The Hopedale Medical Foundation, d/b/a Hopedale Hospital, and d/b/a Hopedale Medical Complex (“HMC”) charge description master (CDM) has been made accessible for your review in accordance with Section 2718(e) of the Public Health Service Act and further clarified by Centers for Medicare and Medicaid Services (CMS) 2019 Inpatient and Long-Term Care Hospital Prospective Payment System (IPPS/LTCH PPS) Final Rule.
Many charges contained in this chargemaster are subject to various periodic changes in the cost of items which we purchase from our vendors, manufacturers and others that supply these items to HMC. The information provided herein was effective on January 1, 2019. As such, these charges may have changed due to materials price changes, new technology, added or eliminated services, goods and/or procedures, etc. The information contained in this CDM is specific to HMC.
The charges contained in this document are the same for all patients of this facility regardless of insurance program or coverage. However, the charges contained in this document do not reflect expected reimbursement to HMC, since health plans negotiate reimbursement rates based on a number of factors. Issues affecting actual reimbursement to HMC include whether a procedure was done on an inpatient or outpatient basis, physician orders, comorbidities and complications and whether HMC was “in network” with the payer.
The key components to which services and procedures are charged to an individual patient depend on physician orders and the examination and treatment of the patient. There are also many components that comprise the hospital bill. For example, one short hospital inpatient stay could include surgical procedures, treatment in the emergency department, supplies, anesthesia, pharmaceuticals, numerous tests (i.e., x-rays, laboratory), room and board, respiratory and physical therapy and so forth (all based on a physician’s orders). Therefore, this document should not be used to attempt to accurately estimate the final patient cost of a given hospital-stay. It is provided for information only. The best way to obtain patient cost information is to call the number below and speak to an HMC representative. Descriptions and charges contained in this document will vary from facility to facility. For example, one hospital may include anesthesia in its charge for a colonoscopy and another may not. (That could explain why the charge is higher.) It is, therefore, very important that you contact the HMC billing department at (309) 449-4380 if you want verification of what’s included in the charge and what the patient is likely to pay out of pocket.
As a 501(c)(3) charitable corporation, HMC provides discounted (and sometimes free) care to low-income and uninsured patients. If you have questions regarding charges, common procedures, or financial assistance eligibility you can contact our Patient Accounting Department at (309) 449-4377.
*By clicking below to download the document, you acknowledge the notice above and agree to all information stated therein.