Shriners Hospitals for Children Sacramento
Financing Options
Promotional financing available when you pay with CareCredit. $200 minimum purchase. What is CareCredit?
MDsave and Your Insurance
Contact your insurance company directly to see if your purchase can count towards your deductible. Details
Included services
Pre-surgical Clinic visit, Pre-surgical Rehab as needed, Pre-admission testing and standard radiographs, Surgery and inpatient stay, complications up to 30 days post discharge, post-surgical wound check (2 weeks, Telehealth may or may not be feasible), 3 Month follow-up evaluation.
Excluded services
Travel and housing, emergent services (to include radiology, lab, etc.), post-surgical rehabilitation.
Note
1) Should the inpatient stay exceed the CMS average LOS Program the Program Administrator or patient shall pay a Per Diem rate of $2,500 per day.
2) Should the member require Pediatric Intensive Care Unit (PICU) the Plan Administrator or patient shall reimburse the Provider 50% of the Providers billed charges.
The patient must have one of the following diagnosis codes
M41.12, M41.123, M41.124, M41.125, M41.126, M41.127, M41.129
DRG 458
Your purchase includes the following services:
Facility fee
operating and recovery room services & supplies for a normal inpatient stay (average 3 to 4 days) which will be determined by your physician at Shriners Hospital for Children Sacramento
Physician fee
procedure fee for in hospital service. Does NOT include the initial evaluation to determine the need of the procedure.
Anesthesiologist fee
regional or general anesthesia for the entire duration of the procedure
Hospitalist fee
DOES NOT INCLUDE THE HOSPITALIST FEE. Hospitals often contract with hospitalist groups who provide care to patients if the primary care physician becomes unavailable. If your situation requires hospitalist services, you will receive a bill from the hospitalist group.
MDsave fee
Covers the cost of contracting upfront rates with all involved medical providers, processing payment, and distributing funds, minimizing administrative overhead and allowing for a lower total price
Note: This MDsave bundled price includes the cost of your procedure and the fees listed above. These fees are for the services most frequently packaged together with this procedure. Any services that are not listed here will not be covered in your purchase.
The MDsave Promise
We will refund your payment in full if you end up not needing your purchased procedure and do not receive care. Details
Shriners Hospitals for Children Sacramento
MDsave is a service for patients electing to pay cash for procedures. Procedure purchases must be made prior to receiving care. The provider will not file a claim for this service on your behalf. You can use HSA, FSA, or HRA funds to pay for your procedure. You may be able to apply payment to your deductible, however eligibility is determined by your insurance provider and depends on your plan. You can access your MDsave purchase history at any time to support your submission.
MDsave is pleased to accept CareCredit, a health, wellness and personal care credit card that provides promotional financing with flexible monthly payments.*
*Subject to credit approval. Minimum monthly payment required.
Search by procedure and location to browse local providers and compare upfront pricing.
Pay for your procedure online or by calling (844) 256-7696. Or buy your procedure at the facility before your appointment is scheduled.
Follow the scheduling instructions given by your provider. Bring your voucher to your appointment.
Procedures
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