CMS Price Transparency/Patient Estimates

Have an upcoming visit or procedure at an Infirmary Health facility?

https://www.myihchart.org/MyChart/GuestEstimates.

Good Faith Estimate Notice: Under the Centers for Medicaid & Medicare Services, uninsured patients may request that healthcare providers furnish an estimate of the bill for medical services to be received. To submit a request for a Good Faith Estimate, please complete this form.

CMS Price Transparency Lists

Infirmary LTAC Hospital:

• Infirmary LTAC Hospital Charge Master
• Infirmary LTAC Hospital Standard Charges (CSV)
• Infirmary LTAC Hospital Standard Charges (Machine Readable File)

Mobile Infirmary:

• Mobile Infirmary Charge Master
• Mobile Infirmary Standard Charges (CSV)
• Mobile Infirmary Standard Charges (Machine Readable File)

North Baldwin Infirmary:

• North Baldwin Infirmary Charge Master
• North Baldwin Infirmary Standard Charges (CSV)
• North Baldwin Infirmary Standard Charges (Machine Readable File)

Thomas Hospital:

• Thomas Hospital Charge Master
• Thomas Hospital Standard Charges (CSV)
• Thomas Hospital Standard Charges (Machine Readable File)

This information is provided in order to comply with CMS Price Transparency regulations. This information is a base set of charges which might be utilized for patients receiving services at Infirmary Health. The exact charges for individual patients will vary due to variations in each patient’s care and the services and supplies received. Any patients’ out-of-pocket amounts will be finalized based on the charges incurred and any discounts which might apply, e.g., insurance, uninsured, and financial assistance. Generally, any applicable discounts are applied after services are rendered and applicable insurance claims, if any, are settled.

If you have any questions about these documents, please contact us.