Obtain a Price Estimate
Effective 1/1/22
How to obtain a good faith price estimate
At Valley Presbyterian Hospital, we know that healthcare can be an unexpected expense and that the cost of healthcare services can be a deciding factor for many people as they plan for care.
Valley Presbyterian Hospital supports healthcare pricing transparency and has created a process to enable patients to request good faith estimate based on information provided by your physician.
We encourage all healthcare consumers to speak with their providers and their health plan to get a full picture of their treatment plan and what they will pay. For our patients, we offer financial counseling for those experiencing hardship during any point throughout their care.
There are two ways to request this estimate:
1. Please complete the good faith estimate request form, providing all the required information. Your estimate will be emailed or mailed to you within 2 business days. Disclaimer: The Good Faith Estimate shows the costs of items and services that are reasonably expected for your healthcare needs for an item or service. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur.
2. Call our business office at 818.902.2913 with questions about pricing
and our patient representatives can provide a good faith estimate.
- Prior to your call, please contact your physician's office to get the specific diagnosis or procedure description.
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When you call our business office, please have the following information
available, so that we can provide you with the best estimate possible:
- Description of services needed. We will need to know as much information as possible about the specific services as described by your physician.
- Type of services needed. We need to know if you will be admitted to the hospital as an inpatient overnight or if you are expected to be treated on an outpatient basis.
- Physician/specialist name. For example, if you are having surgery, we will want to know the surgeon's name.
- Your insurance card. Please have your card available so that if needed, we can get the following information from you: name of insurance company, type of policy (e.g. HMO, PPO, POS, Indemnity), policy holder's name, group name and number, policy number, and insurance company phone number.
- Policyholder's personal information. It is possible that the insurance company will want us to verify the Social Security Number and date of birth of the person who is named as the primary insurance policy holder.
Source of rate information
Generally, we use recent data to determine pricing on our most common surgical procedures and inpatient admissions. Any hospital advertised prices or flat rates will supersede these rates. If the hospital has not had at least 5 patients in the past year utilizing that service, “N/A” will appear in the pricing range. “Hospital Stay range” refers to an average length of stay in the hospital for inpatient admissions. Any hospital advertised prices or flat rates will supersede these rates.
To learn more about surprise medical bills
To learn more about no surprise bills from the Center for Medicare and Medicaid Services, visit www.cms.gov/nosurprises or call 800.985.3059
If you need help with your health plan, call the California Department of Managed Healthcare Help Center at 800.466.2219 or click here to learn more.
