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Hospital Price Transparency

Starting January 1, 2021, each hospital operating in the United States will be required by the federal government to provide clear, accessible pricing information online about the items and services they provide. The information will include:

Gross charge: The charge for an individual item or service that is reflected in the Hospital's service listing, absent any discounts.

Payer-specific negotiated charge: The charge the Hospital has negotiated with a third party payer for an item or service.

De-identified minimum negotiated charge: The lowest charge the Hospital has negotiated with all third-party payers for an item or service.

De-identified maximum negotiated charge: The highest charge the Hospital has negotiated with all third-party payers for an item or service.

Uninsured price: The charge that applies to an individual who in uninsured and pays cash (or cash equivalent) for the Hospital item or service.

Below are Milford Regional Medical Center’s comprehensive machine-readable files with all items and services in the Hospital’s service listing and 300 shoppable services in a consumer-friendly format.

1. Comprehensive machine-readable file with all items and services

2. 300 shoppable services

These files are updated once a year, but prices and contracted rates are updated during the year and these updates may not be reflected in these files.

What is Not Included in the Service Listing?

The Hospital’s service listing may not include charges for services provided by the doctors who treat you while you are at the hospital. You may receive separate bills from the Hospital and the doctors involved in your care.

The following provides a list of providers who may send a separate bill for any services provided in the Hospital:

  • Your personal doctor, if he/she sees you in the hospital
  • The surgeon who performs your procedure
  • The anesthesiologist who works with the surgeon
  • The emergency room physician who cared for you
  • The radiologist who reads your x-rays or other imaging; and/or
  • Other doctors who may be consulted by your doctor during your time in the hospital.

Are Charges the Same for Every Patient?

The list of charges is the same for all patients. However, the total charges for an individual patient often vary from one patient to another for a number of reasons, including but not limited to:

  • How long it takes to perform the service or how long it takes you to recover in the hospital
  • Whether the service or procedure you receive is more or less difficult than expected
  • What kinds of medication you require
  • Whether you experience complications and need additional treatment and/or
  • Other health conditions you may have that may affect your care.

As mentioned above, service listing amounts are almost never billed to a patient or received as payment by the Hospital.

Uninsured Patients

In situations where a patient does not have insurance, patients may be eligible for free or reduced cost of health care services through various state public assistance programs as well as the hospital financial assistance programs (including but not limited to MassHealth, the premium assistance payment program operated by the Health Connector, the Children’s Medical Security Program, the Health Safety Net, and Medical Hardship). Such programs are intended to assist low-income patients taking into account each individual’s ability to contribute to the cost of his or her care.

For those individuals that are uninsured or underinsured, the hospital will, when requested, help them with applying for either coverage through public assistance programs or hospital financial assistance programs that may cover all or some of their unpaid hospital bills. You can find more information on our financial assistance policies or speak to a financial counselor at 508-473-1190 #8.

Where Can I Find More Information About Hospital Costs?

If you would like more information about what your care might cost you or the hospitals’ financial assistance policy, please contact our patient financial services staff at 508-473-1190 #8.

Your health plan can also help you to understand your insurance coverage, which services will be covered, how much you will be billed, information on deductibles and your expected out-of-pocket responsibility.

Massachusetts Transparency Website

Through the Center for Health Information Analysis (CHIA), the state has created a website, CompareCare (https://www.masscomparecare.gov/about), for consumers to compare costs of medical procedures across the Commonwealth. CompareCare also includes quality metrics where available. Regarding the cost quotes, the CHIA website provides an estimate based on amounts paid to health care providers in previous years. To find out what your specific out of pocket costs will be, contact your health plan.

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