Price Transparency
Your health should be your top priority. We want to make it easy for you to focus on getting better. Understanding your health care costs and out-of-pocket expenses can help.
Please refer to the following information to learn:
- How prices for health care services are determined
- How the price you are charged for care is calculated
- How out-of-pocket health care expenses are determined
It’s important to remember that your final health care costs can vary due to insurance coverage and your unique care plan. Because of this, the price charged for a specific health care service may differ from what you’re charged on your bill. Please contact your insurance provider directly to learn more about your financial responsibility for specific services.
Determining health care service prices
Prices for health care services are determined by several factors, including:
- The specific cost of your treatment or procedure
- The location of your treatment or procedure
- The cost of necessary additional services like anesthesia, lab tests, medications or imaging tests
- Additional fees for provider charges, medical equipment, supplies and facility usage
Calculating your health care costs
Calculating the total price of your health care service, treatment or procedure at Tappahannock Hospital begins with a review of our hospital’s Charge Description Master (CDM). A CDM is a listing of all billable items and services that could be used during your care.
Next, a hospital bill is produced to summarize the total price of all items and services used during your treatment.
If you have insurance coverage, this bill is submitted to your insurance company for payment. Your insurance company reviews your benefit plan and makes an initial payment on your hospital services based on your plan benefits and any contracts they have negotiated with Tappahannock Hospital. Any charges that remain after your insurance company makes their payment are considered your out-of-pocket costs.
If you do not have insurance coverage, Tappahannock Hospital will bill you directly for your care. This bill is developed using the prices on our CDM, which are then adjusted to reflect final charges closer to those negotiated by insurance providers. We do this to alleviate some of the financial burden faced by those who cannot access or afford purchased health insurance coverage.
Access Tappahannock Hospital's list of standard charges (machine readable file)
Request a good faith estimate
Knowing your expected out-of-pocket costs can help you make informed decisions about your care. VCU Health provides health care cost estimates* based on your individual insurance coverage. If you do not have insurance coverage, you may request an estimate as a self-pay patient.
Get an estimate using our online tool
Use Tappahannock Hospital’s online estimating tool to get an estimate of your specific out-of-pocket hospital costs. Your estimate is based on your individual insurance coverage for your upcoming procedure.
For your individual care estimate please log in to your MyChart account and use the Cost Estimate tool. If you do not have a MyChart account, you may obtain an estimate by visiting our page for guest estimates and choosing the Tappahannock Hospital Service Area option.
Get your personalized estimate
For assistance with an estimate or to obtain your physician out-of-pocket cost estimate, call (888) 803-0082.
*Please note: Patients will be billed for all actual hospital and physician charges, whether those charges are greater or less than the estimated amount provided. Estimates reflect historical standards and are subject to change at any point. Please understand that, in many cases, it is impossible to predict your final charges as there may be additional fees for items or services that could not be foreseen during the estimating process
Helpful health pricing resources
Refer to the following resources for more information on health pricing.