Thank you for your interest in understanding more about Physician and Surgery Center charges! Contained on this site you will find information that complies with the pricing transparency requirements prescribed by Oklahoma HB 1006 “Transparency in Health Care Prices Act.” In those requirements, hospitals, physician groups and surgery centers must provide several different types of charging elements.
In general, it is useful to explain the distinction between two different types of charges that exist in the healthcare industry. The first is “gross charge” that relates to the established prices that are billed to all patients regardless of insurance coverage. The second is “negotiated charge” that relates to prices insurance companies have agreed to pay for services. All patients will receive the same “gross charge” for items and services at the hospital; however, “negotiated charge” will vary based on agreements that exist with insurance companies.
If a patient is insured, he or she will typically be responsible for a portion of the negotiated charge. The portion of the charge that an uninsured or insured patient will pay a hospital for services is referred to as “out of pocket” expense. An insured patient’s out of pocket expense will be dependent on the type of coverage the patient has with the insurance company. Uninsured patients should contact a Tulsa Bone & Joint representative to assist with options for payment.
For more information on pricing that is not listed on the document linked above, please contact our Business Office at (918) 392-1400, option 2.