Hospital Pricing

Hospital Prices

As our patient, you are very important to us. We understand that coming to the hospital for care can be an anxious time and that the bills associated with your care can be difficult to understand. We hope the information provided here will be helpful. If you ever have questions about hospital charges, please contact Little Falls Hospital’s Health Information Management at 315-823-5362.

Please understand that this information is meant to explain how hospital charges are determined and provide a general idea of prices for the most common inpatient, outpatient and diagnostic procedures at Little Falls Hospital. The charges listed are average estimated prices for medical procedures and subject to change.

The amount a patient is responsible for paying is determined by your insurance plan. We encourage you to contact your insurance carrier in order to fully understand your health care coverage, including deductibles and copays. For patients who have little or no health insurance, Bassett Healthcare Network offers a variety of services. Click the following link to learn more www.bassett.org/our-network/financial-assistance/. Bassett Healthcare Network also provides support to patients who need help determining their eligibility for Medicaid and other financial support services, including guidance on the insurance products available through the New York State Insurance Exchange.

Factors Influencing Hospital Charges

Prices reflect not only the cost of a particular item or procedure, but all of the human and facility resources required to provide the care. Among the variables are the type of procedure you are undergoing, the cost of the technology used in your care, medical supplies, the wages and benefits of the staff providing your care, fixed cost associated with certain services provided on a 24/7 basis and your health insurance coverage.

Finally, price is only one consideration in making decisions about health care and does not equate with quality and outcomes. As you make health care decisions for yourself and loved ones, we encourage you to get to know services provided by Little Falls Hospital from reviewing information on this website and speaking with the providers who may be involved in your care.

Frequently Asked Questions

If I have health insurance, how much will I owe?

The amount you owe depends on your insurance plan. Please contact your insurance company directly to determine what your financial obligation will be. You may be asked to provide a procedure code, which can be obtained from your physician's office.

Is the price on this website the same as what I will be billed for?

The prices for the procedures listed on this website are estimates. The amount you will be billed for may vary depending on such things as:

  • Additional testing, medications, services or procedures that may be required
  • Pre-existing conditions, such as smoking, diabetes and obesity, that may impact your medical needs.

How are prices established for Little Falls Hospital?

Little Falls Hospital reviews its charges annually, taking into consideration the following factors:

  • The cost of providing staff, equipment, facilities, medications and other supplies.
  • The amount of time our facilities and staff are needed to provide the necessary services.
  • Information provided by the Centers for Medicare and Medicaid Services, the federal agency that manages the Medicare and Medicaid program.
  • High degree of fixed cost of providing certain services on a 24-7 basis

How does Medicare pay Little Falls Hospital for outpatient services provided?

Little Falls Hospital is a Critical Access Hospital and Medicare payment is based on cost of services provided plus 1%. Cost are dependent on the unique services provided, however Medicare payment is an aggregated average cost payment percentage. Our estimated Medicare payment is based on the unique service rather than our average total aggregate Critical Access Hospital rate.

How much is my copay and deductible?

Copays and deductibles are determined by your insurance carrier. It’s important to understand that high deductibles and copayments are due to insurance benefit plan design, not hospital charges. Please contact your health insurance company to understand what charges you may be responsible for.

What if I still have questions?

If you would like more information including payment options or possible financial assistance, or have questions about a procedure or price that is not listed on our website, please contact https://www.bassett.org/forms/contact-us/.

Little Falls Hospital participates with a number of insurance and managed care plans, but it is always advisable to verify Bassett’s participation in your specific health plan through your insurance carrier.

Procedures & Prices

On this page are the average estimated prices for some of the most common medical procedures performed at Little Falls Hospital. These charges are subject to change. It is important to understand that the figures listed are not what a patient may pay for the services / procedures. The amount you will owe depends on your insurance plan; please contact your insurance company to find out what your financial obligation will be. Be aware that the hospital prices listed do not include physicians’ fees, such as the surgeon, anesthesiologist and radiologist charges. Prices may also vary due to the medical complexity of a specific case.

Common Outpatient Procedures Average Charge Average Medicare Payment
Screening Mammography $446 $105
Diagnostic and Screening Ultrasound $600 $127
Physical Therapy Evaluation $191 $88
MRI Without use of contrast $2,132 $386
Knee Arthroscopy/Surgery $7,247 $3,352
Diagnostic Colonoscopy $2,045 $884
Cataract Surg W/IOL 1 Stage $5,958 $2,756
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