Enloe Health strives to make estimating the cost of services as easy as possible.
You can find the cost of many of our most common services using our online cost estimator tool.
You may also access our Price Transparency Machine Readable File.
If you don’t see your service listed, please contact Enloe Health’s Financial Counseling department at 530-332-6350.
We also strongly recommend contacting your insurance provider about your anticipated costs. They can consider your plan’s specific deductible and co-pay information.
Below you can find a link to a spreadsheet containing Enloe Health’s most recent prices.
Many factors impact how hospitals set their prices. The hospital’s list of charges is the same for all patients receiving the same service. But different levels of care result in different bill amounts.
Keep in mind your Enloe bill only includes charges for providers associated with the medical center. You may receive separate bills from personal physicians, surgeons, anesthesiologists, etc.
Due to the complexity of billing regulations and the reimbursement system for health care, the charge master is not the most effective way to determine what a patient’s out-of-pocket expenses may be.
In addition, pharmacy pricing is challenging to predict. Medicine prices are affected by shortages and changes in the average wholesale price. Drug prices have historically been increasing. Pharmaceutical care is dose and disease state specific, so each patient’s situation is different. This makes comparison shopping different from retail pharmacies.
These prices do not guarantee availability or insurance coverage for a particular medication.
Please visit our online price estimator tool or contact Enloe Health’s financial counselors at 530-332-6350 for a more detailed out-of-pocket estimate.
By clicking any of these links to access the files, you acknowledge that you have read and understand the information above.
Your rights and protections against surprise medical bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care — like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
California state law has similar protections to the federal No Surprises Act.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
California state law has similar protections to the federal No Surprises Act. More information can be found at California Department of Managed Care.
When balance billing isn’t allowed, you also have the following protections from your health plan:
- You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
- Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact the Centers for Medicare and Medicaid Services at www.cms.gov for your rights under federal law.
For more information about your rights under California state law, visit California Department of Managed Health Care at www.dmhc.ca.gov or California Department of Insurance at www.insurance.ca.gov.
You can contact a customer service representative with your billing questions.
- Send an electronic message via MyChart.
- Email billing.helpline@enloe.org.
- Call 530-332-6300.
- Visit us in person.
- Speak directly with the caregiver who handles your account at Patient Financial Services. The department is at Enloe Health’s Lassen Campus, 1390 East Lassen Ave. in Chico, and is 8 a.m. to 5 p.m. Monday through Friday. See a map.
Our Patient Experience manager is eager to hear about your concerns. You can contact her at 530-332-7005. You can also send a message to Enloe Health through our electronic form.
