Healthcare Disclaimer

ExploreCarePricing sources pricing data from publicly available hospital transparency files, including official chargemasters and CMS machine-readable files (MRFs). While we work diligently to present accurate information, there are inherent limitations:

• Data Freshness:Hospital pricing files are updated on varying schedules—some hospitals update monthly, while others update quarterly or less frequently. The prices shown on ExploreCarePricing may not reflect changes made after a hospital's pricing file was last published. We recommend verifying current pricing directly with your provider before scheduling care.
• Completeness: Not all hospitals publish complete pricing information for every procedure, service, or supply item. Some hospitals provide limited transparency, which may affect price availability on our platform.
• Interpretation: Hospital pricing files can be complex and use different coding systems. Our interpretation of procedure codes, service bundles, and pricing categories may differ from actual billing practices at your specific hospital.
• Regional Variations: Prices vary significantly by location, facility type, hospital system, and market conditions. The same procedure may cost substantially different amounts at different facilities.

Under the No Surprises Act (effective January 1, 2022), you have protections against surprise bills from out-of-network providers in most emergency and non-emergency situations. These protections include:

• Protection from surprise bills for emergency services even if providers are out-of-network
• Right to request a Good Faith Estimate before non-emergency care
• Limitation on out-of-network bills when receiving care at in-network facilities

For more information about your rights under the No Surprises Act, visit the official Centers for Medicare & Medicaid Services (CMS) resources:

https://www.cms.gov/nosurprises

Before scheduling any healthcare service, we strongly recommend that you:

1. Contact the hospital or facility directly to confirm current pricing for your specific procedure and circumstances.
2. Request a written estimate that includes all expected charges (facility fees, physician fees, anesthesia, supplies, etc.).
3. Call your insurance company to verify coverage, network status, and your estimated out-of-pocket responsibility.
4. Ask about payment options including cash discounts, payment plans, and financial assistance programs.
5. Compare multiple providersand consider factors beyond price, including quality, convenience, and your physician's recommendations.

ExploreCarePricing data is for educational and informational purposes only. Healthcare providers should not rely on ExploreCarePricing data for:

• Billing, coding, or revenue cycle decisions
• Compliance with CMS or insurance regulations
• Contract negotiations with payers
• Financial or strategic planning

For official pricing information and compliance guidance, healthcare providers should consult their chargemasters, CMS resources, and payer contracts directly.

We review this disclaimer regularly and update it when regulations change, our services evolve, or data sources are modified. The "Last Updated" date at the top of this page reflects the most recent revision.

Continued use of ExploreCarePricing after any updates to this disclaimer means you accept the updated terms. We encourage you to review this disclaimer periodically to stay informed of any changes.