Estimate FAQs

Thank you for choosing Baptist Health for your health care needs. We are pleased to provide our patients with this projected estimate option which will help plan for health services at Baptist Health. Below are some common questions about the projected estimate for service feature.

How is this estimate calculated?

Baptist Health provides projected cost estimates for all patients regardless of their level of insurance coverage. This estimator tool uses CPT codes to link the specified service with the associated cost. A CPT or Current Procedural Technology code is the code which identifies a specific medical procedure and is determined by your physician.

If you are an uninsured patient, your estimate will reflect the Baptist Health discount for uninsured patients.

If you are a patient with medical insurance, your estimate will reflect the current benefit level as provided by your insurance company at the time of the request. Benefit level information will confirm any deductible, co-payment and/or co-insurance amounts specified by your policy which you will be liable to pay for your services.

  • Deductible: The set amount of money you pay before the insurance company issues payment on allowed charges
  • Co-payment: A set amount of money you pay a provider at the time a service is received
  • Co-insurance: The set percentage you will pay out-of pocket after your policy deductible has been met

How will I know if the estimate is correct?

The projected cost estimate is a good faith estimate based on the information provided at the time of your request. The estimate is as accurate as the insurance information you entered, provided that the service selected was correct, and your insurance benefits from your insurance company were up to date at the time of the request.

Does the estimate show the final amount for the service?

The actual amounts for the service(s) may change based upon your needs at the time of the service, treatment or services your doctor wants you to have during the visit, and other information provided by your insurance carrier. This estimate is only for your out-of-pocket cost for Baptist Health hospital services and does not include professional fees, such as physician, radiologist, anesthesiologist, and pathologist fees.

Does my insurance cover the service(s)?

Before having the services, please contact your insurance company to confirm what is covered under your plan and that Baptist Health is a participating provider. After you have the services, we will submit a claim to your insurance carrier. Any services not covered under your plan will be billed to you.

What about my privacy?

This 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.

Disclaimer

The information provided is a hospital estimate and is not a guarantee of final billed charges. Final billed charges may vary from hospital estimates for many reasons, among them are the patient’s medical condition, unknown circumstances or complications, final diagnosis and recommended treatment ordered by the physician. Professional fees, such as physician, radiologist, anesthesiologist and pathologist fees are not included in this estimate. Insurance benefit information (where applicable) is based on information provided by your insurance company as of the date of this estimate. Benefits and eligibility are subject to change and are not a guarantee of payment.