Estimates & Insurance
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Mon - Thu: 8:00 AM - 5:30 PM
Fri: 9:00 AM - 4:30 PM
Getting Estimates
You have the right to get a cost estimate for your care. You also may speak to a financial counselor before you agree to a suggested procedure. There are three different ways to obtain an estimate for the cost of care:
Quick Estimates
Generate an estimate quickly using the MHealth Fairview App or MyChart
Pricing Inquiry
Fill out our online patient cost estimate tool and submit it to our team for a response within 1-3 business days
Call Us
Need help or still have questions about your Cost of Care? Reach out to our specialized team for additional support
Phone: 612-672-1048
Hours: Mon - Thu: 8:00 AM - 9:00 AM, 9:30 AM - 3:00 PM & Fri: 9:30 AM - 3:00 PM
Good Faith Estimates
An estimate represents more than just a written estimate, it represents what you deserve: transparency in your financial journey. To learn more about Good Faith Estimates (GFE) and your right to one as an uninsured or self-pay patient, please review our policy below or in the quick links section above.
Your-Insurance-Coverage
Your insurance provider is a key partner in ensuring a good healthcare experience. Call your insurer prior to your visit that to find out whether:
- Your insurance coverage is active
- The provider you are seeing, the facility you are visiting, and the service you need are all covered and in your network
- You need a referral or prior authorization for your upcoming visit, or if they have already been secured for you
- Pre-payment is required for your care. If pre-payment is needed, we will collect it(co-payments, co-insurance, unmet deductibles, and other charges that insurance won’t cover) upon registration
- Your insurer can issue a cost-of-care estimate for you. Cost estimates from insurance companies are more likely closer to your true financial liability because insurers are able to speak to their terms and conditions, and have access to the latest information about your coverage, including your deductible and out-of-pocket maximums
Out-of-Pocket & Self-Pay Patients
If you’re looking for more information on how to navigate the financial journey as a self-pay patient, please visit our Out-of-Pocket & Self-Pay page below.
Hospital Price Transparency
In accordance to requirements set by the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services, you can find negotiated rates and gross charge information below:
FAQs
Minnesota statute 62J.812 requires our primary care clinics to post charges and payments for 25 of the most commonly billed procedures, and the average payments or reimbursements received for those services from government and commercial insurance. You can review this information here:
- M Health Fairview Clinics, formally known as Fairview Clinics
- M Health Fairview Clinics in the east region, formally known as HealthEast
Prices listed do not reflect what you may owe for your care. The amount you may owe out of pocket for your care depends on the type of insurance you have and your insurance’s contracted rate with our health system.
If you would like to get an accurate estimate of the payment rate M Health Fairview will receive related to your care, and/or an estimate of what you may need to pay out of pocket, please contact your insurance company.
At M Health Fairview, our providers are often in-network with many insurance plans to ensure your access to quality care. However, insurance coverage can change, affecting which services and providers are covered.
Before scheduling an appointment, we strongly recommend contacting your health plan to confirm network coverage and understand any potential out-of-pocket costs. You can normally find the number to call your insurer by referring to the back of your insurance card. Discuss your coverage, including referrals or prior authorizations, with your insurer to avoid surprises.
For cost estimates, you can use MyChart. Stay informed to make informed healthcare decisions.
Your bills depend on the clinics you visit and the services you receive. The out-of-pocket costs that you pay may be different depending on whether you receive care or tests in a freestanding or hospital-based clinic.
Because of your own health insurance plan, an outpatient hospital visit may cost more out-of-pocket. It may be through an increased co-pay, co-insurance, or deductible amount. Your insurance company can explain the cost difference between services in a hospital based clinic and those in a freestanding clinic.
If your insurance plan calls for a co-pay, it’s due when you visit. We accept personal check and credit/debit cards (Visa®, MasterCard®, American Express® and Discover®)
Quick Links
Need more help?
Need help decoding unfamiliar terms on your bills or statements?
Find definitions and commonly used financial acronyms below in our Glossary. For answers to billing related topics, check out our FAQ.