Assistance with Out-of-Pocket Estimates | Huron Regional Medical Center

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Being in the hospital or having a medical procedure performed isn’t something people always have planned or budgeted. With the increasing popularity of high-deductible health plans and larger co-payments, health care can be a big expense even to those who have health insurance.

To help patients plan their finances when possible, HRMC can provide out-of-pocket estimates for planned and routine hospital services, like medical imaging, surgery and childbirth, based on their health insurance plan. The estimate gives the patient an idea of what they may expect to pay.

Because each person’s medical needs and type of insurance, Medicare and Medicaid coverage varies, estimates are just approximate expenses. Please call HRMC’s business office at (605) 353-6339 for more information.

South Dakota Hospital PricePoint is a helpful tool that gives health care consumers basic charge information on services at South Dakota hospitals. Consumers can also compare charges between hospitals.

To view a list of charges for all of HRMC's services, visit this link. New in 2021, in compliance with the CMS' Pricing Transparancy regulations, HRMC has also listed the charges, including discounts negotiated by insurance companies, for the top shoppable services. To see these charges, click here. Charges listed are effective as of February 28, 2021.

Because each patient’s case is unique based on their medical conditions and their personal health insurance coverage, these lists are just a starting point for understanding final out-of-pocket expenses. Additonally, this charge data is the amount HRMC bills an insurer for a service, and in most cases, hospitals are reimbursed by insurance companies and Medicare/Medicaid at a rate that is considerably lower than the amount charged.

Our business office is able to offer you an out-of-pocket estimate for routine and planned services and can assist you in creating payment plans. Please call (605) 353-6339 for more information. Additionally, you will want to contact your health insurance company to ensure the services are covered under your insurance benefits.