Northside Hospital offers price estimates for insured and non-insured patients, allowing you to anticipate what to expect financially prior to receiving services.
The estimate provided is based on historical averages and information received from your insurance company. Northside Hospital cannot predict the care you need and your physician orders. This estimate is not a contract or guarantee of the actual costs for the services that may be provided. The final bill may differ from the price estimate provided, as actual charges may vary based on the specific needs of the patient, including severity of illness, length of stay and/or services and items provided.
You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.
Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.
Our Financial Counselors receive many questions about certain types of services and procedures. The link below addresses those questions. This list is just an estimate and does not reflect what you may have to pay out of pocket. Please consult with your insurance provider or one of our Financial Counselors at 404-851-8694 to understand your insurance coverage, what charges will be covered, how much you will be billed and information on your expected out-of-pocket responsibility.
Under the Coronavirus Aid, Relief, and Economic Security (CARES) Act, providers of COVID-19 diagnostic tests are required to publicize the cash price for such a test on their website.
The cash price of the COVID-19 test is $124.
Northside is committed to providing clear and accurate pricing information to help you understand your financial obligations in advance of receiving health care services. The price you will pay for care will depend on the services you need, your insurance plan and the amount of financial assistance you qualify for under our financial assistance policy.
Pursuant to the requirements of Section 2718(e) of The Public Health Service Act, the links below include Northside’s standard prices for items and services provided during a patient’s stay. This price list is based upon standard charges for services rendered by Northside providers. Due to the nature of the files, they will likely be of limited use to any specific patient and are not intended to estimate out-of-pocket costs. This transparency data is not a contract or guarantee of the actual costs for the services that may be provided, and they do not account for all insurance adjustments or patient-specific adjustments, such as Northside’s Financial Assistance Program or other self-pay discounts. Actual charges may vary based on the specific needs of the patient, including severity of illness, length of stay and/or services and items provided.
Some providers practicing at Northside facilities are not employees of Northside. Charges for services they provide are not reflected in this list. You may receive separate bills from Northside and the doctors involved in your care – this may include, but is not limited to, your personal doctor, surgeons, anesthesiologists, radiologists or laboratory services.
Price Transparency Files
We are happy to answer any questions and work with patients or their representatives regarding any cost concerns. Please contact one of Northside’s Financial Counselors at 404-851-8694 or you may email to request a price estimate at [email protected].
Federal and state laws provide patients with protections against surprise medical bills and balance billing. “Surprise billing” is an unexpected balance bill. This can happen when you cannot control or select who is involved in your care — like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
When you receive emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. If you have insurance and you receive emergency care from a hospital, physician or other clinical provider who is not in your health plan’s network, you have protections against bills more than the in-network rate. If you receive services from an out-of-network provider at an in-network facility, you cannot be balance billed unless you have given your prior written consent.
If you believe you’ve been wrongly billed, you may contact the Department of Health and Human Services Center for Medicare and Medicaid Services by calling the No Surprises Helpdesk at 1-800-985-3059 or visiting https://www.cms.gov/nosurprises or the Georgia Office of the Commissioner of Insurance and Fire Safety by calling 404-656-2070 or visiting https://oci.georgia.gov.