In compliance with state law, Capital Region Medical Center is providing this price list containing our charges for room and board, emergency department, physical therapy and other procedures. The hospital’s charges are the same for all patients, but a patient’s responsibility may vary depending on payment plans negotiated with individual health insurers. These are gross charges and no one pays gross charges. If you have insurance, you get a discount from them, and if you are uninsured, you will be given a 65% discount on charges. Prices are correct as of January 1, 2020.
Hospital Billing Policies
We want to make sure that you receive the full benefits of your insurance coverage as well as consideration under our financial assistance program, if applicable. Before we bill you, we will bill your insurance provider, including Medicare and Medicaid, and any secondary insurance providers. We do not charge interest on any balance after insurance payments are received. We will send an easy to understand billing statement showing the most current balance owed by your insurance provider as well as any balance due from you. If you are not able to pay the amount you owe in full, you may contact us regarding applying for financial assistance or being set up on a payment plan. Emergency services will never be delayed or withheld on the basis of a patient’s ability to pay.
If the service you are looking for is not on this list, please call 573.632.5029, and we will be happy to assist you with an estimate.
Disclaimer and explanation for standard hospital charge
This hospital determines its standard charges for patient services with the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient's bill. These are the baseline rates for services provided at this hospital.
The chargemaster is similar in concept to the manufacturer's suggested retail price (MSRP) on a vehicle. It is the starting price of each service performed and goods consumed associated with the individual patient's treatment. The chargemaster rates are updated from time to time to accurately reflect the hospital’s expenses to operate.
Standard charges shown in the attached file do not necessarily reflect what a patient may pay. Government insurance plans such as Medicare and Medicaid do not pay the chargemaster rates, but rather have their own set rates which hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with managed care payors and may or may not reflect the standard charges. Patients without commercial insurance or not covered by a government health care plan should contact the hospital prior to a procedure to discuss charges, alternative pricing, and payment terms.