Nacogdoches Memorial Hospital

This section of website is designed primarily as a resource for you to obtain pricing estimates for our most frequently utilized hospital services.

We hope that through this and other information we provide here, you can make more informed choices about your healthcare and have a better understanding of your financial obligations when you visit Nacogdoches Memorial Hospital.

For Your Information:
Nacogdoches Memorial Hospital is pleased to provide information to consumers related to the financial side of your healthcare needs.

Through this section of our website, our patients can find out about:

Obtaining a pricing estimate for our most frequently used healthcare services
Payment options and alternatives available to patients without healthcare coverage
Contact information to call us directly for a pricing estimate
Paying your outstanding hospital bill online
Other bills you might receive for services besides your hospital bill
How our billing process works
Frequently Asked Questions

Have an Outstanding Bill?
If you have received a statement from us showing that you have a balance due, you can pay that balance with a major credit card online through this resource.

To take advantage of this simple, secured, online service, please Click HERE for information about paying your bill.

About our Pricing Commitment:
We know that especially today, when so many people are uninsured or underinsured, it is important for individuals to have healthcare pricing information. We are committed to making this information available to consumers so they can better anticipate and understand their financial responsibilities and make informed healthcare decisions.

*Nacogdoches Memorial Hospital (NMH) makes no guarantees regarding the accuracy of the pricing information provided herein. The pricing information provided by this website is strictly an estimate of prices, and NMH cannot guarantee the accuracy of any estimates. All estimates are based on information provided by a prospective patient and do not include, among other things, any unforeseen complications, additional tests or procedures, and non-hospital related charges, any of which may increase the ultimate cost of the services provided. Any prospective patient should understand that a final bill for services rendered at NMH may differ substantially from the information provided by this website, and NMH shall not be liable for any inaccuracies.

Because we know that healthcare is complex and that a general listing of prices for our common procedures will not meet everyone's needs, consumers can contact us directly at (936) 568-8497 for a prospective service quote. Our goal in making this information easy to access is to remain a leader in key healthcare initiatives aimed at better patient care.

What is Pricing Transparency?
"Pricing Transparency" is the term used to describe initiatives in the healthcare industry to provide meaningful pricing information to consumers. The healthcare industry is often complex and difficult for consumers to navigate. Price transparency is a means of providing consumers price information on common services. Our hospital is committed to presenting pricing information on its website in a way that will be easy for the consumer to access and understand, as well as providing other useful information about financial assistance available, definitions of key terminology, and key financial policies.

What services are included in my hospital bill estimate?
If you are viewing estimates provided on this website, the pricing includes estimated room and board (for inpatients), supplies, nursing care, equipment use, nutritional services, and any services handled by the staff of the hospital within the walls of the hospital. It does not include services listed below.

What services are excluded from my hospital bill estimate?
Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists, and radiologists.

Independent laboratory and radiology services will also bill you separately for reading and interpreting EKG's, X-rays, EEG's and lab work.

How were “top services” determined?
We pulled data from the most recent calendar year to determine our common surgical procedures and inpatient admissions. If the hospital has not had at least 5 patients in the past year utilizing that service, "N/A" will appear in the estimated pricing list. Inpatient services include a hospital stay of at least 24 hours while patients receiving outpatient services are admitted and discharged on the same day.

How often is the pricing estimate data refreshed?
We plan to refresh the data used on our website and by our Service Representatives at least annually.

What does “Uninsured” mean?
It means that you have to pay for your services and that you do not have coverage for the hospital services by a third party like Medicare, Medicaid, Workers Compensation or an insurance company. Other common terms used when referring to Uninsured patients are: Self Pay and Private Pay.

Why can’t I rely on the pricing estimates posted on this website if I have insurance?
Those figures are estimates of what an Uninsured Patient would have to pay. If you have insurance or some form of medical coverage, your out of pocket typically can include a deductible, coinsurance, co-payment or even non-covered services. The prices for your services are based on the contract terms negotiated by your insurance company with the hospital. In order to give you a more accurate estimate, we need to evaluate your coverage and specific plan. To do that, please give us a call at (936) 568-8497.

What if the service I need is not listed on this website?
Please give us a call at (936) 568-8497. We will be happy to try to provide you with a price estimate.

When I call for a pricing estimate, what information do I need to have available?
Before you call, it is a good idea to contact your physician's office to get the best description possible of the services that you need. Then, if you have insurance, contact your insurance company and make sure that the services required are "covered services" under your specific plan. If they are not "covered", then you would be considered "uninsured" for these services.

When you call us, please try to have the following information at hand so that we can provide you with our best estimate of your financial responsibility:

Description of services needed - we will need to know as much information as possible about the specific services needed as described by your physician.
Type of services needed - we need to know if you will be admitted to the hospital as an inpatient overnight, or if you are expected to be treated on an outpatient basis.
Physician/Specialist Name - example, if you are having surgery, we will want to know the surgeon's name.
If you have insurance, we will also need:
- Your insurance card - please have your card available so that, if needed, we can get the following information from you: name of insurance company, type of policy (e.g. HMO, PPO, POS, Indemnity), policy holder's name, group name and number, policy number, insurance company phone number.
- Policy holder's personal information - it is possible that 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 policy holder.

Can I get an exact pricing quote?
Unfortunately, no. We will do our best to provide you with a pricing range based on our hospital's historical pricing for comparable services. Price quotes are not guaranteed since the services used to compute the quote can vary from services you receive due to treatment decisions, unforeseen complications, additional tests or services ordered by your physician, and variation in the clinical needs of each patient.

What is expected of patients in terms of payment?
Similar to your visits to your physician's office, we expect payment at time of service. If you have insurance or other coverage, we will expect you to pay your copayment, coinsurance and/or deductible upon arrival at the hospital. After your insurance company pays us, we will send you information about any amount you may still owe.

If you are uninsured, we expect payment at time of service (or will work with you to arrange monthly payments) for the estimated price of your services. If, after your services are received, any additional payment is due, we will send you information about any amount you may still owe. If you receive emergency care and cannot pay for your services, with your cooperation, our financial counselors will evaluate whether you qualify for Local and State programs, including County Assistance and Medicaid, or our Charity Discount Policy.

We accept major credit cards, checks, money orders and cash.

Do you have a Charity policy?
Nacogdoches Memorial Hospital is committed to providing care to the poor and uninsured. Nacogdoches Memorial Hospital does not discriminate on the basis of race, color, national origin, creed, age or handicap and your ability to pay will not affect your care at Nacogdoches Memorial Hospital today or in the future.

As a not-for-profit hospital, we are responsible for billing for the services we deliver. All patients are charged the same amount for services they receive at Nacogdoches Memorial Hospital. What we receive in payment for those services is dependent upon the payor source (Medicare, Medicaid, private insurance or self-pay). Insurance companies reimburse hospitals for a significant amount of the charges, while most uninsured patients are able to contribute very little toward the charges.

Nacogdoches Memorial Hospital works closely with patients who have financial need, including helping them qualify for government programs or other financial assistance and payment programs.

If you have any questions or concerns about your payment for your hospital bills call Patient Accounts at (936) 564-4611.

How does the insurance billing process work?
If you are insured, a claim will be sent 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 so their payment is not delayed. It usually takes 30-45 days for your insurance company to pay your claim. After they pay us, we will provide you with information about any amount you may owe that you did not already pay upon arrival at our facility. Please keep in mind that your policy is a binder between you and your insurance company. If you did not follow your insurance plan's terms, they may not pay for all or part of your care.

Pricing Estimates and Information
Nacogdoches Memorial Hospital is committed to providing meaningful information to our patients related to financial obligations for healthcare services. It is our intent with this website to publish our Financial Assistance policies and the pricing ranges for our most common services. In order to provide you with information that is helpful based on your personal healthcare coverage, we must first differentiate between patients with some form of insurance or Governmental coverage, like Medicare or Medicaid, and patients without insurance or coverage.

> If you have some form of healthcare coverage, click here for pricing information for “Insured" patients.
> If you do not have some form of healthcare coverage, click here for pricing information for “Uninsured" patients.

Contact Information
In order to provide you with the most accurate estimate based on your specific financial situation and prospective services, please contact our Service Center at (936) 568-8497 and one of our Financial Representatives will be happy to assist you.

If you are insured, prior to your call, it is important that you contact your insurance company to ensure that the services required are "covered services". In the event that they are not a covered service under your plan, please refer back to our Uninsured information.

You will also need to contact your physician's office to get the specific diagnosis or procedure description.

When you call our Service Center, please have the following information available, so that we can provide you with the most accurate estimate possible:

Description of Services Needed - we will need to know as much information as possible about the specific services as described by your physician.
Type of Services Needed - we need to know if you will be admitted to the hospital as an inpatient overnight, or if you are expected to be treated on an outpatient basis.
Physician/Specialist Name - example, if you are having surgery, we will want to know the surgeon's name.

If you have insurance, you will also need:

Your Insurance Card - please have your card available so that if needed, we can get the following information from you: name of insurance company, type of policy (e.g. HMO, PPO, POS, Indemnity), policy holder's name, group name and number, policy number, insurance company phone number.
Policyholder's Personal Information - it is possible that 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 policy holder.

During your call, we will attempt to verify your specific insurance benefits to provide the most accurate representation of your estimated financial obligation based on your specific coverage.

What is not included in our estimates?
The estimates provided are only related to your hospital bill. Your personal physician or other physicians providing you with services related to your hospital stay or visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists, and radiologists.

Independent laboratory and radiology services will also bill you separately for reading and interpreting EKG's, X-rays, EEG's and lab work. If you have questions about those bills, please call the number printed on their statements.

Patient Financial Resources