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 bill you separately. This can include fees related to specialists, anesthesiologists, pathologists and radiologists. Independent laboratory and radiology services also bill you separately for reading and interpreting EKGs, X-rays, EEGs and lab work.
What prices are listed here?
Estes Park Health has listed 2,257 publicly posted charges. All prices posted on this site already reflect the uninsured discount. These prices do not reflect additional financial assistance discounts for which patients may be eligible.
How often is the pricing data refreshed?
Pricing estimates are updated at least annually.
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 depend on their individual insurance plans which might include a deductible, coinsurance, co-payment and/or non-covered services.
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—as much information as possible about the specific services needed as described by your physician
- Type of services needed—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—i.e., if you are having surgery, provide surgeon's name
Can I get an exact pricing quote?
We 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 requires can vary, and your bill reflects your individual circumstances at the time your services are rendered.
Our Pre-Access Services Specialist (970-577-4525) will meet with patients for pre-op appointments to help you understand your financial responsibility to the hospital and/or your health care provider based on your insurance benefits. They will assist you in understanding terms like:
- Co-payments – The portion of your bill you are required to pay for during registration. Co-payment amounts vary depending on your insurance policy.
- Deductibles – The amount your insurance company determines you must pay before they begin dispensing benefits on services rendered.
- Co-Insurance - Coverage in an insurance plan where the insured pays a share of the payment made on an account. For example, a patient with 70% co-insurance would mean their insurance plan pays 70% and the patient is responsible for 30%
- Insurance Claims – The bill for services the hospital submits to your insurance company or companies.
- Itemized bills – A list of individual charges for services and procedures you received during your hospital stay. Also lists your account number.
- Patient Balance – The amount on your bill that you need to pay.
- Statement of Account – Shows any activity (for example, insurance payments or denials) that has occurred since the itemized bill was sent.
Since every insurance plan is different, please be sure to check your coverage and ask questions prior to receiving treatment. Not following your insurance company's rules could result in a larger financial responsibility for you. Estes Park Health Financial Counselors can help you understand your financial rights and responsibilities associated with your services and procedures.
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 expect you to pay your co-payment, coinsurance and/or deductible upon arrival at the hospital. After your insurance company pays us, we send you information about any amount you may still owe.
To help you navigate on-going changes, Estes Park Health now provides you with access to a Patient Financial Customer Service Representative (970-577-4530), two Financial Counselors (970-577-4327 and 970-577-4528) dedicated to resolving patient balances
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 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 evaluate whether you qualify for local and state programs, including County Assistance and Medicaid.
We accept major credit cards, checks, money orders and cash.
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."
The Estes Park Health Hospitals participate in 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 Colorado.gov 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.
Estes Park Health is committed to caring for our patients, regardless of their financial circumstances. We work hard to help address patients’ 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 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.