(Facility) offers the visitors of our site an opportunity to see estimated pricing and payments for health care services provided by our facilities through our Patient Cost Estimate Tool (the “Tool”). The estimates provided through this Tool are based on information provided solely by you and should not be relied on by you as a quote or guarantee. You acknowledge that the actual total cost (patient responsibility) may be different than the amount shown based on a multitude of factors, including but not limited to, your physician’s course of treatment, actual services rendered, complications, your specific health care needs, and your insurance coverage, if any. Please note, the estimate provided by the Tool does not include any physician or other professional fees.

You will be held responsible for the actual amount you owe based on services rendered at any of our facilities to you and/or your insured dependents. Use of the Tool does not form a contract for the actual amount you may be required to pay for services. Because coverage is not guaranteed,  It is critical that you check with your health insurance to confirm whether you have coverage, and the costs that you may be charged for the requested services at the desired Facility location prior to scheduling such services. You are solely responsible for any and all costs that are not covered as well as obtaining any pre-authorizations or referrals as required by your health plan.

The use of any information provided by the Tool is confidential and is intended only for medical care of patients. Any attempt to utilize the Tool for any purposes other than those intended by Hospital Sisters Health System, as determined by Hospital Sisters Health System in its sole discretion, is strictly prohibited.