Price Transparency

Pioneers Medical Center Chargemaster

This document includes the Pioneers Medical Center chargemaster and Meeker Family Health Center/Colorado Advanced Orthodpedics fee schedule along with the Medicare Physician Fee Schedule and Medicare Laboratory Fee Schedule.

2021 CMS Defined 70 Services

2021 Hospital Defined 230+ Services

Once you open the file, you can use CTRL + F keys to search the document.

Pioneers Medical Center believes you have the right to understand your healthcare options and the cost of care. If you are covered by health insurance, we encourage you to contact your health insurance provider to determine accurate information about your financial responsibility for a particular health care service provided at this facility. If you are not covered by health insurance, you are strongly encouraged to contact our Financial Counselor at 970-878-9792 to discuss payment options prior to receiving services from Pioneers Medical Center and/or Meeker Family Health Center. Posted prices are general estimates and do not reflect your personal financial responsibility, which might include deductibles, co-insurance, or copays.

Disclaimer

I understand the charge information is based on historical data and is an estimate of charges for the service without complications. This estimate may not include physician fees or charges for additional tests ordered for your care. Your final bill will include charges for the actual services provided to you. For questions about your financial obligation, we encourage you to contact your insurance company to verify details of your coverage.

Prompt Payment Discounts are available to patients who are uninsured or for non-covered services. Pioneers Medical Center offers a 20% prompt pay discount on payments made at the time of service, or if paid within 30 days of receiving their first statement. This does not apply to balances after insurance or to the self-pay prices for MRI services as these services are already deeply discounted.

To receive a confidential price estimate for medical services or procedures at Pioneers Medical Center or Meeker Family Health Center (including Colorado Advanced Orthopedics), please call 970-878-9316 for surgical estimates or 970-878-9287 for all other estimates.

Please give us as much information as possible about the specific service or procedure along with the physician or specialist’s name. If your doctor’s office can provide you with the procedure (CPT) codes, we can provide a more accurate estimate. If your physician finds it necessary to perform more, fewer, or different procedures at the time of service, your actual cost may vary.

The prices provided on this website are based on historical data and are an estimate of charges for the mentioned services without complications. Prices for surgeries can vary depending on the surgical provider and the amount of time needed in the operating room. Prices may not include the professional fees of surgeons, radiologists, pathologists, or DME suppliers for whom Pioneers does not bill. The final bill you receive will reflect the charges for the services provided to you.

Definitions:

Chargemaster: an all-inclusive listing of standard, billable hospital charges representing the items, goods, and services provided, and billed, to a patient or the insurance company.

Fee Schedule: a complete listing of fees for services provided by physicians or other providers who are paid on a fee-for-service basis.

Charge: The dollar amount that is set for services rendered before any discounts. The charge can be different from the actual amount paid.

Provider: An entity, organization, or individual that furnishes, or provides, a healthcare service.

Deductible: the amount you pay out of your pocket before your health insurance will pay any expenses.

Coinsurance: the percentage of costs of a covered service you pay after you’ve met your deductible.

Copay: a fixed amount you pay for health care services at the time of care. Varies depending on the plan.

Out of pocket maximum: The most you have to pay in one year for your health care before your insurance covers 100% of the bill.

CPT (Current Procedural Terminology): a medical code set that is used to report medical, surgical, and diagnostic procedures and services.

Revenue Code: a numeric code that identifies a cost center. For example, 450 indicates emergency department.

Negotiated Charges: the charge that a hospital has negotiated with a third party payer for a service or item

HMO (Health Maintenance Organization): A health insurance plan that provides health services through a network of physicians. Members have to pick a primary care physician and must obtain a referral before seeing other health care professionals, except in an emergency. Member coverage is limited to the doctors and providers who are under contract to the HMO. Members usually have to pay out of pocket for non-emergency services received that are outside of the HMO’s network.

PPO (Preferred Provider Organization): a health insurance plan in which patients are allowed to choose any physician they wish, either inside or outside their network

Network: a group of doctors and medical providers that have a contract to provide health care services to members of a health insurance plan.

Out of Network: a physician or hospital that is not a part of your health insurance company’s provider network. You may be charged a larger percentage of the total bill or you may be responsible for the entire bill depending on your particular plan.

Price Transparency: readily available information on the price of healthcare services, that with other information, helps patients to identify, compare, and choose providers who offer a desired level of value.

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