Click Price Estimate Now, to receive a personalized price estimate for procedures or tests. It is a simple and convenient way to get an estimate with your out-of-pocket costs based on your health insurance plan benefits, but it is still an estimate. Comparing pricing for multiple procedures or tests and selecting locations for upcoming services is easier than ever. This is another way to be informed about your health care cost obligation.
To support our patients, we have published a complete list of each of our hospital’s standard charges, commonly called a hospital's "chargemaster," here and a list of 300 of each of our hospital’s most common procedures and services, known as “shoppable services,” here.
It is important to note that the shoppable services list will often include charges for multiple chargemaster services, and therefore will not be comparable to any single chargemaster item.
In Maryland, the average prices for hospital services (e.g., radiology, laboratory, intensive care daily rate) are regulated by the Maryland Health Services Cost Review Commission (HSCRC) and may change frequently as updates are received from the HSCRC.
Estimates
Disclaimer
The Centers for Medicare and Medicaid Services (CMS) requires all hospitals to make available pricing information related to hospitals services through its internet website. The file posted here, commonly referred to as the “chargemaster," reflects charges for items and services provided by Sinai Hospital. In Maryland, the rates charged by hospitals are established and regulated by the Maryland Health Services Cost Review Commission (HSCRC), a state regulatory agency. The hospital charges do not include charges for physician services, which are separate from the hospital bill.
Charges on individual hospital bills may be different from those posted here, as the HSCRC allows for a defined level of fluctuation to occur throughout the course of a year. Sinai Hospital will post its chargemaster two times a year in coordination with the approval of hospital rates by the Maryland HSCRC.
Standard Charges
Shoppable Services
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
Information to keep in mind:
- Hospital approved rates generally reflect the average price of a group of similar services. Individual service charges are components of the larger group average, and therefore may vary from the price set by the HSCRC.
- Even though the State sets hospital prices by a certain date, hospital charges change during the year. Charges on individual hospital bills may be different from the charges posted here.
- Amounts patients owe out-of-pocket will vary based on insurance provider and insurance plan. Please contact your insurance plan for more information about your insurance benefits.
Uninsured Notice of Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Customer Service at (800)788-6995, Monday – Thursday 7:30 a.m. – 7:30 p.m. & Friday 7:30 a.m. – 5:00 p.m.
Helpful Questions and Answers
What is price transparency?
Price transparency is the ability for you, the healthcare consumer, to access specific information on the price of healthcare services; it is the term used to describe initiatives in the healthcare industry to provide meaningful pricing information to consumers. The healthcare industry is often complex and difficult for consumers to navigate. Price transparency is a means of providing consumers price information on common services.
In order to be as transparent as possible regarding our prices, and to comply with the various price transparency regulatory requirements, we have included two separate views of our prices. One is a list of common shoppable services and the other reflects the hospital's full chargemaster. It is important to note the differences between these two. Common shoppable services pricing will often include charges for multiple chargemaster services, and therefore will not be comparable to any single chargemaster item. The common shoppable services pricing aims to more accurately reflect what a patient's bill could actually look like for the listed procedures.
How much will I have to pay out of pocket?
Our hospitals charge the same for all patients but, depending on the patient insurance plan benefits, individual amounts owed after insurance payment may vary. Insurance plan benefits are applied based on services and limitations of your insurance plan policy.
The charges on the list do not reflect the amount you will pay out of pocket. The amount a patient pays is based on many factors, including but not limited to health insurance, benefit plans and services provided based on each patient’s unique needs.
We recommend checking with your insurance provider for the most accurate estimate of out-of-pocket costs, which is based on your insurance plan benefits.
What is expected of me in terms of payment?
The hospital where you received services will file a claim to your insurance plan for charges incurred from healthcare services. Your insurance plan will process your claim and inform us of any out-of-pocket amounts you owe. Payment for services or any out-of-pocket amounts after insurance payment is due upon billing. You will receive billing statements for amounts owed along with information about payment methods and options.
What if I do not have insurance?
We offer several convenient payment options to assist patients with payment for services. Patients who need help paying their hospital bills may qualify for financial assistance. Financial need is based on family size, income and other factors. For information about payment options or financial assistance, please contact Customer Service at (800)788-6995.
Helpful Health Care Terms
- Deductible: A deductible is the amount you pay each year for most eligible medical services or medications before your health plan begins to share in the cost of covered services.
- Copayment: A copayment (or copay) is a fixed amount you pay for a health care service, usually when you receive the service. The amount can vary by the type of service. A copay is a flat fee that you pay on the spot each time you go to your doctor or fill a prescription.
- Coinsurance: Coinsurance is your share of the costs of a health care service. It is usually figured as a percentage of the amount we allow to be charged for services. You start paying coinsurance after you have paid your plan's deductible. Coinsurance is a portion of the medical cost you pay after your deductible has been met. Coinsurance is a way of saying that you and your insurance carrier each pay a share of eligible costs that add up to 100 percent.
- Shoppable Service: A shoppable service is defined as a health care service that consumers can schedule in advance, at a time that is convenient for them. These services typically are non-urgent.