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Outpatient Clinic Facility Charges

Children’s National Medical Center bills a facility charge for outpatient hospital-based clinic visits. Key facts you need to know about this charge: 

About the Outpatient Clinic Facility Charge 
  • You may see an outpatient facility charge on your bill. This is separate from the cost of the medical provider. 
  • The facility charge includes costs for running the “facility” like supplies, equipment, exam rooms, educational resources, counseling, and other staff. 
  • The charges are determined based on the type of visit and the hospital resources it takes for your child’s visit. 
  • The exact facility charge cannot be calculated until after the medical services have been provided and your visit is finished. 
Insurance Coverage 
  • If you have Medicaid: These programs cover the full outpatient facility charge, so you will not have a balance to pay for the charge. 
  • If you have Children’s Financial Assistance: This program will cover the outpatient facility charge based on the sliding scale up to 100%. 
  • If you have commercial insurance: Depending on you plan benefits and deductible amounts, you may be responsible for some portion of the clinic visit charge. Contact your insurance company to find out what your coverage is for outpatient hospital-based clinic charges. 
Questions 
  • Insurance Coverage: Please contact your insurance company and ask about facility charge coverage for hospital-based clinics. 
  • Financial Assistance: You can call Children’s Customer Service Department at 301-572-3542 or 1-800-787-0021, Monday through Friday, from 9am – 4pm, to speak with a Children’s representative.  Learn more about our financial assistance

 


 
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