Hospital Price Transparency & Financial Assistance
In accordance with the Centers for Medicare & Medicaid Services (CMS) Hospital Price Transparency Rule, Cibola General Hospital is committed to providing clear, accessible information about hospital pricing to help patients make informed healthcare decisions.
The CMS rule requires hospitals to make public standard charges for items and services, including gross charges, payer-specific negotiated charges, discounted cash prices, and minimum and maximum negotiated charges, in both a machine-readable file and a consumer-friendly display of shoppable services.
Understanding Your Cost of Care & Insurance Assistance
Cibola General Hospital understands that healthcare costs can feel complex and overwhelming, especially for individuals who are uninsured or underinsured. After you and your physician determine the services you need, our team can help you review available pricing information and discuss financial options prior to receiving care, whenever possible.
We accept many forms of insurance, and our financial counselors are available to help patients understand their coverage, benefits, and any insurance-related questions.
For those seeking coverage, the Health Insurance Exchange Open Enrollment Period occurs annually from November 1 through December 15, and our team can help guide you during that time.
We are here to support you in understanding your care costs and insurance options with clarity and compassion.
Financial Assistance, Charity Care, & Medicaid Enrollment
Cibola General Hospital is committed to helping patients access the care they need, regardless of their ability to pay. Our Financial Counseling Team supports uninsured, underinsured, and self-pay patients through:
- Assessing eligibility for financial assistance / charity care
- Reviewing and setting up payment plan
- Explaining discounted cash pricing for self-pay services
- Providing Medicaid enrollment assistance, including help completing applications and understanding eligibility categories
Eligibility for financial assistance is determined according to hospital policy and applicable federal and state regulations.
If you have questions about self-pay, Medicaid eligibility, or financial assistance, please contact our Financial Counselors:
📞 (505) 287-5204
📧 fi*****************@************al.com
CMS-Required Price Transparency Files
The following resources are provided in compliance with the CMS Hospital Price Transparency Rule:
Questions about your bill or statement?
Questions about your bill or statement?
Customer service representatives are available to help you. Please call us at 866-269-0710 with any questions or concerns you may have about your bill. Monday – Friday 8am to 5pm MST.
A deductible is the initial amount that you must pay before your insurance plan begins to pay for your bills. Typically, a deductible is a flat dollar amount.
A co‐payment is a flat amount paid for each visit to a provider. If you have a $50 hospital co‐payment, you must pay $50 for each visit and your insurance company will pay for the remaining balance on all covered services. Co‐pays may vary depending on the location of the visit (i.e. urgent care, emergency department, outpatient hospital clinic, and/or facility).
Co‐insurance is the percentage of the total cost of the health service that you must pay until you have reached your out‐of‐pocket maximum for a certain period of time. Co‐insurance rates vary, but the most common is 20%. After you meet your out‐of‐pocket maximum for that period of time, then most plans will pay 100% of the allowed amount.
In some instances, you may be responsible for a co‐payment, deductible, and co‐insurance amount during the same visit. Please check with your health insurance plan if you have questions.
“Surprise billing” is an unexpected medical bill which happens when you cannot control who is involved in your care. Learn more about when this can happen and your protections against unanticipated medical charges.
La “facturación sorpresa” es una factura médica inesperada saldo que ocurre cuando no puede controlar quién participa en su atención. Obtenga más información sobre cuándo puede suceder esto y sus protecciones contra cargos médicos imprevistos.
We are providing you with an estimate of how much you will owe after insurance. Insurance contracts vary depending on allowed services, co‐payment amounts, deductibles, and co‐insurance. Therefore, it is impossible for us to know exactly how much your insurance company will pay or how much you will have to pay.
Please remember that the amount we provide you is only our best guess of what you will after insurance. You will receive a bill that includes your actual charges, insurance payments, and what you actually owe.