hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number|WV,"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."
Mon Health Medical Center,2024-06-01,2.0.0,Mon Health Medical Center,"1200 J D Anderson Dr Morgantown, WV 26505",23744135,TRUE
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Hospital Pricing Information,,,,,,
"Mon Health Medical Center is committed to assisting you in understanding your financial responsibilities related to medical services that you might receive at our hospital. Please understand that specific “gross” (also referred to as “standard”) charges provided on our website are our standard prices and do not necessarily reflect a patient’s actual financial responsibility; therefore, comparability of specific gross charges between hospitals may not be meaningful. If you have insurance, your responsibility in most cases is based upon contract rates and not charges. Your payment liability is further dependent on several factors including insurance coverage type, deductible amount, co-pays, coinsurance amounts, self-pay status, and/or eligibility and qualification under financial assistance programs.",,,,,,
"All inpatient services a patient receives are assigned a single diagnosis related group (DRG) for each separate inpatient stay. DRGs are assigned based on a number of factors including principal diagnosis upon admission, additional medical problems, and whether a surgical procedure was performed, among others. Standard charges for an inpatient stay may vary based upon a patient’s length of stay and intensity of services provided, as well as the patient’s health or complications arising during treatment and care.",,,,,,
"Federal law requires hospitals to make public a list of gross charges, payer-specific negotiated rates, and discounted cash prices for hospital items and services. Mon Health Medical Center is providing this required information in the links below in a good faith effort to comply with this rule, but cannot make any representation regarding the accuracy, sufficiency, or completeness of this information for any user’s purposes, including but not limited to (1) comparisons of charges or rates between hospitals, (2) comparisons of rates between payers, (3) estimating the charges or rates associated with a particular item or service, (4) estimating patient cost-sharing amounts (copayments, coinsurance, or deductibles) for a particular item or service, and (5) determining the hospital’s network participation with any payer.",,,,,,
"In addition, an individual patient’s or payer’s charges or rates may be substantially higher or lower than the dollar amount shown in the file based on patient-or payer-specific facts and circumstances, the actual care furnished to a patient, and updates to charges or rates following the last update date for the machine-readable file.",,,,,,
With respect to the files contained in the links provided below:,,,,,,
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They do not contain information concerning any health plan or insurer’s coverage of any item or service.,,,,,,
"They do not contain information concerning any patient’s expected copayments, deductible amounts, or coinsurance obligations.",,,,,,
They do not contain information concerning financial assistance and other discounts that may be available to eligible individuals.,,,,,,
They only include information for hospital items and services and do not include the rates for professional services provided by physicians or other practitioners.,,,,,,
"They were last updated on the date shown within the files and do not reflect any changes to charges, rates, network participation, or other data elements following the date shown.",,,,,,
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"We recommend that you speak with your health insurer to assist you in determining your financial responsibility for any service you are considering or any service that may be provided to you at our hospital. Mon Health Medical Center also provides resources to assist in explaining your health care benefits, providing an estimate of your financial responsibility, and to provide information on our financial assistance program and other discounts that may be available for planned services.",,,,,,
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"$0 fields - We also removed all $0 from our file and replaced with blanks or N/A – Per CMS, they were very insistent we do not negotiate a $0 payment.  We included the following explanation that lives on an Information Tab in our current file.",,,,,,
"In payor-specfic negotiated rates, items marked ""N/A"" or blank have one of the following meanings:",,,,,,
1) the payor does not have a negotiated rate for this service;,,,,,,
2) The service package is not covered by the payer In this way;,,,,,,
3) The code is not payable by the payor;,,,,,,
4) Payor payment for the charge is being validated,,,,,,
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"In gross charges, items market with ""N/A"" or blank:",,,,,,
Apply to packaged service or procedure to which specific gross charges do not apply.,,,,,,
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In discounted cash price:,,,,,,
"1) packaged items marked with ""N/A"" or blank would not be paid in the package by self-pay patients, so no discounted cash price is appropriate.",,,,,,
"2) line items marked with ""N/A"" or blank are charges required and paid only by certain payors and would never be paid by self-pay patients, so no discounted cash price is appropriate.",,,,,,
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"In de-identified negotiated minimum, lines marked with ""N/A"" or blank are always patient responsibility there is no payor negotiated rate. ",,,,,,
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"In de-identified negotiated mmasimum, lines marked with ""N/A"" or blank are always patient responsibility there is no payor negotiated rate. ",,,,,,