Information about facility fees for this location may be found in full below, or you may choose to download a PDF of the facility's fee notice.
At LifeBridge Health, we are committed to delivering exceptional care that meets the needs of our community. In order to maintain the high standard of service within our state-of-the-art facilities, certain visits may include a facility fee. This fee helps to cover the operational costs of our hospital-supported environments, ensuring access to advanced medical technology and the expertise of our dedicated healthcare professionals.
We strive to be transparent about the costs of your care, and we encourage you to contact our patient services team with any questions or for more information about facility fees at our locations. Your health and understanding are our top priorities as we continue to provide you with the best possible healthcare experience.
Krieger Eye Institute - Northwest SMOB
Fee Notice
Notice of Hospital Outpatient Facility Fee and Billing Disclosure
- Your appointment with Krieger Eye Institute Retina Center will take place in a hospital outpatient department of Northwest Hospital Center
- Northwest Hospital Center will charge a hospital outpatient department facility fee that is separate from and in addition to the bill you will receive from your provider.
- You will receive two bills for your visit:
- A provider services bill from your provider; AND
- A hospital outpatient department facility fee bill from Northwest Hospital Center
Expected fee:
Northwest Hospital Center hospital outpatient department facility fees range from:
| Services | Min Charge | Max Charge | Average Charge |
|---|---|---|---|
| Postoperative Follow-Up or Fundus Photo | $187.00 | $216.00 | $204.00 |
| Clinic visit w/o injection | $374.00 | $2,218.00 | $995.00 |
| Clinic visit with injection | $3,894.00 | $10,202.00 | $5,566.00 |
| Clinic visit w/implant | $5,069.00 | $13,086.00 | $7,282.00 |
The hospital outpatient department facility fee could be higher if you require services during your appointment that we cannot reasonably predict today.
Financial help for your portion of the hospital outpatient department facility fee bill may be available. If you need financial help with the hospital outpatient facility fee bill, please contact Customer Service at (800) 788-6995 or download the application via the Financial Assitance link in our footer below.
Receiving services in the hospital outpatient department may result in greater financial liability than receiving the services at a location where a hospital outpatient facility fee may not be charged.
No Hospital Outpatient Facility Fee Location:
You will not be charged an outpatient facility fee if:
- You can see a clinic provider at another location that does not charge a hospital outpatient facility fee. Your Provider may not go to these locations.
Address and Contact Info
Contact your health insurance company to see if your Provider is a participating provider and in-network at the scheduled location.
- LifeBridge Pavilion, 2700 Quarry Lake Baltimore MD 21209
Insurance Information
Health Insurance and Medicare:
- The amount of the hospital outpatient department facility fee that you will be responsible for paying will depend on your health insurance or Medicare coverage.
- Health insurance companies could impose deductibles or higher copayment or coinsurance amounts for services provided in hospital outpatient departments.
- If you have health insurance, you should contact your health insurance company to determine your health insurance coverage and your estimated financial responsibility for the hospital outpatient department facility fee, including copayments, coinsurance, and deductible amounts for the outpatient facility fee.
Facility Fee Complaints
If you have a complaint about an outpatient department facility fee charge, please contact Customer Service at:
(800) 788-6995
If the complaint is unresolved, you may then file the complaint with the Health Services Cost Review Commission:
EMhscrc.patient-complaints@maryland.govAIL.
If you need additional information regarding your facility fee charges or if you need assistance mediating a facility fee complaint against a hospital, contact the Health Education and Advocacy Unit of the Office of the Attorney General:
1-877-261-8807
HEAU@oag.state.md.us
www.MarylandCares.org
Krieger Eye Institute - Northwest Retina Center
Fee Notice
Information about facility fees for this location may be found in full below, or you may choose to download a PDF of the facility's fee notice.
Notice of Hospital Outpatient Facility Fee and Billing Disclosure
- Your appointment with Krieger Eye Institute Retina Center will take place in a hospital outpatient department of Northwest Hospital Center
- Northwest Hospital Center will charge a hospital outpatient department facility fee that is separate from and in addition to the bill you will receive from your provider.
- You will receive two bills for your visit:
- A provider services bill from your provider; AND
- A hospital outpatient department facility fee bill from Northwest Hospital Center
Expected fee:
Northwest Hospital Center hospital outpatient department facility fees range from:
| Services | Min Charge | Max Charge | Average Charge |
|---|---|---|---|
| Postoperative Follow-Up or Fundus Photo | $187.00 | $216.00 | $204.00 |
| Clinic visit w/o injection | $374.00 | $2,218.00 | $995.00 |
| Clinic visit with injection | $3,894.00 | $10,202.00 | $5,566.00 |
| Clinic visit w/implant | $5,069.00 | $13,086.00 | $7,282.00 |
The hospital outpatient department facility fee could be higher if you require services during your appointment that we cannot reasonably predict today.
Financial help for your portion of the hospital outpatient department facility fee bill may be available. If you need financial help with the hospital outpatient facility fee bill, please contact Customer Service at (800) 788-6995 or download the application via the Financial Assitance link in our footer below.
Receiving services in the hospital outpatient department may result in greater financial liability than receiving the services at a location where a hospital outpatient facility fee may not be charged.
No Hospital Outpatient Facility Fee Location:
You will not be charged an outpatient facility fee if:
- You can see a clinic provider at another location that does not charge a hospital outpatient facility fee. Your Provider may not go to these locations.
Address and Contact Info
Contact your health insurance company to see if your Provider is a participating provider and in-network at the scheduled location.
- LifeBridge Pavilion, 2700 Quarry Lake Baltimore MD 21209
Insurance Information
Health Insurance and Medicare:
- The amount of the hospital outpatient department facility fee that you will be responsible for paying will depend on your health insurance or Medicare coverage.
- Health insurance companies could impose deductibles or higher copayment or coinsurance amounts for services provided in hospital outpatient departments.
- If you have health insurance, you should contact your health insurance company to determine your health insurance coverage and your estimated financial responsibility for the hospital outpatient department facility fee, including copayments, coinsurance, and deductible amounts for the outpatient facility fee.
Facility Fee Complaints
If you have a complaint about an outpatient department facility fee charge, please contact Customer Service at:
(800) 788-6995
If the complaint is unresolved, you may then file the complaint with the Health Services Cost Review Commission:
EMhscrc.patient-complaints@maryland.govAIL.
If you need additional information regarding your facility fee charges or if you need assistance mediating a facility fee complaint against a hospital, contact the Health Education and Advocacy Unit of the Office of the Attorney General:
1-877-261-8807
HEAU@oag.state.md.us
www.MarylandCares.org
Krieger Eye Institute - Sinai Retina Center
Fee Notice
Information about facility fees for this location may be found in full below, or you may choose to download a PDF of the facility's fee notice.
Notice of Hospital Outpatient Facility Fee and Billing Disclosure
- Your appointment with Krieger Eye Retina Center will take place in a hospital outpatient department of Sinai Hospital of Baltimore, Inc.
- Sinai Hospital of Baltimore, Inc. will charge a hospital outpatient department facility fee that is separate from and in addition to the bill you will receive from your provider
- You will receive two bills for your visit:
- A provider services bill from your provider; AND
- A hospital outpatient department facility fee bill from Sinai Hospital of Baltimore, Inc.
Expected fee:
Northwest Hospital Center hospital outpatient department facility fees range from:
| Services | Min Charge | Max Charge | Average Charge |
|---|---|---|---|
| Postoperative Follow-Up or Fundus Photo | $187.00 | $216.00 | $204.00 |
| Clinic visit w/o injection | $374.00 | $2,218.00 | $995.00 |
| Clinic visit with injection | $3,894.00 | $10,202.00 | $5,566.00 |
| Clinic visit w/implant | $5,069.00 | $13,086.00 | $7,282.00 |
The hospital outpatient department facility fee could be higher if you require services during your appointment that we cannot reasonably predict today.
Financial help for your portion of the hospital outpatient department facility fee bill may be available. If you need financial help with the hospital outpatient facility fee bill, please contact Customer Service at (800) 788-6995 or download the application via the Financial Assitance link in our footer below.
Receiving services in the hospital outpatient department may result in greater financial liability than receiving the services at a location where a hospital outpatient facility fee may not be charged.
No Hospital Outpatient Facility Fee Location:
You will not be charged an outpatient facility fee if:
- You can see a clinic provider at another location that does not charge a hospital outpatient facility fee. Your Provider may not go to these locations.
Address and Contact Info
Contact your health insurance company to see if your Provider is a participating provider and in-network at the scheduled location.
- LifeBridge Pavilion, 2700 Quarry Lake Baltimore MD 21209
Insurance Information
Health Insurance and Medicare:
- The amount of the hospital outpatient department facility fee that you will be responsible for paying will depend on your health insurance or Medicare coverage.
- Health insurance companies could impose deductibles or higher copayment or coinsurance amounts for services provided in hospital outpatient departments.
- If you have health insurance, you should contact your health insurance company to determine your health insurance coverage and your estimated financial responsibility for the hospital outpatient department facility fee, including copayments, coinsurance, and deductible amounts for the outpatient facility fee.
Facility Fee Complaints
If you have a complaint about an outpatient department facility fee charge, please contact Customer Service at:
(800) 788-6995
If the complaint is unresolved, you may then file the complaint with the Health Services Cost Review Commission:
EMhscrc.patient-complaints@maryland.govAIL.
If you need additional information regarding your facility fee charges or if you need assistance mediating a facility fee complaint against a hospital, contact the Health Education and Advocacy Unit of the Office of the Attorney General:
1-877-261-8807
HEAU@oag.state.md.us
www.MarylandCares.org
Krieger Eye Institute - Sinai
Fee Notice
Information about facility fees for this location may be found in full below, or you may choose to download a PDF of the facility's fee notice.
Notice of Hospital Outpatient Facility Fee and Billing Disclosure
- Your appointment with Krieger Eye Institute will take place in a hospital outpatient department of Sinai Hospital of Baltimore, Inc.
- Sinai Hospital of Baltimore, Inc. will charge a hospital outpatient department facility fee that is separate from and in addition to the bill you will receive from your provider
- You will receive two bills for your visit:
- A provider services bill from your provider; AND
- A hospital outpatient department facility fee bill from Sinai Hospital of Baltimore, Inc.
Expected fee:
Northwest Hospital Center hospital outpatient department facility fees range from:
| Services | Min Charge | Max Charge | Average Charge |
|---|---|---|---|
| Krieger Eye Follow-up Visit | $187.00 | $422.00 | $204.00 |
| Krieger Eye Clinic & Procedure Charges | $594.00 | $2,816.00 | $1,115.00 |
| Krieger Eye w/ Procedure (No Clinic) | $185.00 | $627.00 | $506.00 |
| Krieger Eye Clinic w/o Procedure | $227.00 | $2,767.00 | $778.00 |
| Krieger Eye w/Procedure & Drugs (No Clinic) | $871.00 | $3,447.00 | $1,919. |
The hospital outpatient department facility fee could be higher if you require services during your appointment that we cannot reasonably predict today.
Financial help for your portion of the hospital outpatient department facility fee bill may be available. If you need financial help with the hospital outpatient facility fee bill, please contact Customer Service at (800) 788-6995 or download the application via the Financial Assitance link in our footer below.
Receiving services in the hospital outpatient department may result in greater financial liability than receiving the services at a location where a hospital outpatient facility fee may not be charged.
No Hospital Outpatient Facility Fee Location:
You will not be charged an outpatient facility fee if:
- You can see a clinic provider at another location that does not charge a hospital outpatient facility fee. Your Provider may not go to these locations.
Address and Contact Info
Contact your health insurance company to see if your Provider is a participating provider and in-network at the scheduled location.
- LifeBridge Pavilion, 2700 Quarry Lake Baltimore MD 21209
- Baltimore Washington Eye Center, 200 Hospital Drive, Suite 600, Glen Burnie MD 21061
- Apple Hill at Wellspan Eye Center 25 Monument Road, Suite 297, York PA 17403
- 825 Washington Road, Suite 200, Westminster MD 21157
Insurance Information
Health Insurance and Medicare:
- The amount of the hospital outpatient department facility fee that you will be responsible for paying will depend on your health insurance or Medicare coverage.
- Health insurance companies could impose deductibles or higher copayment or coinsurance amounts for services provided in hospital outpatient departments.
- If you have health insurance, you should contact your health insurance company to determine your health insurance coverage and your estimated financial responsibility for the hospital outpatient department facility fee, including copayments, coinsurance, and deductible amounts for the outpatient facility fee.
Facility Fee Complaints
If you have a complaint about an outpatient department facility fee charge, please contact Customer Service at:
(800) 788-6995
If the complaint is unresolved, you may then file the complaint with the Health Services Cost Review Commission:
EMhscrc.patient-complaints@maryland.govAIL.
If you need additional information regarding your facility fee charges or if you need assistance mediating a facility fee complaint against a hospital, contact the Health Education and Advocacy Unit of the Office of the Attorney General:
1-877-261-8807
HEAU@oag.state.md.us
www.MarylandCares.org
Rubin Institute | Limb Lengthening
Fee Notice
Information about facility fees for this location may be found in full below, or you may choose to download a PDF of the facility's fee notice.
Notice of Hospital Outpatient Facility Fee and Billing Disclosure
- Your appointment with Rubin Institute of Advanced Orthopedics – Limb Lengthening will take place in a hospital outpatient department of Sinai Hospital of Baltimore, Inc.
- Sinai Hospital of Baltimore, Inc. will charge a hospital outpatient department facility fee that is separate from and in addition to the bill you will receive from your provider
- You will receive two bills for your visit:
- A provider services bill from your provider; AND
- A hospital outpatient department facility fee bill from Sinai Hospital of Baltimore, Inc.
Expected fee:
Northwest Hospital Center hospital outpatient department facility fees range from:
| Services | Min Charge | Max Charge | Average Charge |
|---|---|---|---|
| Clinic visit w/ Imaging | $322.00 | $1,137.00 | $433.00 |
| Clinic visit w/o Imaging | $187.00 | $213.00 | $202.00 |
| Injections w/ Synvisc | $2,453.00 | $4,906.00 | $3,680.00 |
| Injections Other | $212.00 | $2,150.00 | $739.00 |
The hospital outpatient department facility fee could be higher if you require services during your appointment that we cannot reasonably predict today.
Financial help for your portion of the hospital outpatient department facility fee bill may be available. If you need financial help with the hospital outpatient facility fee bill, please contact Customer Service at (800) 788-6995 or download the application via the Financial Assitance link in our footer below.
Receiving services in the hospital outpatient department may result in greater financial liability than receiving the services at a location where a hospital outpatient facility fee may not be charged.
No Hospital Outpatient Facility Fee Location:
You will not be charged an outpatient facility fee if:
- You can see a clinic provider at another location that does not charge a hospital outpatient facility fee. Your Provider may not go to these locations.
- Foundry Row – 10084 Reisterstown Blvd Owings Mills MD 21117
- Northwest Hospital – 5401 Old Court Road Randallstown MD 21133
Address and Contact Info
Contact your health insurance company to see if your Provider is a participating provider and in-network at the scheduled location.
Insurance Information
Health Insurance and Medicare:
- The amount of the hospital outpatient department facility fee that you will be responsible for paying will depend on your health insurance or Medicare coverage.
- Health insurance companies could impose deductibles or higher copayment or coinsurance amounts for services provided in hospital outpatient departments.
- If you have health insurance, you should contact your health insurance company to determine your health insurance coverage and your estimated financial responsibility for the hospital outpatient department facility fee, including copayments, coinsurance, and deductible amounts for the outpatient facility fee.
Facility Fee Complaints
If you have a complaint about an outpatient department facility fee charge, please contact Customer Service at:
(800) 788-6995
If the complaint is unresolved, you may then file the complaint with the Health Services Cost Review Commission:
EMhscrc.patient-complaints@maryland.govAIL.
If you need additional information regarding your facility fee charges or if you need assistance mediating a facility fee complaint against a hospital, contact the Health Education and Advocacy Unit of the Office of the Attorney General:
1-877-261-8807
HEAU@oag.state.md.us
www.MarylandCares.org
Rubin Institute | Joint Clinic
Fee Notice
Information about facility fees for this location may be found in full below, or you may choose to download a PDF of the facility's fee notice.
Notice of Hospital Outpatient Facility Fee and Billing Disclosure
- Your appointment with Rubin Institute of Advanced Orthopedics – Total Joint will take place in a hospital outpatient department of Sinai Hospital of Baltimore, Inc.
- Sinai Hospital of Baltimore, Inc. will charge a hospital outpatient department facility fee that is separate from and in addition to the bill you will receive from your provider
- You will receive two bills for your visit:
- A provider services bill from your provider; AND
- A hospital outpatient department facility fee bill from Sinai Hospital of Baltimore, Inc.
Expected fee:
Northwest Hospital Center hospital outpatient department facility fees range from:
| Services | Min Charge | Max Charge | Average Charge |
|---|---|---|---|
| Clinic visit w/ Imaging | $315.00 | $1,190.00 | $518.00 |
| Clinic visit w/o Imaging | $187.00 | $216.00 | $202.00 |
| Debridement | $1,108.00 | $1,108.00 | $1,106.00 |
| Injections w/ Synvisc | $2,426.00 | $6,070.00 | $3,758.00 |
| Injections w/ Monovisc | $2,176.00 | $6,469.00 | $3,706.00 |
| Injections w/ Imaging | $371.00 | $1,761.00 | $589.00 |
| Injections Other | $369.00 | $1,761.00 | $589.00 |
| Other Procedures | $369.00 | $1,108.00 | $464.00 |
The hospital outpatient department facility fee could be higher if you require services during your appointment that we cannot reasonably predict today.
Financial help for your portion of the hospital outpatient department facility fee bill may be available. If you need financial help with the hospital outpatient facility fee bill, please contact Customer Service at (800) 788-6995 or download the application via the Financial Assitance link in our footer below.
Receiving services in the hospital outpatient department may result in greater financial liability than receiving the services at a location where a hospital outpatient facility fee may not be charged.
No Hospital Outpatient Facility Fee Location:
You will not be charged an outpatient facility fee if:
- You can see a clinic provider at another location that does not charge a hospital outpatient facility fee. Your Provider may not go to these locations.
- Foundry Row – 10084 Reisterstown Blvd Owings Mills MD 21117
- Northwest Hospital – 5401 Old Court Road Randallstown MD 21133
- Eldersburg – 6190 Georgetown Blvd Eldersburg MD 221784
- Carroll Orthopedics – 844 Washington Road Westminster MD 21157
Address and Contact Info
Contact your health insurance company to see if your Provider is a participating provider and in-network at the scheduled location.
Insurance Information
Health Insurance and Medicare:
- The amount of the hospital outpatient department facility fee that you will be responsible for paying will depend on your health insurance or Medicare coverage.
- Health insurance companies could impose deductibles or higher copayment or coinsurance amounts for services provided in hospital outpatient departments.
- If you have health insurance, you should contact your health insurance company to determine your health insurance coverage and your estimated financial responsibility for the hospital outpatient department facility fee, including copayments, coinsurance, and deductible amounts for the outpatient facility fee.
Facility Fee Complaints
If you have a complaint about an outpatient department facility fee charge, please contact Customer Service at:
(800) 788-6995
If the complaint is unresolved, you may then file the complaint with the Health Services Cost Review Commission:
EMhscrc.patient-complaints@maryland.govAIL.
If you need additional information regarding your facility fee charges or if you need assistance mediating a facility fee complaint against a hospital, contact the Health Education and Advocacy Unit of the Office of the Attorney General:
1-877-261-8807
HEAU@oag.state.md.us
www.MarylandCares.org
Sinai Infectious Disease Associates
Fee Notice
Information about facility fees for this location may be found in full below, or you may choose to download a PDF of the facility's fee notice.
Notice of Hospital Outpatient Facility Fee and Billing Disclosure
- Your appointment with the Sinai Infectious Disease Clinic will take place in a hospital outpatient department of Sinai Hospital of Baltimore, Inc.
- Sinai Hospital of Baltimore, Inc. will charge a hospital outpatient department facility fee that is separate from and in addition to the bill you will receive from your provider
- You will receive two bills for your visit:
- A provider services bill from your provider; AND
- A hospital outpatient department facility fee bill from Sinai Hospital of Baltimore, Inc.
Expected fee:
Northwest Hospital Center hospital outpatient department facility fees range from:
| Services | Min Charge | Max Charge | Average Charge |
|---|---|---|---|
| Clinic Visit | $199.00 | $1,056.00 | $429.00 |
| Clinic Visit w/ Immunization | $431.00 | $1,556.00 | $761.00 |
The hospital outpatient department facility fee could be higher if you require services during your appointment that we cannot reasonably predict today.
Financial help for your portion of the hospital outpatient department facility fee bill may be available. If you need financial help with the hospital outpatient facility fee bill, please contact Customer Service at (800) 788-6995 or download the application via the Financial Assitance link in our footer below.
Receiving services in the hospital outpatient department may result in greater financial liability than receiving the services at a location where a hospital outpatient facility fee may not be charged.
No Hospital Outpatient Facility Fee Location:
Your provider does not see patients at another location within LifeBridge Health that does not have hospital outpatient facility fees.
Insurance Information
Health Insurance and Medicare:
- The amount of the hospital outpatient department facility fee that you will be responsible for paying will depend on your health insurance or Medicare coverage.
- Health insurance companies could impose deductibles or higher copayment or coinsurance amounts for services provided in hospital outpatient departments.
- If you have health insurance, you should contact your health insurance company to determine your health insurance coverage and your estimated financial responsibility for the hospital outpatient department facility fee, including copayments, coinsurance, and deductible amounts for the outpatient facility fee.
Facility Fee Complaints
If you have a complaint about an outpatient department facility fee charge, please contact Customer Service at:
(800) 788-6995
If the complaint is unresolved, you may then file the complaint with the Health Services Cost Review Commission:
EMhscrc.patient-complaints@maryland.govAIL.
If you need additional information regarding your facility fee charges or if you need assistance mediating a facility fee complaint against a hospital, contact the Health Education and Advocacy Unit of the Office of the Attorney General:
1-877-261-8807
HEAU@oag.state.md.us
www.MarylandCares.org