Price Estimates

Beginning Jan. 1, 2019, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services require hospitals and health systems to post their “current, standard charges.”

On this page, you can access the standard prices, or charges, for the Madison Regional Health System.

Please note: The prices listed are the amounts Madison Regional Health System would bill an insurer. The amounts are not representative of a patient’s expected out-of-pocket costs. Because each patient’s case is different based on specific medical conditions, the actual amount owed by a patient will depend on that patient’s insurance coverage.

The prices listed were in effect as of January 1, 2019.

Hospital charges are the amount a hospital bills an insurer for a service. For most patients, hospitals are reimbursed at a level well below charges. Patients covered by commercial insurance have negotiated rates with hospitals. Patients covered by Medicare or Medicaid programs have hospital reimbursement rates determined by federal and state governments. Patients should talk with their insurance provider to understand which costs will be covered, and which will be the patient’s responsibility.

Hospital charges may also include bundled rates for procedures, personnel, services and supplies. For example, room rates may include the space, equipment, nursing personnel and supplies.

Madison Regional Health System has established a process to help patients find out what an anticipated visit or procedure would cost. For quick, clear answers to questions about billing, payments, insurance and more, call us at (605) 256-6551. Our business office hours are 8 a.m. - 5 p.m. Monday-Friday.

Disclaimer: The information provided is a comprehensive list of charges for each inpatient and outpatient service or item provided by MRHS, also known as a chargemaster. It is not a helpful tool for patients to comparison shop between hospitals or to estimate what health care services are going to cost you as a patient for out-of-pocket expenses.

Click Here to Download Price Estimates

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