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Pricing Transparency

To improve price transparency, all U.S. hospitals are required to provide information about the rates negotiated with insurance companies for all services and items offered by a hospital. Each hospital is required to make this information available in two ways:  1) as a comprehensive machine-readable file with all items and services; and 2) a display of shoppable services in a consumer-friendly format.

 

Standard Charges

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For purposes of complying with the Hospital Price Transparency Final Rule, the Standard Charges file includes:

  • Gross charge- the charge for an individual item or service that is reflected on a hospital’s chargemaster, absent any discounts

  • Discounted cash price- the charge that applies to an individual who pays cash, or cash equivalent, for a hospital service

  • Payer-specific negotiated charge- the charge that a hospital has negotiated with a third party payer for an item or service

  • De-identified minimum negotiated charge- the lowest charge that a hospital has negotiated with all third party payers

  • De-identified maximum negotiated charge- the highest charge that a hospital has negotiated with all third-party payers

 

The Standard Charges pricing list below reflects data in the hospital’s chargemaster. Actual charges will vary based on medical need at the time services are rendered. Fees for physician services are not reflected in our standard charges pricing list and will be billed separately by your physician.

Managed care payers/plans pay inpatient rehabilitation hospitals based on an overall rehabilitation service category, also referred to as a “service package” by Medicare. A typical inpatient rehabilitation service category will include: room and board, all related therapy services, routine supplies, routine medications, and all nursing services.

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Other services may be required and may be paid in addition to the services listed above. These services may be billed by a different provider than the hospital and sent to you on a separate bill. Examples of these additional services may include but are not limited to special equipment, high cost pharmacy items, dialysis treatments, and high cost diagnostic services such as a CT scan or MRI.

 

Shoppable Services

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Medicare defines shoppable services as a service that can be scheduled by a health care consumer in advance on a non-urgent basis. Medicare has identified 70 shoppable services that all hospitals must include and Medicare has asked hospitals to each choose at least 230 additional shoppable services that they perform most frequently. If a particular service is not offered by our Hospital, an “NA” will be displayed. We have listed the most common services or service packages we provide with the corresponding negotiated charges paid by the managed care plans in the shoppable Services file.

Please contact us at 321-989-3104 for more information about the Hospital’s pricing. Our team is happy to assist you in understanding your costs or to obtain a price estimation. Patients and prospective patients have the right to request a personalized estimate from the hospital.

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Florida Pricing Transparency Resources

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In addition, the state of Florida provides additional resources: Florida Health Finder and Florida Health Price Finder.

 

Florida Health Finder

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The Florida Agency for Health Care Administration website contains health-related data and hospital quality metrics, including readmission data, mortality rates, complication rates, infection rates, patient experience, and other patient safety data. Click here to visit the floridahealthfinder.gov.

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Florida Health Price Finder

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The Florida Agency for Health Care Administration provides information on payments made to facilities for defined service bundles. To view average payments for over 200 service bundles in Florida, click here to visit the pricing.floridahealthfinder.gov.

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Contract Physicians

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Orlando Rehabilitation Hospital contracts with specialized physicians to provide physical and medical

rehabilitation services within the hospital. These physicians bill separately for their services. These physicians may participate with different health insurance companies or health maintenance organizations (HMOs) than Orlando Rehabilitation Hospital does. Please contact these specific physicians who will provide services to you to determine which health insurers and HMOs the physician participates in as a network provider or preferred provider.

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Orlando Rehabilitation Hospital may add physicians or the physicians may present under a different name from the list below. Please call us directly at 321-989-3104 and ask to speak with the team, so that we can assist you with the most current and accurate information.

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You may request from Orlando Rehabilitation Hospital  and any of the physicians who care for you a personalized estimate of reasonably anticipated charges for the treatment of your specific condition. 

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Contract Health Plans

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Orlando Rehabilitation Hospital contracts with several health plans listed below and we will continue to update this list. Please note that some plans may be listed with a different name than a patient’s insurance ID card. We encourage our patients to contact their health plan directly for information regarding updates to their insurance plans and patient cost responsibilities.

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Please call us at 321-989-3104 to speak with us regarding additional questions after speaking with your insurance plan so that we can assist you with the most current and accurate information as well.

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Please note that not all physicians participate with the exact health insurance company or HMO as our hospital. The list below is only for Orlando Rehabilitation Hospital . You should contact the physician who will provide services to you to determine which health insurance plans and HMOs the physician participates in and if the physician is considered as ’in network’ provider or preferred provider or ‘out of network.’

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Financial Assistance, Billing and Collections

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For those who do not have the funds to pay the rehabilitation hospital bill, financial assistance may be available. Please review our financial assistance policy for information regarding financial assistance, billing, charity care, and collections. Please complete the following application for consideration.

 

If you do not have health insurance, we provide financial assistance for medically necessary care as a discount from our normal charges if your household income does not exceed four times the Federal Poverty Guidelines and you are a US Citizen. All applicants will be screened for Medicaid coverage and must cooperate with the Medicaid representatives to be considered for financial assistance. If you are eligible for financial assistance under our Policy, you will receive free or discounted assistance according to the following income criteria:

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  • If your annual household income is up to 200% of the Federal Poverty Guidelines, you may qualify for free care.
     

  • If your annual household income is between 201% and 400% of the Federal Poverty Guidelines, you may receive care discounted to the amount we generally bill insured patients for such services.

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Even if you have insurance, as long as you meet our income criteria, you may be eligible for financial assistance if: your insurance does not provide coverage for the medically necessary services you are seeking or you have exhausted your lifetime maximum insurance benefits. Financial Assistance cannot be used to cover deductibles or coinsurance for your insurance plan.

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Additional Ways to Qualify

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If you do not meet the income criteria above, you may be considered on a case-by-case basis for financial assistance under the following circumstances:

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  • Catastrophic Balance: If you will have a balance due to Orlando Rehabilitation Hospital of greater than 25% of your annual household income, you may be considered for financial assistance.
     

  • Special Medical Circumstances: If you are seeking treatment that can only be provided by Orlando Rehabilitation Hospital or you would benefit from continued medical services from Orlando Rehabilitation Hospital for continuity of care, you may be considered on a case-by-case basis for financial assistance for that specific treatment
     

Charges Will Not Exceed Amounts Generally Billed

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If you receive financial assistance under our Policy, you will not be charged more for medically necessary care than the amount we generally bill patients having commercial insurance or Medicare coverage.

 

Financial Assistance Application Form and Process:

 

To review your eligibility for financial assistance, please complete and send the following information:
 

  • a completed financial assessment form

  • a copy of last year's tax return or your most recent bank statement

  • a copy of your most recent pay stub or unemployment check

  • proof of any state or federal assistance such as food
     

These items are necessary to document your financial conditions and for us to process your request for assistance.

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Please return the requested items as soon as possible. You may call 312-989-3104 if you have any questions. Thank you for choosing Orlando Rehabilitation Hospital for your rehabilitation services. You will be contacted if any additional information is needed and also to inform you of the decision made on the above referenced balance.

 

Mailing Address: Orlando Rehabilitation Hospital, 980 Gateway Dr., Altamonte Springs, FL 32714

 

How to Obtain Copies of Our Policy and Application

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You may obtain a free copy of our Policy and the Financial Assistance application form:

  • On the Orlando Rehabilitation Hospital website.

  • In our Admission Office.

  • By mailing a request to: Orlando Rehabilitation Hospital, 980 Gateway Dr., Altamonte Springs, FL 32714


How to Apply and Obtain Assistance

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Application for Financial Assistance must be completed and approved prior to admission. Our team can assist and advise you in the completion process.

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Any Financial Assistance Application whether completed in person, online, delivered or mailed in, will be forwarded to the Financial Services team for evaluation and processing.

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If you need any help in applying, please contact us in our Admissions Office at 321-989-3104.

 

Patient Billing and Collections:

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Orlando Rehabilitation Hospital strives to work with every patient that does not qualify for financial assistance, to resolve unpaid balances.

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  1. Mail at least 4 statements to the patient/responsible party to the address on file.

  2. Attempt to contact the patient/responsible party by phone.

 

Private Pay: PLEASE NOTE that this excludes the preadmission prompt pay requirement for private pay patients. For any patients needing to privately pay for services, payment is due prior to services being rendered or make a deposit with a Payment Agreement. For additional information related to privately paying for services please contact the business office at 321-989-3104.

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Please contact us at 321-989-3104 if you have any questions about our charges or if you would like to request an estimated quote.

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Orlando Rehabilitation Hospital is dedicated to making our pricing publicly available so that you can make more informed decisions about your healthcare costs.

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We provide a variety of resources to help you better understand the costs of your medical care and assist you in planning for your healthcare costs.

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Last Updated- August, 2024​

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