Price Transparency Estimator Tool
To help patients better understand the cost of care, Cape Cod Healthcare, in accordance with federal guidelines, is providing information about Cape Cod Hospital and Falmouth Hospitals charges and negotiated commercial insurance prices for services.
The price estimator, also known as a consumer shoppable services sheet, includes both Cape Cod Hospital and Falmouth Hospital’s standard charge and an estimate of commercial insurance providers’ negotiated rate.
This is Only an Estimate
The information provided through this online tool is an estimate based on our latest information and is not a guarantee of what you will be charged. The cost estimates provided through this tool are primarily for services delivered at Cape Cod Hospital or at Falmouth Hospital and include, for example, lab tests, diagnostic imaging procedures and surgical procedures, as well as professional fees for our employed providers at Cape Cod Healthcare. Other professional fees from non-employed providers, (which include physicians, radiologists, and anesthesiologists) are NOT included in this estimate. Additional charges will apply if extra or unanticipated studies are ordered and performed in the course of your care. Please note that in many cases, it is impossible to predict final charges because of variables that affect services used in your care, such as the length of time spent in surgery or in the recovery room, specific equipment used in your care and treatment, supplies and medications required or because of any unusual special care, unexpected conditions or complications.
If you have insurance, your individual insurance benefits will ultimately determine the amount you owe, including deductibles, co-payments, co-insurance and out-of-pocket maximums. Benefits and eligibility are subject to change and are not a guarantee of payment. If you are uninsured, you may be eligible for a discount on your services; the rate quoted may not reflect our current policy.
There are over 300 services noted which are the most frequently used by our patients. These are defined as “Consumer Shoppable Services”.
After accessing the hospital’s price estimator, patients can access Consumer Shoppable Services by selecting the “Shoppable Services” tab. Patients can also access a machine-readable file (MRF), which is a complete list of all services provided with the hospital’s standard charges and payments negotiated by payers, by selecting the “Standard Charges” tab, or by the following links:
For additional information, contact 774-470-5436.
Charge Books / Chargemasters
Under federal guidelines we are required to publish our charge book. Click on the link below to view or download Cape Cod Healthcare’s charge books including service descriptions and amounts of related charges. The amounts charged are rarely the amounts ultimately paid by insurers or patient consumers. Amounts paid are further defined by contractual terms including co-pays and deductibles and any applicable financial assistance.
Opening the file in a spreadsheet program will allow you to search for a particular procedure. For further information regarding the specific cost of your care, please contact your healthcare insurance carrier or call Cape Cod Healthcare billing customer service at 855-331-2242.
