The UH Hospital Price Estimate tool is a self-service web-based tool available to improve consumer access, communication and experience while aligning to price transparency and supporting decision making in advance of service.
At University Hospitals, all individuals are treated with respect, regardless of their individual financial circumstances.
If you are an uninsured patient, your estimate will reflect the hospital’s total gross charges for the service you requested. If you meet established financial eligibility requirements, your bill for medical care at a UH hospital facility may be discounted under the UH Financial Assistance Program. Call a financial counselor at 1-866-771-7266 for available payment options.
If you are an insured patient, the service requested is compared to your insurance benefits as of the date of the estimate. The estimate tool calculates your insurance allowable, co-pay, co-insurance and deductible amounts based on your individual plan benefits provided by your insurer.
The UH Hospital Price Estimate tool requires a minimal amount of information to validate your current co-pay and deductible amounts on your policy. Insurance company, subscriber or member ID, your name exactly as it appears on your insurance card, and date of birth are all required. Without this information, the estimate tool would not be able to accurately provide a true estimate of expected cost as it relates to your individual policy.
No, your information is solely used for the purpose of checking your benefit information to guarantee you the closest estimate. UH will not use your information to contact you for any reason.
The projected cost estimate is a good-faith estimate based on the information provided at the time of your request. The actual services ordered by your provider may differ from the procedure you selected. The insurance information you enter serves as the basis for your estimate. The estimate will be correct provided the correct service was selected and the benefit information from you insurance company was up-to-date at the time of the request.
Before having the service, please contact your insurance company to confirm coverage under your plan and that University Hospitals is a participating provider. UH participates in most major insurances and benefit plans. After you have the services, your insurance company will review your claim to determine if your benefit plan covers the service. Depending on your plan policies, services not covered under your plan may be billed to you.
This estimate is only valid for the insurance you provide. If you change insurance companies or policy, you will need to enter the updated information in the tool or contact us for a new estimate. Estimates vary based on the insurance plan coverage. If you are not covered by insurance or become uninsured, you may qualify for insurance under the Affordable Care Act or a University Hospitals patient financial advocate can help you in finding assistance based on need.
The actual final amounts for the service may change based upon: any changes or additional services rendered as part of your care at the time of the service; treatment or services that your doctor determines you require during the visit; and other information provided by your insurer. This estimate is for your hospital only, out-of-pocket costs and does not include physician charges which may also be incurred.
Contact Financial Counseling by phone Monday – Friday at 1-866-771-7266, 8 a.m. – 4:30 p.m. Front desk, financial counseling and customer service representatives are also able to provide this information upon request.
This estimate may contain private information that is legally protected. It’s only for you to use. If you are not the patient, you need to know that sharing, copying or acting on the information is against the law.
