Determining Your Out-Of-Pocket Expenses
We know that paying for healthcare is a big concern for many. We are committed to providing you with as much information as possible regarding what you can expect in terms of cost, to help you make informed decisions about your care.
Your out-of-pocket costs depend on several factors including:
- The services you receive
- Your insurance provider
- Your specific health benefits policy including expenses such as your deductible, co-insurance, co-payment, and the limit of out-of-pocket expense requirements
- Your eligibility for financial assistance
For detailed information regarding your estimated out-of-pocket expense for any services, we recommend that you contact one of our financial representatives who can assist you further by providing a comprehensive estimate based on your insurance and benefits information and/or your personal financial situation.
For outpatient financial questions, please call our representative at 914-597-2206.
For inpatient financial questions, please call our representative at 914-597-2329.
For outpatient appointments, please call 914-597-2200 or click here for more information on becoming a patient.
The Centers for Medicare & Medicaid Services’ Hospital Price Transparency Rule requires all hospitals to post a list of standard rates which represent the pricing information for all medical items and services that Burke Rehabilitation Hospital provides.
The list of pricing information required by this rule does not necessarily reflect your out-of-pocket financial responsibility for your hospital visit. Why not? There are several reasons, but the most common are:
- We are required to list the price paid by your insurer – but this does NOT necessarily reflect your out of pocket cost.
- The medical services provided may vary from what was originally planned based on necessary circumstances at the time of your care
- You may also receive services from physicians or practitioners who are not employed by this hospital; their fees are not reflected in this listing.
It is also important for you to know that this price listing does not guarantee coverage, benefits, or payments.
Your financial liability may vary based on the particular terms of your insurance policy and the status of your health insurance benefits (i.e., deductibles, out of pocket maximum, co-insurance, and copays) at the time you receive care. Your eligibility, and the amount, of your coverage is ultimately determined by your health insurance provider.
We encourage you to contact one of our billing specialists to obtain more precise information regarding your potential financial liability.
Our Online Price Transparency Tool is coming soon. You may view or download our standard rates file here:
Standard Rates (xlsx) Standard Rates (csv)
Information about Charges
For healthcare services provided at Burke Rehabilitation Hospital, you may receive bills reflecting both professional charges from providers such as anesthesiologists, pathologists, oncologists or other specialists who have contributed to your care as well as hospital charges which include the cost of providing all other aspects of your care which are billed separately from professional services such as hospital stay, support staff, supplies, and medications. In addition, if your care was provided by a doctor who is affiliated with Montefiore, but also has a private practice, you may also receive separate bills from this doctor as is typical billing practice.
What are hospital and professional charges and how do they impact you?
Charges are the dollar amount a provider sets for services provided before negotiating any discounts. The charge is different from the amount paid. Patients covered by Medicare, Medicaid, Commercial insurance plans, and uninsured patients who qualify for financial assistance never pay full charges. For patients who do not qualify for financial assistance, but are uninsured, we also offer steeply discounted rates.
At Burke we are committed to helping people understand the best options available to pay for their medical care. Our staff can help you understand what is covered by your specific health insurance benefits policy, expenses such as deductibles, so-insurance, co-payment and out-of-pocket expense limits. In addition, if you do not have insurance, we can assist you with determining your eligibility for free or low-cost insurance, as well as governmental assistance. Our financial services counselors can also help assess if you may qualify for financial assistance. You can learn more here. You can also speak to a Patient Financial Services representative by calling (914) 597-2329.