Online Patient Cost Estimator Tool

At the Mount Sinai Health System, we want you to understand any bills you receive from us for health care. We want you to be able to estimate costs as you plan for upcoming procedures and services. If you have insurance, you can just provide your insurance information and select the relevant procedure code. The estimator will give you a customized cost estimate, based on the following:

  • Facility fees associated with the service
  • Coverage terms of your insurance plan
  • Your year-to-date health care spending

This will provide your expected total facility-based out-of-pocket cost.

More Than One Bill

You may receive more than one bill for services performed at one of our hospitals depending on the nature of the visit and the services performed. The types of bills you might get include:

  • Hospital bills for charges related to services, supplies, equipment, or room used during your stay (called the technical or facility bill)
  • Physician bill for charges related to their professional services and/or interpretation of tests (the professional bill)

We bill separately because health insurance companies require us to bill separately for professional and technical components of your care.

This price estimator tool provides estimates for facility fees only and does not include professional or ambulance services.

If You Have Health Insurance

This tool is intended to give estimates only. If you have health insurance, you should contact your insurance company to determine all potential out-of-pocket costs. You can see a list of plans in which each of our hospitals participates on our website. To obtain a list of plans, please click here and then select the applicable hospital. You should always confirm hospital participation directly with their health insurance plan.

If You Lack Health Insurance

If you are uninsured or underinsured, you should consult with our patient financial advocates to see if you qualify for financial assistance. We explain our Financial Assistance Program and other subsidized health insurance programs on our website.

Additional Notes

Please note that this tool can only estimate your costs for services provided at the site you select when you fill out the form. For example, this tool provides the cost of labs collected at one of our hospital locations. If your labwork is collected in your doctor’s office, it may be sent to another lab location which might be covered under a separate pricing agreement. You should always ask your provider which labs they use. Then you can check with your insurance provider to understand your out-of-pocket costs.

If you are having a complex procedure, there may be additional (ancillary) related services in addition to your primary service. The tool includes typical ancillary services in the cost estimate for more complex services. But the exact ancillary services you receive may vary from patient to patient or visit to visit. Your final bill will reflect the specific services you received. This might be somewhat different than those predicted by the estimator tool.

Patient Self-Service Cost Estimator Tool

Frequently Asked Questions

You may have additional questions about the estimator tool. Here we address some of the most common questions.