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Estimate of Cost

What information do I need to provide to obtain an estimate of cost?
Please complete the estimate of cost request form.

What will my out of pocket expense be?
This will be varied by insurance company. Our Transparency Analyst is available to help estimate that amount for you.

What if the actual charges exceed the estimate I was given?
If the variance is less than 20% of the estimate, Children’s National will honor the original estimate. If the variance is greater than 20% Children’s National will conduct an audit to determine the reason for the additional cost. The family would be responsible for some portion of the variance.

How long will it take to get an estimate of cost?
For outpatient services – 2 business days, surgery – 5 business days and inpatient – 5 business days.

What is the estimate of charges for surgical procedures?
Based on manual calculations, please see the estimate of charges for surgical procedures form.

What if I have questions about the estimate or need additional assistance?
Our Transparency Analyst is available Monday-Friday, 9am to 4pm EST at
202-476-6203, toll free at 800-787-0021 (select option 6).

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