Learn more about standard hospital charges

Maimonides Medical Center is committed to being transparent about our charges. The information at the links below contains the charges for all services and items provided by the hospital. The charges are uniform for all patients served by the hospital.

In order to provide patients with visibility into estimated out-of-pocket costs, we developed a user-friendly Patient Liability Estimator (PLE) web tool. Based on multiple user inputs, the tool will calculate an estimate of the out-of-pocket expense for the selected service or item.

Your own charges and out-of-pocket expenses will depend on 1 or more of the following:

  • The actual patient care services received
  • The terms of your insurance coverage, and/or
  • Your eligibility for financial assistance

Click the button below to access Maimonides Price Transparency Tools and the Patient Liability Estimator:

Patient Liability Estimator Tool

If you have any questions about your estimated out-of-pocket expenses, please contact your insurer or call Maimonides’ patient financial counseling department at 718-283-6740 or email [email protected]

Frequently asked questions (FAQs) for standard hospital charges

Are charges the same for every patient?

Yes, hospital charges are standard for every patient, regardless of insurance status. The total charges on your patient bill will reflect the actual services that you receive, which may vary based on several factors, including your length of stay, the time it takes to complete your procedure, medications you receive, and other health conditions that could make your care more complicated.

In addition, your out-of-pocket expenses will depend on your specific insurance coverage and/or eligibility for discounted care based on Maimonides’ Financial Assistance Policy.

Can a patient receive charges for services that are not included in the chargemaster?

Yes, the hospital chargemaster reflects hospital services only and does not include any professional fees such as physician services that are billed separately. For estimated professional fees, please contact your physician’s office.

How can I get an estimate of my out-of-pocket expenses for a procedure?

Patients with health insurance should contact their insurance company to get an estimate of their out-of-pocket expenses for a procedure.

Patients without health insurance should call 718-283-6740 for an estimate, information about Maimonides’ Financial Assistance Policy, and whether you may be eligible for subsidized health insurance through programs such as Medicaid.

What are my rights and protections against surprise medical bills?

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible.  Learn More.

How do you charge for surgical procedures done in the operating room or ambulatory surgery areas of the hospital?

Operating Room or Ambulatory Surgery Unit charges are determined by time increments, and charges are allocated over procedures charged.

If insurance companies and patients without health insurance don’t pay the chargemaster prices, what do they pay?

Insurance companies have contracts with the hospital for discounts from charges. In addition, patients with health insurance are responsible for certain cost-sharing requirements such as deductibles, copayments, and/or coinsurance that vary by insurance plan.

Patients without health insurance can apply for support through the hospital to either receive insurance coverage (if eligible) or reduced costs through Maimonides’ Financial Assistance Policy. These programs will reduce the amount owed by the patient.

What is a hospital chargemaster? Are the listed charges what I will pay for hospital services?

The chargemaster is a comprehensive standard price list for the services provided by the hospital (medical procedures, lab tests, supplies, medications, etc.). Because it represents the full range of services Maimonides provides, there are thousands of items listed. The charges listed are generally not the amount a patient will pay.

If you have health insurance, your out-of-pocket expenses will depend on the specific services you receive, your specific health insurance coverage, and your insurance company’s contract with the hospital. Please contact your insurance company for more information.

If you do not have health insurance, you may be eligible for 1) reduced costs under the hospital’s Financial Assistance Policy, or 2) subsidized health insurance through programs such as Medicaid. Please call 718-283-6740 for more information.

What is the definition of a patient day and when do routine charges get posted?

We post charges at 12:00 a.m. for services provided during the previous day.

Why are there multiple CDM lines showing different prices for the same item or procedure on the list of standard charges?

CDM lines with the same or similar descriptions but differences in prices are due to different brands or suppliers. Maimonides obtains supplies, implants, drugs, and pharmaceuticals from different manufacturers and suppliers. These differences may also reflect generic versus brand name products. Maimonides sets pricing based on the current market rate, with market conditions driving these supply costs. Drug pricing can change rapidly based on shortages and other market conditions. As such, charges may change upwards or downwards. It is our intent to always be timely in charging, and we may adjust to market pricing before the CDM is published on this website.

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