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Price Transparency: Health System Standard Charges

Welcome to the Orange City Area Health System Price Transparency web page. The data presented will show individual charges and may be difficult for an individual to use in calculating the total charges you may incur during your visit and the applicable out of pocket expenses you may be responsible for.  We encourage our patients to contact one of our staff at (712) 737-5200 for help with your specific circumstances.

Beginning January 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services are requiring hospitals and health systems to post their “current standard charges.”

On this page you will be able to access the standard charges for Orange City Area Health System. Simply click on the link and a file will be accessible in a machine-readable document. It is important to note that the charges reflected are the amounts Orange City Area Health System would bill an insurer; it may not be what will be required to be paid out of pocket by the patient.

The prices depicted are from the current charge master and reflect prices that were in effect as of 12/18/18. Hospital prices are updated annually with the most recent overall price change being implemented on July 1, 2018. There could be instances where charges in an individual department or an isolated charge may change during the year and may have been updated since 12/18/18.

Hospital charges are the amount a hospital bills an insurer for a service. For most patients, hospitals are reimbursed at a level well below charges. Patients covered by commercial insurance products have negotiated rates with hospitals. Patients covered by Medicare or Medicaid programs have hospital reimbursement rates determined by federal and state governments.

Hospital charges may also include bundled procedures, personnel, services and supplies. An example would be room rates that include the space, equipment, nursing personnel and supplies.

It is important when a patient has the opportunity to shop for medical services that he or she contacts his or her own insurance carrier to understand which costs will be covered and which will be the patient’s responsibility.

Patients can also get quick, clear answers to questions about billing, payments, insurance and more by calling (712) 737-5200. Our office hours are 8:00 a.m.- 5:00 p.m. Monday-Friday.

In addition to resources on this website, there are additional resources available that provide summarized charge data at either a diagnosis-related group (DRG) level or outpatient procedure level. There are currently websites maintained by the Hospital Associations of Minnesota, South Dakota and Iowa where a person can search and compare the average charge among various facilities.

Minnesota Hospital Price Check:

https://www.mnhospitals.org/data-reporting/minnesota-hospital-price-check/hospital-report

South Dakota Hospital PricePoint:

http://www.sdpricepoint.org/

Iowa Hospital Charges Compare:

http://www.iowahospitalcharges.com/

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