Average Cost of Medical Procedures
Determine Your Financial Responsibility
To determine what your financial responsibility may be in advance of receiving services, you should:
- Call the provider's office to request the CPT, DRG or APC codes that will be used to bill for services. Also, ask for the charges for each code - view the financial estimate worksheet to help you gather this information.
- Submit the financial estimate worksheet by calling our Customer Service Department at:
Commercial Group Members: 1.888.847.7902
PPO Group Members: 1.855.577.7123
Self-Funded Employer Groups: 1.888.816.3096
If you call the Customer Service Department, you must have the worksheet information available to provide to the customer service representative.
Submit by fax to The Health Plan's Customer Service Department at 740.699.6163.
Or mail to The Health Plan's Customer Service Department at 1110 Main Street Wheeling, WV 26003
Within one to two working days of a completed request, an estimate of your responsibility for the specific services will be mailed to you.
This is information from a third party and may NOT reflect actual costs and/or charges at The Health Plan facilities but rather is averaged based on this company's analysis of the cost of medical procedures annually.