Charge Description Master
The charges shown are for informational purposes only and are based on the service charges listed in our charge-description master as of January 1, 2019. Patient charges will vary depending on actual services provided.
Charge Description Master
The pharmacy medication charges shown are “calculated costs.” These are determined by multiplying the average wholesale price of the medication on the day of service by the minimum dispensing quantity and adding facility and dispensing charges. Pharmacy medication charges are variable based on the patient’s age, weight, and total quantity ordered and dispensed.
Your financial responsibility for any of the charges listed here will depend upon the specifics of your insurance coverage (deductible, coinsurance, co-pays, etc.). Also, please be aware that it is normal to receive more than one bill for a single visit to the hospital. For instance, if your child has a diagnostic test, you will receive a bill from the hospital for performing the test and a bill from the physician (such as a radiologist or cardiologist) for interpreting the test results. A visit to the emergency room will also result in two or more bills: one from the hospital for the emergency room services and supplies and one from the emergency room physician for overseeing your child’s care. These are just two of many examples. Our patient financial services representatives are always available to help you understand your bills.
If you would like a personal estimate for hospital services your physician has ordered, please have your physician submit by fax a completed “request for estimate form” to Patient Financial Services at (757) 668-8854. If your physician does not have the estimate request form, please have their staff call (757) 668-7021 and we will be happy to provide the document to them.