Frequently Asked Questions
Why would I need price information?
In today’s rapidly changing healthcare environment, more people are taking an active interest in how much certain medical procedures cost. This is a result of more people having high-deductible health plans and/or uninsured individuals who have direct responsibility for their healthcare costs. The information we provide on our website provides a general idea of the hospital prices for our most common inpatient, outpatient and diagnostic procedures.
If I have health Insurance, how much will I owe?
The amount you owe depends on your insurance plan. Coverage benefits can differ greatly from plan to plan. If you have health insurance, you should contact your insurance company directly to determine what your financial obligation will be. You may be asked to provide a procedure code, which can be obtained from your physician’s office.
What is an estimated average price?
The estimated average price is an approximate calculation of the total hospital prices for a specific inpatient or outpatient procedure at Crouse Hospital. These prices may vary based on pre-existing conditions and the actual procedure performed. Please note that these prices do not include physicians’ fees, as these offices will bill you separately. Examples of these include prices from your surgeon, anesthesiologist or radiologist. Please contact those offices directly for their price information.
Will my bill be different than the price provided on this website?
The price provided on this website is an estimate based on average prices. The amount you owe may vary due to a number of circumstances, such as:
- Additional testing, medications, services or procedures that may be required
- Pre-existing factors that may impact your medical needs. Examples include obesity, smoking and diabetes.
- Your physician may determine that a different procedure needs to be performed than originally planned.
How are prices established for Crouse Hospital Services?
Prices are reviewed at the start of each year and may change during the year. In establishing pricing we take into consideration the following factors:
- The cost of providing staff, equipment, facilities, medications and other supplies.
- The amount of time our facilities and staff are needed to provide the necessary services.
- Information provided by the Centers for Medicare and Medicaid Services, the federal agency that manages the Medicare and Medicaid program.
- Prices that other healthcare providers in our area list for the same service or procedure.
How much is my copay/coinsurance/deductible?
If you have health insurance and would like to know the amount of any co-pays, co-insurance or deductibles, please contact your health insurance company directly as these are dependent on your insurance plan.
What if the procedure I’m looking for is not on the website?
If you would like more information including payment options or possible financial assistance, or have questions about a procedure or price that is not listed on our site, please contact us by sending a message to PricesOnline@crouse.org.
Does Crouse Hospital participate with my insurance company?
Listed here are insurance companies Crouse Hospital currently partners with. Please contact your health insurance company directly to determine if your plan is included. (Hospital employed physicians participate with the same insurances as the Hospital with the exception of UHC.)
Government Programs:
Medicaid
Medicare
Tricare
Health Care Exchange Plans:
CDPHP
Excellus
Fidelis
MVP
Medicaid Managed Care Plans:
Emblem Health
Excellus
Fidelis
Molina
MVP
UHC
Medicaid Managed Care Plans
Excellus
Fidelis
Molina
UHC
Beacon Health
Medicare Managed Care Plans
Aetna
Archcare
CDPHP
Excellus
Fidelis
Healthfirst
Humana
MVP
Nascentia
Sr. Whole Health (Molina)
UHC
WellCare
PPO, HMO Plans:
Aetna
CDPHP
CIGNA
EmblemHealth/GHI
Excellus
Healthfirst
MultiPlan/PHCS
MVP
UHC
UMR
