Price Estimates
At Memorial Healthcare we are committed to providing patients with the information they need to understand the costs of their care and make informed decisions. Our online tool lets you create an estimate of your out-of-pocket costs for common procedure and services.
The estimate is based on the information you provide. Your actual charges may vary based on medical condition, final diagnosis, and the services you receive. If you have insurance, your benefits will ultimately determine the amount you owe (including deductibles, co-pay, co-insurance, and out-of-pocket maximums). The online tool will consider your primary insurance. We encourage you to contact your insurance provider for any questions you may have regarding your plan benefits.
You may contact a Financial Counselor at (989) 729-4160 for specific and individualized information regarding charges associated with an anticipated hospitalization or outpatient procedure.
(Please note that our price estimator tool does not function properly in Internet Explorer. Please use Chrome, Safari or Firefox. Thank you.)
Good Faith Estimate Disclaimers
- The Good Faith Estimate shows the estimated costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
- The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, and your bill is $400 or more for any provider or facility than your Good Faith Estimate for that provider or facility, federal law allows you to dispute (appeal) the bill.
- You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
- You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
- If you dispute your bill, the provider or facility cannot move the bill for the disputed item or service into collection or threaten to do so, or if the bill has already moved into collection, the provider or facility has to cease collection efforts. The provider or facility must also suspend the accrual of any late fees on unpaid bill amounts until after the dispute resolution process has concluded. The provider or facility cannot take or threaten to take any retributive action against you for disputing your bill.
- There is a $25 fee to use the dispute process. If the Selected Dispute Resolution (SDR) entity reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate, reduced by the $25 fee. If the SDR entity disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
- To learn more and get a form to start the process, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
- For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
- You should keep a copy of your Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.
- The Good Faith Estimate may contain private information that is legally protected. It’s only for you to use. If you are not the patient, you need to know that sharing, copying, or acting on this information is against the law.
Price Transparency Files
The files below are posted to meet CMS requirements for price transparency and will download to your desktop. These are intended to be machine-readable and may not be accessible to some. If you are a patient seeking an estimate for medical services, please use our price estimator tool above by clicking on the blue icon.
