Pricing Information

Our goal at Southwest Health is to provide patients with high quality care and the best possible hospital experience. We know medical costs can be very confusing and overwhelming. To make this process as transparent as possible, our hospitals are now using a tool to help patients estimate their own costs and is in compliance with the Affordable Care Act [ Section 2719(e)of the Public Health Service Act]. The link to Estimate My Cost (EMC) Tool is listed below under Pricing Estimates for patient use.

It is very important for you, as the consumer, to understand that standard charges may not be a relevant starting point for estimating what costs you may incur during an episode of care, and the amount actually paid by a patient will depend on that patient’s insurance coverage, policy provisions and other factors. Everyone’s case is different based on that patient’s medical condition. Therefore, we have financial counselors available upon request to provide information about standard charges; and to help determine if patients qualify for Federal and State assistance, and set up payment plans.

The charges displayed on the Estimate My Cost tool only include hospital charges for procedures and do not include charges that are billed separately by your physician or other professional fees. Furthermore, the actual amount paid by a patient will depend on that patient’s insurance coverage, as benefit plans vary greatly.

If you have commercial insurance:

• Contact your insurance company to understand all of the factors affecting your financial responsibility
• Numerous factors, such as type of plan, co-pay, co-insurance, deductible, out-of-pocket maximums, provider network and other limitations, will affect your financial responsibility to a hospital.
• The prices reflected on this site do not include charges for the physician or other professional fees, such as pharmacy, diagnostic imaging or lab work.
• The prices reflected on this site do not include any negotiated discounts between your insurance company and the hospital.

If you have Medicare:

• Medicare has many different parts, and not everyone has the same type of Medicare coverage. Medicare will pay for many of your healthcare expenses but not all of them.
• Special rules apply if you have employer group health insurance coverage through your job or a spouse’s job.
• If you have a supplemental health insurance policy, it may cover some of the costs that Medicare does not cover.
• The best way to be sure of what your Medicare plan covers is to call 1-800-MEDICARE, or visit the website at www.mymedicare.gov.

If you have Medicaid:

• Contact the Mississippi Division of Medicaid at 1-800-421-2408 to determine all the factors affecting your financial responsibility.
• Generally, Medicaid recipients are not responsible for any portion of the bill.

If you are Uninsured:

• Please contact our Patient Financial Services Department at 1-601-249-4754, and ask about our payment policies, and to determine if you meet the criteria for financial assistance.

Pricing Estimates

Estimate My Cost (EMC) Tool

EMC Tool Disclaimer: The information provided by the EMC tool is a hospital estimate and is not a guarantee of final billed charges. Final billed charges may vary from hospital estimates for many reasons, among them are the patient’s medical condition, unknown circumstances or complications, final diagnosis and recommended treatment ordered by the physician. Professional fees, such as physician, radiologist, anesthesiologist and pathologist fees are not included in this estimate.

A separate link to a machine-readable format flat-file and presents in a file format of a .csv, .xml, or .json can be found HERE.

Southwest Mississippi Regional Medical Center

Phone : (601) 249-1171

Lawrence County Hospital

Phone : (601) 587-1252

(601) 587-1428

If calling in regards to an estimate, please have the following information available, so that we can provide you with the best estimate possible:

1. Detailed description of the test(s) or procedures(s) being ordered by the doctor, including the CPT Code and description of services needed
2. Type of services needed – we need to know if you are expected to be admitted to the hospital as an inpatient, observation, or if you are expected to be treated on an outpatient basis.
3. Doctor’s Name and office phone number
4. Insurance information (if any), including your insurance company name and phone number, policy holder name, policy number and group number from your insurance card

The hospital estimate will provide the patient with the following:

1. Your estimated financial responsibility for the procedure/services based on the average charge for the procedure/services.
2. Patients with health insurance will be quoted an estimated amount that will be due to the hospital based on the deductible, co-pay, or co-insurance amounts established by their health insurance plan.
3. Patients who do not have health insurance will be quoted an estimated amount that will be due to the hospital that will include an uninsured discount to the estimate. Counselors are also available to discuss with patients their eligibility for certain programs like Medicaid.

Disclaimer for Estimates

The information provided is a best estimate based on the information we currently have and is not a guarantee of what you will be charged or owe. Please understand that in many cases it is impossible to predict the final charges that will result as there are many variables involved in your actual services such as the length of time spent in surgery or recovery, specific equipment used, supplies and medications required, additional tests required by your physician, and/or any unusual special care or unexpected conditions or complications.

This estimate does not include any physician charges (e.g. office visits, surgeon fees, anesthesiologist fees, emergency room fees, radiologist fees, pathologist fees, or other consulting physician fees, etc.). If you have insurance, your benefits will ultimately determine the amount you owe (including deductibles, co-pay, co-insurance, and out-of-pocket maximums). Patients are encouraged to contact their insurance provider directly for a full disclosure of benefits, allowable, and potential out of pocket expenses.