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Note : The estimated cost is not a guarantee of insurance coverage. Please check with your insurance company if you need help understanding your benefits for the service chosen. In order to continue to the Out-Of-Pocket Cost Estimator, please check the following and "understand and agree" at the bottom of the page. Each hospital has its own policy for setting prices. A hospital that provides highly specialized services, such as trauma units or dedicated intensive care services, like Adventist Health Castle , has a different cost structure and pricing than one that does not.
Prices are reviewed each year on Jan. To establish prices, we consider many factors including:. Information provided by the Centers for Medicare and Medicaid Services, the federal agency that manages the Medicare and Medicaid programs. Not necessarily. Please contact those offices directly for price information A CPT code is a five-digit code used by all hospitals, physicians, and insurance companies to identify a type of service or procedure.
You will see CPT codes located on our pricing lists to help ensure that you are viewing the price information for the specific procedure your physician has ordered. A DRG is only assigned to an inpatient hospital service.
DRGs are universal groupings used by Medicare and most insurance companies to clarify the type of inpatient care a Patient receives.
Charges for many common, high-volume procedures are listed on our site. Additional service areas are being added regularly.
Please contact Adventist Health Castle Patient Estimates Team at for estimates information on a procedure not listed.
The amount you owe may vary due to a number of circumstances: Additional testing, medications, services or procedures ordered by your physician. We are proud that we perform better than national benchmarks in the majority of categories of hospital-acquired infection rates.
Our Caregivers are dedicated to improving in this area, and it remains a constant priority for Adventist Health Castle. Call your insurance provider directly to verify that Adventist Health Castle is in your network.
Adventist Health Castle will file claims to any insurance company you authorize, but your employer and insurance company determine your level of coverage.
In an emergency, always go to the closest hospital. We do our best to provide you with an accurate estimate. However, your actual bill might vary, and our estimates are not guaranteed because the services each patient requires can vary, and your bill will be dependent on your individual circumstances at the time your services are rendered.
Your health plan may require a co-payment or deductible that will be due during appointment registration. Check with your provider on the amount that you will be responsible for at this time. Following your healthcare services, your insurance provider will send you an Explanation of Benefits EOB , which will detail the amount it has paid, any non-covered or denied amounts, and the remaining balance that you are responsible for paying to Adventist Health Castle.
Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists, and radiologists. Prices can vary widely depending on whether your hospital is in- or out-of-network for your specific health plan. Out-of-network hospitals have not been able to negotiate a discounted price with your insurer, thus making you potentially responsible for higher personal payments.
Even if your hospital is in-network, you may receive care from an out-of-network physician. This includes but is not limited to: anesthesiologists for surgery or pregnancy delivery along with pathologists, radiologists or consulting doctors. If they are not within network, ask if they will accept in-network payment for services provided to you.
Yes, services and procedures may be different based on age and level of health for example, uncontrolled diabetes and high blood pressure. Adventist Health Castle Financial Assistance Specialists assist individuals and families that have health insurance but who need additional financial resources to cover medical bills.
We can identify and help you apply for programs including Medicaid, Social Security, and other financial assistance. For general care, if you do not have health insurance, call the Adventist Health Castle Patient Financial Services Department at The Adventist Health Castle Financial Assistance Specialist will review payment and financial assistance options that may be available to you.
Discounts vary and are based on family income and size. To receive discounts and payment plans, or to apply for other financial aid programs, you will need to fill out an application and meet certain requirements. How To Use This Tool. Patient Price Estimator. Please Contact Us. Adventist Health Castle's Standard Charges. Pricing Lists. Out-Of-Pocket Estimator:.
If you have requested an estimate for a surgical procedure, this estimate may not include: Pre-Procedure Office Visits Post-Procedure Office Visits Diagnostic Testing Primary Care Physician Surgeon Anesthesiologist Pathologist Radiologist Cardiologist If you have met all or part of your deductible or maximum out-of-pocket expenses, the actual amount you owe may be different.
Choose Your Service Category. Review Your Estimate. Select Your Insurance. Enter Your Insurance Information — Medicare. Check Your Eligibility. Check Your Eligibility — Result. Deductible Part B :. Deductible Part A :. Please click on one of the following Insurance Companies to identify the necessary fields to complete your Eligibility Check:. Pages liked by this Page. American Heart Association - Hawaii. Hawaii News Now. Harold K. Castle Foundation. American Cancer Society Hawai'i Guam.
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