date indicated in the file.
  • Out-of-Pocket Costs: The list of standard charges does not estimate your out-of-pocket costs for services at St. Rose Hospital. Actual costs depend on the specific services you receive, our negotiated rates with your insurance plan, and your individual coverage.
  • Insurance Factors: Your insurance plan determines your co-payment, co-insurance percentage, and annual deductible.
  • Variability in Services: The actual services and supplies you receive may differ from those in your initial care plan. You may also receive services from independent providers not employed by St. Rose Hospital; their charges are not included in the machine-readable file.
  • Data Limitations: The services listed are based on data from past claims and may not cover all services offered by the hospital. Some services may not have enough data to establish specific negotiated rates.
  • Insurance Inquiries: For questions about potential out-of-pocket costs, please contact your health plan’s member services.
  • Cost Comparisons: Comparing negotiated charges in different machine-readable files may not accurately reflect differences in costs due to varying price estimation methods acrosshospitals.

Click here to view St. Rose Hospital’s machine-readable file of Standard Charges.

Note: The standard charges and health plan negotiated charges are subject to change.

Price Transparency Commitment

St. Rose Hospital has become an advocate of transparency and pricing simplicity. Especially today, when so many people are uninsured or underinsured, it is important for individuals to have access to meaningful healthcare pricing information.

St. Rose Hospital is committed to assisting you in understanding your financial responsibilities related to medical services that you might receive at our hospital. Please understand that specific “gross” (also referred to as “standard”) charges provided on our website are our standard prices and do not necessarily reflect a patient’s actual financial responsibility; therefore, comparability of specific gross charges between hospitals may not be meaningful. If you have insurance, your responsibility in most cases is based upon contract rates and not charges. Your payment liability is further dependent on several factors including insurance coverage type, deductible amount, co-pays, coinsurance amounts, self-pay status, and/or eligibility and qualification under financial assistance programs.

We recommend that you speak with your health insurer to assist you in determining your financial responsibility for any service you are considering or any service that may be provided to you at our hospital. St. Rose also provides resources to assist in explanation of your health care benefits, providing an estimate of your financial responsibility, and to provide information on our financial assistance program and other discounts that may be available for planned services by calling 510-780-4342 between 8:00 a.m. and 4:30 p.m., Monday through Friday, except holidays.

Our Chargemaster (CDM)

The hyperlink below displays our chargemaster (CDM) in Excel format. The CDM includes our standard charges with the item number, item description and charge amount.