Patient Pricing Information

Prowers Medical Center understands health insurance benefits can be complicated and confusing. We are here to help. We understand you may have questions about the costs related to medical treatment and strive to provide information that helps you plan ahead. While insurance is complicated our commitment is simple – we want to help.

You deserve the best possible information about what you might expect to pay. You should have meaningful information about your options for medical treatment and what your out-of-pocket will likely be. Your health insurance plan is a key partner in any discussion about your expected costs because these costs depend on features of your plan, where you are in your deductible and what type of cost-sharing you have for a particular procedure. Cost estimates may only be available for specific services, these estimates could change as the course of treatment changes. Additionally, providing estimates are difficult in emergencies because it is hard to predict at the onset of an emergency the exact course of care that a patient will need. The cost of services are the same for all patients, however, patient’s responsibility may vary, based on insurance benefits, contracted rates, and unique circumstances based on each patient’s level of care.

Prowers Medical Center has programs that can help if you are uninsured or under insured. To speak with our hospital’s financial counselor to determine if you qualify for any discounts, please call (719) 336-7137.

Some bills will not come from the hospital. You may receive bills directly from physicians, radiologists or labs that do not work for Prowers Medical Center. If you have questions, please contact them directly using the phone number on their statement.

Effective January 1, 2021 the government has required hospitals post additional information on the rates negotiated with Commercial insurance companies. Please note, the information provided is merely an estimate. There are many factors that determine the final amount that will be paid from a health plan to a provider. It is difficult to capture all of these variants in a single set of numbers. For example:

• Rates may change depending on how sick a patient turns out to be.
• Rates may also change depending on whether patients are receiving multiple services at once, or whether the doctor learns something new about a patient’s condition while providing care.
• Your plan may not cover the service at all, or may impose conditions on coverage.

We urge you to use our Patient Liability Estimator tool for a more personalized estimate of your expected copayment for specific services.

Covered by health insurance? Please consult your insurance company to determine if Prowers Medical Center is within your network.

Not covered by health insurance? Please contact our hospital’s financial counselor at (719) 336-7137 to discuss payment options prior to receiving a healthcare service from our hospital.

The following information has been compiled as a guide to assist you, and will be periodically updated.