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Our Commitment To You: Clear and Transparent Pricing

At Memorial Hermann, we’re committed to providing the highest level of care in an environment focused on your comfort and healing. We also understand that financial pressure associated with healthcare services can be difficult. That’s why it’s more important than ever that you have the pricing information you need, communicated as clearly as possible, so you can make the best decisions for you and your family.

Healthcare billing can be complex, and we want to help you better understand the process, your insurance plan(s), selected benefits and other financial-related information. If you need additional assistance beyond what the online Financial Resource Center has to offer, you can contact us directly through our Central Pricing Office at (832) 658-6455 from 9 a.m. to 4:30 p.m. Monday through Friday for a good faith estimate. Our goal is to provide you with the financial resources and information you need, so you can focus on what matters most: healing.

Frequently Asked Questions

What is Price Transparency?

Price transparency means we’re providing you with information to help you make meaningful and informed decisions about your healthcare choices, including any potential financial responsibilities and out-of-pocket costs.

What services are included in my estimate from Memorial Hermann?

Price estimates from Memorial Hermann include the estimated charges for room and board (for inpatients), supplies, nursing care and nutritional services. Estimates also include any services provided by the hospital staff within the walls of the hospital, and the outpatient hospital departments, including, but not limited to outpatient imaging centers or any of our sports medicine and rehabilitation locations.

Additionally, if your personal physician or other physicians provide you with services related to your hospital stay or outpatient service, those services will be billed separately. This can include fees related to specialists, anesthesiologists, pathologists and radiologists.

What services are excluded from my estimate from Memorial Hermann?

If your personal physician or other physicians provide you with services related to your hospital stay or outpatient service, those services will be billed separately. This can include fees related to specialists, anesthesiologists, or interpretation by pathologists and radiologists for any diagnostic labs or imaging ordered by your physician.

How did Memorial Hermann determine the list of services to provide to patients?

We reviewed information from the most recent calendar year to determine the services that were provided to a patient with an inpatient hospital stay or a patient receiving an outpatient service.

How often are pricing estimates updated?

Price estimates at our Central Pricing Office and on our website will be updated annually.

How do you define “insured”?

If you have insurance coverage to cover a portion of your healthcare costs, you are considered to be an “insured” patient. Health insurance coverage can be complex, and determining what’s covered by your plan can be confusing. If you need help determining which services are covered and which services may be out-of-pocket, we can help. Contact one of our financial counselors at our Central Pricing Office at (832) 658-6455.

How do you define “uninsured”?

“Uninsured” means you do not have any health insurance coverage to cover your healthcare costs by a third party like Medicare, Medicaid, Health Exchange Plan or Workers Compensation. It is common to refer to an uninsured patient as "Self Pay."

When I call for a price estimate what information do I need to have available?

When you call the Central Pricing Office, please try to have the following information available so we can provide you with our best estimate of any out-of-pocket costs and financial responsibility:

  • Description of services. Contact your physician's office ahead-of-time to get a description of the specific services needed. If your physician gave you an order, please have it available.
  • Inpatient/outpatient status. Is your physician admitting you to the hospital to stay as an inpatient overnight, or are you expected to be treated as an outpatient and go home the same day?
  • Name of your physician/specialist. For example, if you are having surgery, we will need to know the surgeon's name.
  • Type of insurance. If you have insurance, review your insurance coverage or contact your insurance company to make sure the services required are "covered services" under your specific plan. If they are not covered, you’ll be considered "uninsured" for these services. Also, you will need to have the following available when you call:
    • Your insurance card. If needed, we may ask for the following information from you: the name of your insurance company, the type of policy (e.g. HMO, PPO, POS, Indemnity), the policyholder's name, the group name and number, the policy number and the insurance company’s phone number.
    • The policyholder's personal information. It’s possible the insurance company will want us to verify the Social Security Number and Date of Birth of the person who is named as the primary insurance policyholder.
Can I get an exact price quote?

Price estimates are not guaranteed and are good faith estimates based on the average cost for a specific procedure. During the course of a treatment or procedure, you might require additional intervention by the physician based on your medical needs. If this happens, there could be additional cost beyond your original estimate.

Please call the Central Pricing Office at (832) 658-6455, and we will work with you to provide a price estimate.

Do you offer payment plans for my out-of-pocket cost?

Just like a visit to your physician's office, payment is required at the time of service. If you are uninsured, a payment for the estimated price of your services will be needed at the time of service.

If you have insurance or other coverage, you’ll be required to pay your co-payment, coinsurance and/or deductible before your visit or upon arrival at the facility. After your insurance company submits their payment to Memorial Hermann, we will contact you about any amount you may still owe for your care.

If you receive emergency care and cannot pay for your services, our financial counselors will (with your cooperation) check to see if you qualify for assistance under our Financial Assistance Policy, or if you are eligible for federal and state programs, including Medicaid, Social Security Insurance or COBRA Assistance.

How does the insurance billing process work?

If you are insured, we will send a claim to your insurance company. After they receive the claim, the insurance company may contact you for additional information. Please respond to your insurance company's questions as quickly as possible, as it usually takes 30-60 days for them to process and pay your claim. After we receive their payment, we will provide you with information about any remaining balance due.

Please keep in mind that your policy is an agreement between you and your insurance company. If you do not follow the insurance plan's terms, all or part of your care may not be covered.

Does Memorial Hermann offer financial assistance?

Memorial Hermann Health System has a Financial Assistance Policy (FAP) to provide financial assistance to patients in need. The purpose of our FAP is to provide the framework under which financial assistance will be granted to patients receiving care provided by Memorial Hermann. The FAP applies to all emergency or medically necessary care provided by Memorial Hermann. The FAP is not binding upon providers of medical services outside of the hospital and does not apply to services delivered by the affiliated physicians.

You can access Financial Assistance applications on Memorial Hermann’s website: http://www.memorialhermann.org/financialassistanceprogram. You can also request a free paper copy of these documents in the Emergency Center and Registration Areas.