Hospital Standard Charges

In compliance with federal law, CMS-1717-F2, Joint Township District Memorial Hospital (JTDMH) is providing a comprehensive machine-readable file that makes public all standard charge information for all items and services provided by the hospital. This document should not be used to accurately estimate or determine the final patient cost of a given hospital service. It is provided for informational purposes only.

 

JTDMH charges are the same for all patients, regardless of insurance company or coverage. However, the charges do not reflect actual reimbursement from patients or insurance companies.  Actual reimbursement is influenced by a variety of internal and external factors, including insurance network status, insurance plan coverage, negotiated health plan rates, fixed government rates, medical expenditures already incurred this plan year and the patient’s ability to pay.

 

Information referenced in this file was valid as of January 1, 2021. These charges may have changed since this date due to new technology, added or eliminated services, goods and/or procedures, changes made by manufacturers or vendors, etc.

 

For more information regarding the cost of your care, please contact our patient financial service staff at 419-394-8389.

 

By clicking this document, I understand that the following charge information is an estimate of charges for the procedure/service without complications. This estimate, unless specified differently, does not include physician fees or charges for any additional tests ordered for your care. Your final bill will include charges for the actual services provided to you.

 

Click here to view file.

Grand Lake Health System
200 St. Clair Street, St. Marys,
Ohio 45885-2400
| 1-419-394-3335 | 1-877-564-6897

I understand that the following charge information is an estimate of charges for the procedure/service without complications. This estimate, unless specified differently, does not include physician fees or charges for any additional tests ordered for your care. Your final bill will include charges for the actual services provided to you. For questions about your financial obligation, we encourage you to contact your insurance company to verify details of your coverage.

I have read and understand the above information.

You must click the box to continue.