Request an Estimate

It is the policy of Saint Francis Medical Center to provide procedure charges upon request.

You may obtain an estimate in the following ways:

Estimate your cost for services with our automated tool,
Request an estimate by phone (573-331-5217, option #2), or
Request an estimate using the form below

Providing your insurance information will allow us to provide the most accurate out of pocket cost estimate.

Expected Date of Service*

Name*

First Last

Date of Birth:*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Alternate Phone

How would you like to receive your estimate?*

Mail

Fax

Email Address*

Do you want us to call you with an estimate in addition to sending a letter / email / fax?*

Yes

Physicians Name (If Available)

Description of Procedure*

CPT or Procedure Codes (If Available)

Status*

Inpatient

Outpatient

Payment Type*

No Insurance

Insurance

Insurance Type*

Insurance Type – "Other"*

Please enter the name of your insurance carrier, as listed on your insurance card

Member ID, as printed on your insurance card*

Do you have a secondary insurance, or Medicare Supplement?*

Yes

The required information (indicated by *) must be provided in order for us to prepare an estimate. We will respond to this request within five business days of receipt. The estimate will be based on the information provided above and will not be specific to any particular insurance plan unless that information has been provided and confirmed by one of our financial counselors. If we cannot locate your specific benefits based on information provided, we will attempt to contact you via the phone number(s) and/or email address listed provided above. Estimate(s) provided typically include facility and physician / provider fees billed by Saint Francis Medical Center. Independent physician or professional provider fees including but not limited to Cape Radiology Group are not included in this estimate and will be billed separately by those entities. Please be aware that Saint Francis Medical Center is contractually obligated to bill your insurance carrier. If services are provided we must file a claim to that carrier even if the patient has not provided that information to Saint Francis Medical Center.

If you have insurance, you should contact your health plan to make sure that Saint Francis Medical Center is a provider in your plan’s network and to obtain information related to your specific benefit plan (such as whether or not the service is a covered benefit and the amount of deductible, co-payment or coinsurance you may owe.) The actual price of the service may be more or less than the estimate provided and may vary depending on chronic health issues, medications, unexpected complications, and other factors. The estimate will not be a guarantee of what you may eventually owe.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Saint Francis Patient Financial Services, Financial Counselors 573-331-5217 option # 2.

Name

This field is for validation purposes and should be left unchanged.

Providing your insurance information will allow us to provide the most accurate out of pocket cost estimate.

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

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