Price Transparency

For the Best Estimate of Your Out of Pocket Expenses

The amount each patient pays personally out of pocket (OOP) is determined by their health insurance plan’s benefit option selected at the time of enrollment as well as any previously paid services that may impact the currently outstanding deductible or other OOP limitations.

To learn more about requesting an estimate of your out-of-pocket expenses for future services, please visit this page. For the most accurate estimate, we recommend logging in to your MyChart account when you begin the estimate request process.

This is the Valley Health recommended tool to get the most accurate and up-to-date estimate. In preparing your estimate, we will verify your benefit level and current deductible/OOP limitations status with your insurance to provide an up to date estimate of your anticipated payment after insurance, as well assist you in determining that you are receiving an estimate for the correct service, as requested by your doctor. Because this is a customized estimate prepared for you by a Valley Health Estimates Coordinator, please allow one to two business to complete the request. Again, please click HERE to access our Patient Estimates form.

Full CDM

This Full CDM file is intended to offer users an estimate for commonly provided healthcare services pursuant to the CMS Price Transparency Final Rule (84 FR 65524) effective January 1, 2021. The following pricing is only an estimate and cannot be relied upon as a quote or guarantee of actual charges.

Your actual charges may vary based on your treatment and individual healthcare needs. Insurance coverage is not guaranteed. Before relying on the information in this Full CDM file, please consult with your health insurer to confirm your individual payment responsibilities and remaining deductible balances, as well as verify with your medical provider that you have reviewed the appropriate charges for your anticipated service. You may be held solely responsible for all actual charges incurred by you and/or your insured dependents and not paid by your insurer.

Click here to access the CDM file. This pricing is accurate as of 6/5/2023 and is subject to change.

Shoppable Prices

To view an estimate of any of the 300 Shoppable Services for any Valley Health hospital, as required by the CMS Price Transparency Final Rule, please click HERE. Please note that the 300 Shoppable Services estimator is not currently run with the assistance of a Valley Health Estimates Coordinator and does not include verified insurance benefits information, nor has an Estimates Coordinator assisted in determining that your estimate is run for the services actually requested by your doctor.

Your actual charges may vary based on your treatment and individual healthcare needs. Insurance coverage is not guaranteed. Before relying on the information in the 300 Shoppable Services estimator, please consult with your health insurer to confirm your individual payment responsibilities and remaining deductible balances, as well as verify with your medical provider that you have reviewed the appropriate charges for your anticipated service. You may be held solely responsible for all actual charges incurred by you and/or your insured dependents and not paid by your insurer. Please note that this service provides an estimate and cannot be relied upon as a quote or guarantee of actual charges.

For the most accurate estimate of how much you will actually pay after any insurance coverage and using all eligible discounts, we recommend the Valley Health Patient Estimates tool HERE.