
Insurance & Billing
Recent Posts
-
Transforming HealthcareMaking the Mobile Health Clinic the go-to choice for careSeptember 17, 2024
-
-
Speaking of HealthFertility considerations in cancer treatment: Preserving hope for the futureJuly 18, 2023
Price Estimates
We are happy to provide you with a good faith estimate for future services. To obtain an estimate, use our Cost Estimator tool or call us.
Cost Estimator tool
An online tool to provide you with a cost estimate of services.
By phone
Call 844-372-4497 weekdays from 8 a.m. to 5 p.m. to get a cost estimate of services. Have this information available:
- Description of services:
- If services are scheduled, a more accurate estimate will be attainable.
- If services have not been scheduled, you will need to provide a description of the medical service you are seeking or the CPT procedure code. Your attending or referring provider can give you this information.
- Insurance information and type of insurance.
Good faith estimate
The estimate shows the costs of items and services that are reasonably expected for your healthcare needs to help you understand and plan for your healthcare costs. This is based on the best information known at the time the estimate was finalized and is not a guarantee of charges or out-of-pocket costs. Actual items, services or charges may differ from the estimate due to unknown or unexpected costs that may arise during treatment. There may be additional items or services recommended as part of your course of care that must be scheduled or requested separately and are not reflected in the estimate. Factors that may alter your estimated out-of-pocket costs include, but are not limited to:
- The personalized nature of medicine, patient differences, unforeseen complications, additional medically necessary services and unexpected or same-day services.
- Variations to the medical procedure codes, length of time for the procedure or surgery (including recovery), equipment, supplies, medications and number of days in the hospital (if applicable).
- Receiving care at a different Mayo Clinic location. Charges and insurance coverage will vary between Mayo Clinic locations.
- Receiving healthcare services between the estimate date and the date of service, as your remaining deductible or maximum out-of-pocket costs with your insurance coverage may change.
- Inaccurate coverage or benefits provided electronically from your insurance. Secondary or tertiary insurance coverages are not able to be estimated.
Estimates are not a contract and do not require the individual to obtain the items or services from any of the providers or facilities identified in the estimate. If you have insurance, your benefits will ultimately determine your out-of-pocket costs (including denied services, deductibles, co-pays, co-insurance and out-of-pocket maximums). It is your responsibility to contact your health insurance plan to best determine your in- or out-of-network status, out-of-pocket expenses and if any prior authorizations are required. Obtaining healthcare from providers who are not within your health plan’s network will likely result in higher out-of-pocket costs. The estimate assumes insurance will cover services using in-network benefits. You may pay less for the procedure or service at another facility or in another healthcare setting.
Regulations & legal language
-
Centers for Medicare & Medicaid Services (CMS)
Effective Jan. 1, 2021, all hospitals in the U.S. are required to provide patients with easily accessible information on standard charges. This rule, set forth by CMS, mandates that hospitals establish, update and make public a list of standard charges for the items and services they provide. These requirements are part of CMS's larger initiative to promote price transparency in healthcare.
Mayo Clinic supports the intent of this rule to educate you on the cost of healthcare and your financial responsibilities. We want it to be easy for you to shop and compare prices and estimate the cost of care before going to the hospital. We can provide you with estimates for a full suite of services, done in the hospital or clinic setting. Select a method:
- Use the Cost Estimator tool
- Call our Patient Estimating Service at 844-372-4497, weekdays from 8 a.m. to 5 p.m.
- Visit the Price Transparency page to view the machine readable files
-
No Surprises Act (NSA)
CMS has instituted regulations to protect patients from surprise medical bills. The No Surprises Act protects patients with insurance through an employer health plan, individual health plan or Health Insurance Marketplace from balance billing for designated services. Review the NSA Disclosure Notice (PDF) for details of these balance billing protections. Patients with no insurance will be provided a good faith estimate for prescheduled appointments. Review additional No Surprises Act information. -
Price transparency in our regions
Minnesota Price Transparency
Minnesota law requires primary care and pediatric clinics to annually post the top 25 most commonly billed services priced over $25, including the top 10 Evaluation & Management and Preventive Medicine services.
We support the intent of this law to educate you on the cost of healthcare and your financial responsibilities. Amounts posted below do not reflect amount(s) each clinic patient will pay for the services listed.
Review the top 25 most commonly billed services at a location near you:
- Austin and Albert Lea
- Belle Plain and Montgomery
- Caledonia
- Cannon Falls
- Fairmont
- Lake City
- Mankato
- Mobile Unit
- New Prague
- New Prague OB
- Owatonna, Faribault and Adams
- Plainview
- Red Wing
- St. James
- St. Peter, Northridge, Madison East and Eastridge
- Waseca
- Wells
- Zumbrota
Wisconsin Act 146
Act 146 provides for transparency of medical costs and anticipated out-of-pocket expenses to healthcare consumers. It also establishes requirements for healthcare providers, hospitals and certain insurance plans. Charge and reimbursement information is provided at no charge upon request, within a realistic time.
Learn more about Wisconsin hospital charge information.
Review local physician reports to see how Wisconsin Act 146 applies to hospitals near you: