As our patient, you are very important to us. United Medical Center (UMC) is committed to providing meaningful information to our patients related to financial obligations for healthcare services. We understand that coming to the hospital for care can be an anxious time and that the bills associated with your care can be difficult to understand. We hope the information provided here will be helpful. If you ever have questions about hospital charges, please contact us at (202) 574-6601 or (202) 574-6141
Please understand that this information is meant to explain how hospital charges are determined and provide a general idea of prices for the most common inpatient, outpatient and diagnostic procedures at UMC.
The amount a patient is responsible for paying is determined by your insurance plan. We encourage you to contact your insurance carrier in order to fully understand your health care coverage, including deductibles and co-pays.
Price comparisons between hospitals are difficult as there are a variety of factors that influence hospital charges.
Prices reflect not only the cost of a particular item or procedure, but all of the human and facility resources required to provide the care. Among the variables are the type of procedure you are undergoing, the cost of the technology used in your care, medical supplies, the wages and benefits of the staff providing your care, and your health insurance coverage.
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. Price does not include physician fees, additional tests that may be needed, anesthesia and radiology. The final bill you receive will reflect the charges for the services provided to you.
Finally, price is only one consideration in making decisions about health care and does not equate with quality and outcomes. As you make healthcare decisions for yourself and loved ones, we encourage you to get to know UMC by reviewing the of information about our hospital on our website, speaking with others about their care experience at UMC and speaking with the providers who may be involved in your care.
The information contained in these files is being provided in compliance with the Centers for Medicare and Medicaid Services (CMS) requirement [FY 2021 IPPS/LTCH PPS Final Rule].
By clicking to download this information you agree you have read and understand the following:
1. The information contained in these files is current as of the last upload. Charge information is subject to periodic changes and the file will be updated as soon as practically possible to reflect such changes.
2. The charge master (CDM) file contains both the charge amount and the charge description of the item or service as reflected in the hospital’s CDM.
3. A charge represents the dollar amount assigned to specific medical services before application of any negotiated discounts to third-party payers. The actual hospital charges will vary based on the type of care provided, treatments, individual health conditions and other factors. PLEASE NOTE THESE CHARGES DO NOT INCLUDE FEES FROM YOUR SURGEON, ANESTHESIOLOGIST OR OTHER PROFESSIONAL SERVICES BILLED BY THE PHYSICIAN / DOCTOR AND OTHER PROFESSIONAL PROVIDERS. Typically, you will be billed separately for these professional services.
4. Following the CMS guidelines, the information in this file represents the hospitals current standard charges as reflected in the CDM. However, it is important to understand that the information represented in the CDM is the starting point in many cases and can undergo additional adjustments through the billing process, therefore, please be aware:
a) The charge shown is the original charge for the item or service prior to any adjustments that result from applying modifiers in certain situations
b) The CDM is used in multiple hospital departments and may have different charges for the same item or service and such instances will repeat in the file. For a single charge master item, the charge is consistent; however, there may be slight variation in charges for services with similar descriptions for various reasons.
c) Charges for certain items or services are based on per unit, such as – including but not limited to – surgeries, anesthesia, and recovery which can be based on the unit of time and complexity; medications, drugs which can be based on weight-based dosage, age or packaging; etc.
d) Certain items and or services have a zero dollar price in the CDM for a variety of reasons – contracted billing services that drop charges externally, no cost supplies, Investigational device or medication exemption items in clinical trials and studies, replacement for a recalled or defective device, explode codes and other system limitations. Such items and services will appear with zero dollar and is not reflective of the actual charge. In addition, items and or services are sometimes assigned a one penny price to reflect, for example, a state provided medication or drug, contrast items, therapy status codes used for CMS reporting, etc. and Is not reflective of the actual charge contained outside of the charge master
CPT codes, descriptions and other data only are copyright 1995 – 2020 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association (AMA). Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza, 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt.
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+ Charge Description Master
+ DRG File
+ CMS Shoppable Services – Inpatient
+ CMS Shoppable Services – Outpatient
+ CMS Shoppable Services not provided
+ Comprehensive Machine-Readable file
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