Pricing transparency CMS required file of standard charges

Disclaimer

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The attached machine-readable file contains certain charge and rate information for items and services that may be offered by facilities of Methodist Healthcare. This information is subject to the following:

1. The file does not contain information concerning patient's expected copayments, deductible amounts, or coinsurance obligations. For payment estimates specific to the amount you may owe for items and services you may receive at this hospital, please call (888) 246-3812.
2. The file will be fully updated on an annual basis. The "Last Full Update" date contained in the file reflects the date the file was last fully updated. The file may also contain technical revisions, corrections or additions after the Last Full Update, which are noted using a "Last Revision" date. Changes in charges, rates, network participation or other data elements that become effective following the date of the Last Full Update may not be shown, regardless of the Last Revision date.
3. Rates are based upon the specific facts and circumstances of the care provided to an individual patient. For example, the items and services furnished to the patient (i.e., drugs and implants) vary by patient circumstance and the product used.
4. Comparisons of rates within the file between payers or comparisons of files between hospitals will not reflect distinctions in prices due to variations in pricing methodology. For example, if an item or service is priced as a case rate (a set rate for an episode of care) with a particular payer or for a particular hospital, but as a per day rate with a different payer or hospital, then these rates cannot be compared without first determining the patient's length of stay and then applying the applicable contractual enhancements (e.g., stoploss or trauma activation).
5. The file does not include information for non-facility items and services, including the rates for care provided by physicians and other professionals that are not employees of Methodist Healthcare.
6. The minimum and maximum results in the file represent the high and low payer-specific negotiated charge by service description. Because items and services are priced differently by payers (i.e., case rate, daily rate, base rate), the minimum and maximum rates may not reflect the highest or lowest dollar value for a given service across all payers. For example, the maximum rate for an item may show Payer A's rate (the highest rate shown), but when the payers' rates are applied to an actual patient stay, Payer B's rate may in fact be the maximum rate for that particular stay.
7. In the case of multi-campus hospitals, the file is encoded with location data for each hospital location for inpatient or emergency services that is on the same license and uses the same standard charges. Some locations may offer a more limited set of items and services, and some items and services may be available at certain locations but not others