Understanding Your ER Bill
Emergency Room visits are often a disorienting, stressful, and nerve-racking affair, and to make matters worse, medical bills are notoriously difficult to understand, so your stress doesn’t end the minute you walk out of the ER. Understanding your ER Bill is not something that is common knowledge.
Nevertheless, it’s in your financial best interest to know exactly what you are paying for and the ways you can lower your out-of-pocket expenses when you receive a medical bill.
At Altus Emergency Centers we believe in billing transparency, and helping our communities safeguard their hard-earned money. We know firsthand that there is no way to thoroughly plan for a medical emergency, which is why we are committed to help our patients receive all the benefits of their health plans and save as much money as possible. For this reason, we bring you a simple guide to understanding your ER Bill that we hope will help settle your nerves and save you money.
What Are Facility and Physician Fees?
After receiving treatment in one of our centers, we will mail two separate claims to your insurance company:
- Facility Fee Claim
- Physician Fee Claim
All Emergency Rooms (hospital and freestanding) charge a facility fee. Facility fee charges depend on the level of emergency care provided to our patients which ranges from basic emergency care to immediate life-threatening conditions.
The facility fee does not include medications, supplies, diagnostic imaging such as CT Scans and X-rays, or laboratory tests.
Emergency physicians bill for their services separately and their fees vary depending on the level of care provided.
On the other hand, the physician fees of Radiologists (X-Rays) and Pathologist (Lab) are included in the facility fee.
Know Where to Go in Case of an Emergency.
Documents You Should Expect from Your Insurance Company
Once we file the insurance claims on your behalf, your insurance provider will review them and determine how much is covered by your plan and how much you need to pay out of pocket.
An Explanation of Benefits (EOB) is the statement sent to you by your health insurance company explaining which services your insurance covers, the amount paid by your plan and how much you need to pay out-of-pocket.
The balance due considers your deductible, coinsurance, and other non-covered benefits.
You should receive your EOB before you get an actual bill from us. When you get your EOB, please review it carefully, make sure you are not being billed twice for the same service or service you did not receive.
Double check that the insurance company is paying for everything your plan includes, if you need help doing this you can contact our Patient Advocate, they can help you understand your coverage and negotiate with your insurance company.
Some insurance companies will send you a letter with additional information regarding your coverage. They will appear to sound “nice” while they explain that they are not covering your costs and even claim that they will try to help you lower your out-of-pocket costs.
Some of these letters might make it look like freestanding ER’s like Altus Emergency Centers are more expensive than hospital-based ER’s.
However, thanks to a recent law which forces medical providers to list their standard costs for procedures we now know this is not true. The following chart reveals the prices of some of the most common medical emergency services. Listed are their total price at a Freestanding Emergency Center and what the same service costs at a hospital.
Cost Differences for Common Medical Emergency Conditions
SCENARIO 1: CHEST PAIN
Your visit to Altus Emergency just saved you: $1,183.37
SCENARIO 2: ABDOMINAL PAIN
Your visit to Altus Emergency just saved you:Altus Savings of $1,389.19
SCENARIO 3: BACK/FLANK PAIN
Your visit to Altus Emergency just saved you: $2,627.52
SCENARIO 4: HEAD INJURY
Your visit to Altus Emergency just saved you: $584.37
Get Personalized Help in Understanding Your ER Bill
Additionally, our Patient Advocate will always try to negotiate better rates and find ways to maximize your health insurance benefits so we can lower your out-of-pocket expenses.
At Altus Emergency Centers our priority will always be our patient’s wellbeing. We guarantee you will receive the best emergency care regardless of your ability to pay.
If you have questions about your ER visit, medical problems, worsening symptoms, or you wish to speak to your nurse or doctor, please contact us.
Get Peace of Mind, Call Patient Advocate
If you have any questions regarding your billing or insurance please contact our Patient Advocate Department.
Lumberton & Waxahachie: Call us (469) 383-7361 between 8:00 am and 5:00 pm and ask for the Patient Advocate.
Baytown & Lake Jackson: Call us (979) 529-2000 between 12:00 pm and 7:00 pm and ask for the Patient Advocate.
Altus Emergency Centers Texas
is Here for You 24/7
Altus Emergency Centers are all open 24/7/365, with no lines. Our facilities are well-equipped to diagnose and treat everything from major to minor adult and pediatric emergencies. We are honored to be a part of our beautiful Texas communities and work hard each day to help see them grow and prosper!
24 Hour ER Services – Best in Texas
Looking for the best quality 24 hour ER services?
We offer the best freestanding 24 hour ER services in Texas. We have top of the line medical technology and highly experienced ER healthcare experts prepped and ready to come to your aid in Baytown, Lake Jackson, Lumberton, and Waxahachie.
Each ER team is highly efficient in treating chest and abdominal pains, pediatric emergencies, flu symptoms, sports injuries, bone breaks, and fractures, as well as all other major and minor injuries. All services are available 24/7, including weekends and holidays with little to no wait times. After You Receive Quality ER Care, our Patient Advocate will help ensure Hassle-Free Billing.
Our Promise is to Always Help Find the Best Solutions in Benefit of our Patients from the time you walk-in without having to wait in line and when you are personally assisted with the billing process. We are here to help you get well and stay well!