Cost Estimator

The Norton Clark Hospital Cost Estimator is a convenient way for you to estimate your out-of-pocket costs for a procedure or service. This user-friendly tool allows you to search from hundreds of our most commonly accessed services to find out what your estimated out-of-pocket cost is, based on your health insurance coverage. With this tool, you will be able to see the following information for each service:

• An easy-to-understand description of the primary procedure or service
• A list of available services such as room and board, secondary procedures and services, supplies, or other needs that are typically provided with the primary service
• Your out-of-pocket cost estimate for your service

Our Cost Estimator is free to use and does not require a user registration or password to access. You will be asked to provide some basic information, including information about your health insurance coverage (if you are insured), to provide the most accurate estimate possible.

If you are unable to locate a service in the Cost Estimator, you may speak to a patient services representative at (812) 283-2808.

Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.
• To obtain your Good Faith Estimate, use the Norton Clark Hospital Cost Estimator.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800.985.3059. 

Hospital Charges Listing

While we strongly urge patients to utilize the Cost Estimator as the most convenient and user-friendly tool for estimating out-of-pocket costs, a complete list of all services and items provided by our hospital, including the 5 most common charges for those services, is available here, as required by the Centers for Medicare & Medicaid Services. A list of all services and items with only non-discounted charges (i.e. insurance, financial assistance) is also available here. While these lists are most relevant for employers and healthcare providers, they are accessible to everyone.

Norton Clark Hospital Notice Of No Surprise Act

Patient Rights

As a patient of Norton Clark Hospital, you have a right:

• To receive considerate and respectful care
• To refuse care, treatment, and services
• To know the names of the doctors caring for you
• To know the nature of your condition and treatment
• To engage in effective communication in your preferred language
• To make decisions about your care and to appoint someone to make decisions when you cannot
• To receive care in a safe setting
• To control who does or does not visit you
• To make a grievance regarding any aspect of your care
• To receive equal treatment regardless of sex, race, color, religion, ancestry, national origin, age, physical disability, mental disability, medical condition, marital status, sexual orientation, gender identity/expression, educational background, economic status, or source of payment.

Grievances

If you are dissatisfied with your care, please inform someone as soon as possible in the care setting so that we can address the problem you’ve encountered. You also have the option, at the time of care or afterwards, to make a grievance.

You may make your grievance by calling (812) 285-5993 or by writing to the following address:

Grievances Quality Resources Department
Norton Clark Hospital
1220 Missouri Avenue
Jeffersonville, IN 47130

Laws and Other Protections

The United States federal government has enacted extensive legislation to create and protect your rights as a patient. The Department of Health & Human Services maintains many internet resources to help educate and guide you.

Discrimination

The Patient Protection and Affordable Care Act provides broad protection from discrimination. Several laws protect you against discrimination based on:

• Race, color, or national origin
• Disability
• Age
• Sex
• Sexual orientation, or gender identity/expression.

Your civil rights as a patient will be respected and you will be provided with emergency medical treatment regardless of your ability to pay.

For more information on your rights, please visit the fact sheets on the The Department of Health & Human Services website.

If you believe you have been discriminated against, you may file a complaint with the Office of Civil Rights of the Department of Health & Human Services.

Privacy

The Department of Health & Human Services has extensive information about HIPAA and the ways in which your health information is protected. Be sure to check out the helpful ‘Frequently Asked Questions’ link.

There is also a process for filing a complaint if you believe your privacy rights have been violated.

The Joint Commission

Norton Clark Hospital is proud to be accredited by The Joint Commission. If you wish to make a complaint with The Joint Commission, you may do so online, by fax, or by mail.

The Indiana State Department of Health

Norton Clark Hospital is licensed by the Indiana State Department of Health (ISDH). If you wish to make a complaint to ISDH, you may do so by email, fax, telephone, or mail. The telephone number is 1.800.246.8909.

Patient Responsibilities

As our patient, you have the following responsibilities:

• To provide accurate and complete information that facilitates your care including medical complaints, past illnesses and surgeries, hospitalizations, medications, pain, and other matters relating to your health.
• To ask questions when you don’t understand.
• To follow instructions, policies, rules, and regulations in place to support quality care for patients and a safe environment for all individuals in the hospital.
• To maintain civil language and conduct interactions with the staff and caregivers while also being considerate of the rights of other patients.
• To ensure that your financial obligations for your healthcare are fulfilled by paying bills promptly.

At Norton Clark Hospital, we do all we can to earn the privilege we enjoy of caring for you. Mutual commitment to rights and responsibilities will ensure the greatest quality of care and greatest comfort for you and all our patients.