COVID-19 vaccines: Get the latest information here. Please do not call our clinics or hospitals with questions. 

Hospital Pricing

PeaceHealth recognizes the importance of patients’ access to information and is committed to helping patients better anticipate out-of-pocket costs for specific services or course of treatment.

Request an estimate

There are several factors that are included in your actual cost. Therefore, we recommend you request a personalized estimate so we can help you identify a more accurate estimate. Please note that PeaceHealth has a financial assistance program and is committed to making sure you get the care you need. For more information you can request financial assistance.

Hospital cash price for COVID-19 diagnostic testing

Below is the self-pay (cash) pricing for PeaceHealth COVID-19 tests:

Bill Code Description Hospital Cash Price*
87635 SARS CORONAVIRUS 2, DNA/RNA, AMP PROBE $66.95
86769 ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID19 $54.60


*Disclaimers:

  • For insured patients, pricing may vary based on contracted rates.
  • The above charges do not include any associated office visit, exam or outside lab fees.

Shoppable services

Shoppable services are services that can be scheduled by a healthcare consumer in advance. Such services are routinely provided in non-urgent situations that do not require immediate action or attention to the patient, thus allowing patients to price shop and schedule a service at a time that is convenient for them. PeaceHealth has listed it’s Shoppable Services below, in accordance to the CMS Price Transparency Final Rule, (84 FR 65564).

Frequently asked questions

PeaceHealth has published its hospital’s chargemasters, standard charges by DRG, and employed professional charges. We did this to comply with the hospital price transparency requirements under section 2718(e) of the Public Health Service Act. The Hospital Price Transparency final rule was published in the Federal Register on November 27, 2019 (84 FR 65524) , available here.

A chargemaster is a comprehensive listing of standard charges for services, procedures, and goods, billable to a hospital patient and/or a patient’s health insurance provider.

Charges are amounts set for services, procedures, and goods provided to the patient before any insurance discounts. The charge listed in the chargemaster is generally not the amount a patient will pay.

The hospital’s chargemaster does not include all charges for services provided by the providers who treat you while you are in the hospital. You may receive separate bills from the hospital and the team of providers involved in your care.

The charges you see on this list may not be the price you will pay, as your insurance coverage determines your co-payment, co-insurance percentage, and annual deductible. Please be aware that there are many variables that can affect your final out-of-pocket costs, including issues like the length of time spent in surgery or recovery, specific equipment used, supplies and medications needed, additional tests required by your physician, any special care or unexpected conditions or complications that may arise.

PeaceHealth’s Charge Description Master, also known as CDM, contains the prices of all hospital services for which a separate charge exists. PeaceHealth offers this list of charges for you to access. Please understand that it is not always possible to predict the exact amount you will be charged. Our estimates are based on an average of similar services performed; final charges are based on actual services received. To receive an estimate, please call us at 844-212-1049 and select option 2.

Standard Charges and DRG

As required by CMS (Centers for Medicare and Medicaid Services) , we are publishing a comprehensive machine-readable file with insurance negotiated rates. This file is not intended for patients and does not reflect your out of-pocket costs.

Please note: Because of the size of the file, you may need special computer software/speed to open the file.

What do the following terms mean?

TERM DEFINITION
DRG A diagnosis-related group (DRG) is a patient classification system that standardizes prospective payment to hospitals and encourages cost containment initiatives. In general, a DRG payment covers all charges associated with an inpatient stay from the time of admission to discharge.
Copayment Fixed amount the patient pays for covered health care services, like an office visit, or prescription
Coinsurance Percentage the patient pays for covered health care services. i.e. 20%
Deductible The amount the patient must pay for services before a health plans begins to pay.

 

To see the national average price for procedures for outpatient care, please see Medicare's Procedure Price Lookup. It is always prudent to gather as much information from your provider about the anticipated care plan to use as a reference for these tools.

PeaceHealth is ready to help you and your family understand your financial obligation at any time during your treatment process. We encourage you to reach out and ask our financial counselors detailed questions – especially before scheduled services. Please contact us. For information on financial assistance, please visit our payment plans and assistance page.