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Finances & Insurance

Blythedale is committed to providing the information you need to make informed decisions about your child’s care. 

In order to obtain the most accurate estimate of your out-of-pocket costs, please contact your insurance provider. Your out-of-pocket costs may depend on several factors, including your insurance provider, your health benefits policy, your deductible, co-insurance, co-payment and maximum out-of-pocket expense requirements. A list of insurance plans with which Blythedale participates is found in the section below. Information on New York State's Surprise Bill Policy can be found here.

Hospitals are required by law to maintain and make available a list of prices for every service and procedure they offer. These standard charges do not reflect or represent the actual payment the hospital will receive for those services, nor do they represent your out-of-pocket costs. However, patients are entitled to request and receive this list of standard charges (which can be accessed by clicking the Standard Charge List button below. An FAQ on the Standard Charge List is also found in the expandable list below. To obtain the full list of Blythedale physicians, click here.

At Blythedale we are committed to assisting people obtain necessary medical care. If you do not have insurance, we will assist you with determining your eligibility for government assistance and for free or low-cost insurance. You can learn more by clicking on the Financial Assistance Policy box below.

For more information, please contact Director of Patient Accounts Lisa-Marie Coppolino.

Listed below are the Insurance Plans with which Blythedale participates. Insurance coverage benefits and limitations depend upon individual or group policies and contracts. We recommend that you contact your individual health insurance company to verify that Blythedale and its employed providers participate in your health plan’s network. If you do not have insurance, Blythedale’s Patient Accounts Department (914-592-7555) can help determine your child’s eligibility for government assistance (i.e., Medicaid, Child Health Plus), or for charity or discounted care (Extension 71478).

AETNA INSURANCE CO
AETNA NY INS EXCHANGE
ALLIED BENEFIT SYSTEMS
AMERICAN PLAN ADMINISTRATOR
ANTHEM BCBS
BLUE CROSS EXCHANGE
BLUE CROSS OF NY
BLUE CROSS
CIGNA
CIGNA GLOBAL HEALTH
CIGNA NY INS EXCHANGE
CONSTRUCTION WORKERS LOCAL147
EMBLEM HEALTH
ESSENTIAL HEALTH PLAN 1&2
GEHA-ASA
GHI
GHI HMO
HEALTH REPUBLIC
HEALTH REPUBLIC OF NJ
HEALTHNET
HIP GENERAL
LOCAL 137 WELFARE FUND
LOCAL 147 WELFARE FUND
MAGNACARE
MEDISHARE CCM
MULTIPLAN
MVP HEALTH PLAN
OXFORD HEALTH PLANS
OXHP NY INS EXCHANGE
PHCS SAVILITY
POMCO
TOTAL PLAN CONCEPTS
TUFTS HEALTHPLAN
UHC NY INS EXCHANGE
UNITED HEALTHCARE
MOLINA CHILD HEALTH PLUS
MOLINA HEALTH PLAN
BLUE CROSS HEALTHPLUS
BLUE CROSS HEALTHPLUS CHP
FIDELIS CARE
FIDELIS CHP
HEALTHCARE PARTNERS
HEALTHFIRST
HEALTHFIRST CHP
HEALTHFIRST PHSP
HEALTHPLUS
HIP CHP
HIP MEDICAID
HIP MONTEFIORE CMO
METRO CHILD HEALTH PLUS
METROPLUS
MVP/HUDSON CHILD HEALTH PLUS
MVP/HUDSON HEALTH PLAN
UHC COMMUNITY
UHC COMMUNITY PLAN
CONNECTICUT MEDICAID
MEDICAID
NCMCD OUT OF STATE
NJMCD OUT OF STATE

Revised June 2023

Blythedale Children's Hospital is committed to being transparent about our charges. The information on this page contains the charges for all services and items provided by the hospital. The charges are uniform for all patients served by the Hospital. However, the Hospital charges rarely reflect the expected out-of-pocket expense for a specific hospital service. Your own charges and out-of-pocket expenses will depend on one or more of the following:

Standard Charge List

Standard Charge List (PDF)
Standard Charge List (XLS)
Standard Charge List (CSV)

For a fuller understanding of your estimated out-of-pocket expenses, please contact your insurer or the Hospital’s patient financial counseling department at:

Lisa-Marie Coppolino
Director, Patient Accounts
(914) 831-2481
or 
Maryseli Romao
Assistant Director, Patient Accounts
(914) 592-7555, ext. 71478

What is a hospital chargemaster? Are the listed charges what I will pay for hospital services?
The chargemaster is a comprehensive standard price list for the services provided by the hospital (medical procedures, lab tests, supplies, medications, etc.). Because it represents the full range of services the hospital provides, there are thousands of items listed. The charges listed are generally not the amount a patient will pay. 
If you have health insurance, your out-of-pocket expenses will depend on the specific services you receive, your specific health insurance coverage, and your insurance company’s contract with the hospital. Please contact your insurance company for more information.
If you do not have health insurance, you may be eligible for
1) reduced costs under the hospital’s Financial Assistance Policy (see tab above), or
2) subsidized health insurance through programs such as Medicaid.
For more information, please contact:
Lisa-Marie Coppolino
Director, Patient Accounts
(914) 831-2481
or 
Maryseli Romao
Assistant Director, Patient Accounts
(914) 592-7555, ext. 71478

Are charges the same for every patient?
Yes, hospital charges are standard for every patient, regardless of insurance status. The total charges on your patient bill will reflect the actual services that you receive, which may vary based on several factors, including your length of stay, the time it takes to complete your procedure, medications you receive, and other health conditions that could make your care more complicated.
In addition, your out-of-pocket expenses will depend on your specific insurance coverage and/or eligibility for discounted care based on the hospital’s Financial Assistance Policy.

How can I get an estimate of my out-of-pocket expenses for a procedure?
Patients with health insurance can contact their insurance company to get an estimate of their out-of-pocket expenses for a procedure. 
Patients without health insurance may contact Director of Patient Accounts Lisa-Marie Coppolino at (914) 831-2481 or Assistant Director of Patient Accounts Maryseli Romao at (914) 592-7555, ext. 71478 for an estimate, information about the Hospital’s Financial Assistance Policy, and whether you may be eligible for subsidized health insurance through programs such as Medicaid.

Can a patient receive charges for services that are not included in the chargemaster? 
Yes, the hospital chargemaster reflects hospital services only and does not include any professional fees such as physician services that are billed separately. For estimated professional fees, please contact your physician’s office.

If insurance companies and patients without health insurance don’t pay the chargemaster prices, what do they pay?
Insurance companies have contracts with the hospital for discounts from charges. In addition, patients with health insurance are responsible for certain cost-sharing requirements such as deductibles, copayments, and/or coinsurance that vary by insurance plan. 
Patients without health insurance can apply for support through the hospital to either receive insurance coverage (if eligible) or reduced costs through the hospital’s Financial Assistance Policy (see tab above). These programs will reduce the amount owed by the patient.

Why do charges for the same procedure or item vary by hospital?
Hospitals set their standard charges for services and items based on internal metrics, including the cost to provide patient care—which varies between hospitals. For example, charges will vary based on the location of the hospital, the availability of specialized services such as trauma and transplant services, whether it is a teaching hospital, its level of underpayment from the Medicare and Medicaid programs, and services provided to the uninsured. Again, these listed charges are generally not what insurance companies or patients without insurance ultimately pay. 

Click here for Price Transparency Shoppable Services.