Disclaimer

In compliance with federal law, Western Reserve Hospital is pleased to provide our patients out-of-pocket estimates of what the cost could be for certain services.

However, these estimates do not show what your final out-of-pocket costs may be. Final costs will vary based on your insurance benefits, including deductible or maximum out-of-pocket expenses. Final determination of eligibility and services covered are determined at the time the claim is processed by the insurance company. The amount you owe may be different. We encourage you to contact your insurance company to confirm your benefits at the time of service as these estimated costs are not a guarantee of insurance coverage. Any services determined non-covered by your plan are your responsibility to pay.

This out-of-pocket estimate also does not include bills from medical specialists, including, but not limited to: physician charges, anesthesiology charges, radiologist reading fees and pathologist fees. Charges from these medical specialists will be billed separately to you.

• Pre-Procedure Office Visits
• Post-Procedure Office Visits
• Diagnostic Testing

Final costs will vary based upon your specific needs at the time of the service, which may include additional treatments or services deemed necessary by your physician.

To obtain the most accurate estimate of patient out of pocket costs, it is strongly recommended that patients contact their insurer to request an estimate or Patient Financial Coordinator at 330-971-7597. To obtain the most accurate estimate possible, the patient's insurance information and a specific description of the service requested [preferably a physician's order], are necessary.

Please contact our Patient Financial Coordinator at 330-971-7597 for a customized estimate of patient responsibility based upon your insurance. Regular business hours are Monday - Friday, 8 a.m. - 4:30 p.m.

For patients who have little or no health insurance, Western Reserve Hospital offers a variety of services. Please contact our Patient Financial Coordinator at 330-971-7597 for more information on our charity care program or for an uninsured discount. Western Reserve Hospital also provides support to patients who need help determining their eligibility for Medicaid and other financial support services.

If you need an interpreter or other assistance in using this tool, please visit

https://www.westernreservehospital.org/patients-and-visitors/notice-of-non-discrimination.aspx

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