The required information (indicated by *) must be provided in order for us to prepare an estimate. We will respond to this request within five business days of receipt. The estimate will be based on the information provided above and will not be specific to any particular insurance plan unless that information has been provided and confirmed by one of our financial counselors. If we cannot locate your specific benefits based on information provided, we will attempt to contact you via the phone number(s) and/or email address listed provided above. Estimate(s) provided typically include facility and physician / provider fees billed by Saint Francis Medical Center. Independent physician or professional provider fees including but not limited to Cape Radiology Group & Cape Lab and Pathology are not included in this estimate and will be billed separately by those entities. Please be aware that Saint Francis Medical Center is contractually obligated to bill your insurance carrier. If services are provided we must file a claim to that carrier even if the patient has not provided that information to Saint Francis Medical Center.

If you have insurance, you should contact your health plan to make sure that Saint Francis Medical Center is a provider in your plan’s network and to obtain information related to your specific benefit plan (such as whether or not the service is a covered benefit and the amount of deductible, co-payment or coinsurance you may owe.) The actual price of the service may be more or less than the estimate provided and may vary depending on chronic health issues, medications, unexpected complications, and other factors. The estimate will not be a guarantee of what you may eventually owe.