Understanding the cost of care

Icons Before you make a purchase at a store, you know how much it will cost. Health care should be the same way. We recognize more people have high deductible health plans or health savings accounts and they have a direct responsibility for their health care costs.

Spectrum Health Lakeland is working hard to provide pricing information to help patients and their families make informed health care decisions before they have a procedure. Prices are revised each year and are subject to change during the year. To establish prices, we consider many factors including:

  • The cost of providing staff, equipment, facilities, medications, and other supplies
  • The amount of time our facilities and staff are involved in providing services
  • Information provided by the Centers for Medicare and Medicaid Services, the federal agency that manages the Medicare and Medicaid program 

“We know that providing excellent services at a responsible cost is key to ensuring a viable system for our community for generations to come,” said Paul Konopacki, vice president finance, Spectrum Health Lakeland. “Lakeland remains commited to lowering costs for patients, which is a reflection of our mission to improve the lives of those we serve.”

Estimate prices with the cost calculator

Prices for more than 450 of the most common services are now available in our new price estimate tool. Create your own estimate for shoppable services through Lakeland MyChart or online at spectrumhealthlakeland.org/cost. Estimates will be unique to you based on your insurance plan.

To get the most accurate price estimate from the tool, you will need:

  • Description of your service–this can be the name of your procedure or a CPT code which can be obtained from your medical provider
  • Insurance information

Please note: Price estimates do not include physicians' fees from your surgeon, anesthesiologist, or radiologist. These offices will bill you separately for services and should be able to give you pricing information if you call their office directly. Additionally, your actual price may vary based on pre-existing health conditions, insurance coverage, and the actual procedure performed.

Preventing surprise billing

Unexpected health care costs can create large financial impacts for patients and their families. We are committed to prevent surprise billing. New in 2021, all patients will be notified about potential out-of-network costs when they schedule appointments or during the registration process for walk-in services. We will provide a good faith estimate of the cost of services before care can be provided. Patients will be asked to sign and acknowledge their potential payment responsibility for the out-of-network services.

Questions about payment options

To discuss payment options, financial assistance, or billing concerns, contact a Lakeland financial counselor by emailing SHLFinancialCounseling@spectrumhealth.org or calling 844.408.4103, option 1.

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