|Facility Type||Common Cost The Common Cost is the median cost allowed after discounts for selected treatment based on previously submitted claims. It does not reflect your cost sharing amount(s). The Common Cost may differ from the actual cost you incur as the actual set of services rendered by your provider may differ.|
Ratings based on
1. Rate your overall satisfaction with your visit.
2. From the time of your scheduled appointment, how long did you wait to be seen by a doctor?
3. Rate your doctor's understanding of your condition and the quality of care you received.
4. Rate your doctor's engagement and personal involvement. Consider: Did he/she answer your questions? Did he/she present options? Were you involved and engaged in your own care?
5. Rate your doctor and his/her staff's explanation of costs. For example, did they help you get the best value by helping you verify if any other providers, labs, or equipment are in your network?
6. Rate the service provided by the doctor's staff.
The in-network rate is the maximum amount upon which payment is based for covered healthcare services. Providers contracted in your network have agreed not to bill above the in-network rate. Depending on your benefits, PEHP may cover all, none, or a portion of this amount.
Enter it in the text box below.
|Code||Description||Hospital Costs||Independent Lab Costs||Office Costs|
While every effort has been made to ensure accuracy of the provider look-up tool, PEHP makes no warranty of the accuracy or completeness of the information provided. Network providers are determined as of the date of service based on agreements with PEHP. PEHP contracts with providers at specific practice locations. If a provider is an in-network provider at one location does NOT guarantee that the provider is an in-network provider for any other location. Using an in-network provider does NOT guarantee benefits or preauthorization of benefits. Benefits are limited in defined ways. PEHP’s payment is governed by the PEHP Master Policy. Please review your applicable PEHP Master Policy for specific coverage, limitations and exclusions. Providers contracting with PEHP are independent contractors and not employees or agents of PEHP. Providers exercise independent professional medical judgment in providing care and services to PEHP members. PEHP specifically does not promise, represent, warrant, or otherwise guarantee that care or services provided to PEHP members by providers will achieve any specific result, be provided in any particular manner, or be provided at any level of care. PEHP members agree that providers are solely responsible to members for services rendered. Certain providers are not available for payment either in or out-of-network. Please review the “Do-Not-Pay Providers” list for a list of those providers.
While every effort has been made to ensure accuracy of the codes and treatments on the “Find & Compare Costs” tool, PEHP makes no warranty of the accuracy or completeness of the information provided. Common services and codes change from time to time. PEHP’s tool is based on historical claims data and makes no warranty about future services. Using the cost tool does NOT guarantee benefits or preauthorization of benefits. It also does not guarantee the costs for particular services will be the amount listed. Benefits are limited in defined ways. PEHP’s payment is governed by the PEHP Master Policy and its provider agreements. Please review your applicable PEHP Master Policy for specific coverage, limitations and exclusions.
PEHP provides links to medical information that you can use to discuss with your provider. PEHP provides such links to materials for informational use only and does not provide medical advice, diagnosis or treatment. PEHP does not endorse any products or services offered or referenced on the linked site, the organizations sponsoring site, or any views which might be expressed or referenced on the site. PEHP does not control the content of the linked site, and PEHP’s privacy policies do not apply to information you provide on that site. Your use of a linked site is at your own risk and subject to the terms and conditions for that site. Linked sites do not make decisions regarding your coverage or exclusions under your PEHP plan. Use of information obtained from external web sites is voluntary and should be independently verified.