Home Page - PatientFacingPriceEstimator

Step 1: Please choose a location

Location:

Site:

Step 2: Please choose a procedure

Procedure Type:

Procedure:

Step 3: Please choose a plan/carrier

Error: Payer and Plan are required in order to perform an estimate.

Payer:

Plan/Carrier:

**(Optional): If you know your deductible and out-of-pocket amounts, you may enter them below to be used in the estimate.

Remaining Deductible Amounts

Individual

Family

Remaining:

Remaining Out-Of-Pocket Amounts

Individual

Family

Remaining:

Co-Pay:

Co-Insurance:

Last Step: Terms and Conditions

Valley Health System, on behalf of its individual hospital facilities, Winchester Medical Center, Warren Memorial Hospital, Hampshire Memorial Hospital, Page Memorial Hospital, Shenandoah Memorial Hospital, and War Memorial Hospital, (“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 to you (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. Provision of estimate by Facility is not a guarantee of coverage or approval of the service by your insurance.

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 Facility, as determined by Facility in its sole discretion, is strictly prohibited.

I Agree