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Frequently Asked Questions

What services are excluded from the pricing information on this website? 
Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists, and radiologists.
Independent laboratory and radiology services will also bill you separately for reading and interpreting EKG's, X-rays, EEG's and lab work.

What prices are listed here?
Estes Park Medical Center locations post self-pay prices for the 50 most common inpatient services, 25 most common outpatient services and the prices for levels 1-5 emergency services. All prices posted on this site already reflect the uninsured discount. These prices do not reflect additional financial assistance discounts which patients may be eligible for.

How often is the pricing data refreshed?
Pricing estimates are updated at least annually.

What does 'uninsured' mean? 
An uninsured person is someone who does not have insurance or coverage for hospital services by a third party like Medicare, Medicaid, workers compensation or an insurance company. Other common terms used when referring to uninsured patients are "self pay" and "private pay."

Why can't I rely on the pricing posted on this website if I have insurance? 
The prices posted on this site are specifically for self-pay patients. Insurance companies negotiate their own prices for services which might be different from these self-pay prices. While an insurance company might pay a portion of insured patients' bills, those patients' out-of­ pocket responsibilities will be dependent on their individual insurance plans which might include a deductible, coinsurance, co-payment and/or non-covered services.

What if the service I need is not listed on this website?
Please call EPMC at 970-586-2317 We will be happy to try to provide you with a price estimate.

When I call for pricing, what information do I need to have ready? 
When you call us, please try to have the following information at hand so that we can provide you with our best estimate of pricing:
• Description of services needed - we will need to know as much information as possible about the specific services needed as described by your physician.
• Type of services needed- we need to know if you will be admitted to the hospital as an inpatient overnight, or if you are expected to be treated on an outpatient basis.
• Physician/specialist Name - example, if you are having surgery, we will want to know the surgeon's name.

Can I get an exact pricing quote?
We will do our best to provide you with a price or pricing range based on our hospital's historical pricing for comparable services. However, your actual bill might vary, and our pricing estimates are not guaranteed because the services each patient require scan vary, and your bill will be dependent on your individual circumstances at the time your services are rendered.

What is expected of patients in terms of payment? 
Similar to your visits to your physician's office, we expect payment at time of service. If you have insurance or other coverage, we will expect you to pay your co-payment, coinsurance and/or deductible upon arrival at the hospital. After your insurance company pays us, we will send you information about any amount you may still owe.
If you are uninsured, we expect payment at time of service (or will work with you to arrange monthly payments) for the estimated price of your services. If, after your services are received, any additional payment is due, we will send you information about any amount you may still owe. If you receive emergency care and cannot pay for your services, with your cooperation, our financial counselors will evaluate whether you qualify for Local and State programs, including County Assistance and Medicaid.
We accept major credit cards, checks, money orders and cash.

The Estes Park Medical Center Hospitals participate in the Colorado Indigent Care Program.
The Colorado Indigent Care Program (CICP) provides discounted health care services to low income people and families. CICP is not a health insurance program. Discounted health care services are provided throughout Colorado by hospitals and clinics that participate in the CICP.

To be considered for CICP:
· The date of service and/or the last insurance payment date must be within 90 days from the application date.
• The patient must have already applied for and been denied by Medicaid.
You can visit and learn more about this program as well as identify if you may be eligible. Income guidelines and the application process are available on the website.

Financial Assistance
Estes Park Medical Center is committed to caring for our patients, regardless of their financial circumstances. We work hard to help address patient's financial responsibilities in a way that is sensitive and fair to their circumstances.
Per Colorado State Senate bill 12-134,  uninsured patients who meet eligibility requirements are qualified  to be screened for Financial Assistance. CICP (Colorado Indigent Care Program) and Medicaid recipients do not qualify for this program. If you are an uninsured patient and need assistance with your medical bill, please call our Customer Service Department.

To be considered for Financial Assistance:
·The date of service and/or the last insurance payment date must be within 240 days from the application date.
·The patient must have already applied for and been denied by Medicaid and CICP.

What services are included in the pricing information on this website? 
Pricing on this website includes estimated room and board (for inpatients), supplies, nursing care, equipment use, nutritional services, and any services handled by the staff of the hospital within the walls of the hospital.

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