SHOPPABLE SERVICES
Alleghany Health has provided the file below to assist the consumer in identifying in advance the standard charges associated with 300 services at their facility. The information listed for each service reflects the following:

Standard Charge
Actual pricing can vary depending on ancillary services provided, number of days spent as an inpatient, drugs given, time spent in the OR, etc.
Ancillary codes are either listed as CPT codes or Revenue codes depending on how the services are billed on the claim forms
Pricing as of 12/1/23, subject to change throughout the year
Additional services may be billed separately if performed by outside providers

Discounted Cash Price
The charge that applied to an individual who pays cash or cash equivalent.

Payer-Specific Negotiated Charge
The charge that the hospital has negotiated with a third-party payer for the service
Reimbursement info as of 12/31/23, contracts renew and change at various points throughout the year

30 of the 70 required CMS shoppable services have not been performed at Alleghany Health so they are listed as “Services not Performed”

This information is provided as a guide to determine anticipated charges. The information is not a contractual agreement between the hospital and the consumer. Individual costs will be based on specific services provided. We advise that the consumer consult with their health insurer to confirm individual payment responsibilities and remaining deductible balances.

SHOPPABLE SERVICES

FULL CHARGEMASTER