{"id":327,"date":"2025-04-01T09:42:19","date_gmt":"2025-04-01T14:42:19","guid":{"rendered":"https:\/\/washingtonregionalmedical.org\/policies\/"},"modified":"2026-08-20T12:58:47","modified_gmt":"2026-08-20T17:58:47","slug":"policies","status":"publish","type":"page","link":"https:\/\/washingtonregionalmedical.org\/es\/policies\/","title":{"rendered":"Debt &amp; Transparency"},"content":{"rendered":"<h2 class=\"wp-block-heading has-text-align-center\">Debt &amp; Transparency<\/h2>\n\n\n\n<div class=\"wp-block-essential-blocks-accordion  root-eb-accordion-2kyij\"><div class=\"eb-parent-wrapper eb-parent-eb-accordion-2kyij\"><div class=\"eb-accordion-container eb-accordion-2kyij\" data-accordion-type=\"accordion\" data-tab-icon=\"dashicons-plus-alt2\" data-expanded-icon=\"dashicons-minus\" data-transition-duration=\"500\"><div class=\"eb-accordion-inner\">\n<div class=\"wp-block-essential-blocks-accordion-item eb-accordion-item-7e36t eb-accordion-wrapper\" data-clickable=\"false\"><div class=\"eb-accordion-title-wrapper eb-accordion-title-wrapper-eb-accordion-2kyij\" tabindex=\"0\"><span class=\"eb-accordion-icon-wrapper eb-accordion-icon-wrapper-eb-accordion-2kyij\"><span class=\"dashicon dashicons dashicons-plus-alt2 eb-accordion-icon\"><\/span><\/span><div class=\"eb-accordion-title-content-wrap title-content-eb-accordion-2kyij\"><h3 class=\"eb-accordion-title\">Medical Debt Policies<\/h3><\/div><\/div><div class=\"eb-accordion-content-wrapper eb-accordion-content-wrapper-eb-accordion-2kyij\"><div class=\"eb-accordion-content\">\n<div style=\"height:16px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-group is-content-justification-center is-nowrap is-layout-flex wp-container-core-group-is-layout-f56f9fcf wp-block-group-is-layout-flex\">\n<div class=\"wp-block-group is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-9ea1033f wp-block-group-is-layout-flex\">\n<h4 class=\"wp-block-heading\">English<\/h4>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-ptl81\"><div class=\"eb-parent-wrapper eb-parent-eb-button-ptl81\"><div class=\"eb-button-wrapper eb-button-alignment eb-button-ptl81\"><div class=\"eb-button\"><div class=\"eb-button-inner-wrapper\"><a class=\"eb-button-anchor\" href=\"https:\/\/washingtonregionalmedical.org\/wp-content\/uploads\/2025\/04\/WRMC-MedicalDebtPolicyV2.pdf\" target=\"_blank\" rel=\"noopener\">Medical Debt Mitigation Policy<\/a><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-kxnwz\"><div class=\"eb-parent-wrapper eb-parent-eb-button-kxnwz\"><div class=\"eb-button-wrapper eb-button-alignment eb-button-kxnwz\"><div class=\"eb-button\"><div class=\"eb-button-inner-wrapper\"><a class=\"eb-button-anchor\" href=\"https:\/\/washingtonregionalmedical.org\/wp-content\/uploads\/2025\/04\/WRMC-PresumptiveEligibilityPolicyV3.pdf\" target=\"_blank\" rel=\"noopener\">Presumptive Eligibility Policy<\/a><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-z489d\"><div class=\"eb-parent-wrapper eb-parent-eb-button-z489d\"><div class=\"eb-button-wrapper eb-button-alignment eb-button-z489d\"><div class=\"eb-button\"><div class=\"eb-button-inner-wrapper\"><a class=\"eb-button-anchor\" href=\"https:\/\/washingtonregionalmedical.org\/wp-content\/uploads\/2025\/04\/Financial-Assistance-Eligibility-Determination-ProcessV2.pdf\" target=\"_blank\" rel=\"noopener\">Financial Assistance Policy<\/a><\/div><\/div><\/div><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group is-vertical is-content-justification-center is-layout-flex wp-container-core-group-is-layout-6ad3e350 wp-block-group-is-layout-flex\" style=\"padding-top:0;padding-bottom:0\">\n<h4 class=\"wp-block-heading\">Espa\u00f1ol<\/h4>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-boehy\"><div class=\"eb-parent-wrapper eb-parent-eb-button-boehy\"><div class=\"eb-button-wrapper eb-button-alignment eb-button-boehy\"><div class=\"eb-button\"><div class=\"eb-button-inner-wrapper\"><a class=\"eb-button-anchor\" href=\"https:\/\/washingtonregionalmedical.org\/wp-content\/uploads\/2025\/04\/WRMC-MedicalDebtPolicyESPV2.pdf\" target=\"_blank\" rel=\"noopener\">Pol\u00edtica de Mitigaci\u00f3n de la Deuda M\u00e9dica<\/a><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-d24zn\"><div class=\"eb-parent-wrapper eb-parent-eb-button-d24zn\"><div class=\"eb-button-wrapper eb-button-alignment eb-button-d24zn\"><div class=\"eb-button\"><div class=\"eb-button-inner-wrapper\"><a class=\"eb-button-anchor\" href=\"https:\/\/washingtonregionalmedical.org\/wp-content\/uploads\/2025\/04\/WRMC-PresumptiveEligibilityPolicyESP-V3.pdf\" target=\"_blank\" rel=\"noopener\">Pol\u00edtica de Elegibilidad Presunta<\/a><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-c3w3e\"><div class=\"eb-parent-wrapper eb-parent-eb-button-c3w3e\"><div class=\"eb-button-wrapper eb-button-alignment eb-button-c3w3e\"><div class=\"eb-button\"><div class=\"eb-button-inner-wrapper\"><a class=\"eb-button-anchor\" href=\"https:\/\/washingtonregionalmedical.org\/wp-content\/uploads\/2025\/04\/Financial-Assistance-Eligibility-Determination-ProcessESPV2.pdf\" target=\"_blank\" rel=\"noopener\">Pol\u00edtica de Asistencia Financiera<\/a><\/div><\/div><\/div><\/div><\/div>\n<\/div>\n<\/div>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-accordion-item eb-accordion-item-2m40d eb-accordion-wrapper\" data-clickable=\"false\"><div class=\"eb-accordion-title-wrapper eb-accordion-title-wrapper-eb-accordion-2kyij\" tabindex=\"0\"><span class=\"eb-accordion-icon-wrapper eb-accordion-icon-wrapper-eb-accordion-2kyij\"><span class=\"dashicon dashicons dashicons-plus-alt2 eb-accordion-icon\"><\/span><\/span><div class=\"eb-accordion-title-content-wrap title-content-eb-accordion-2kyij\"><h3 class=\"eb-accordion-title\">Precios y Transparencia de Precios<\/h3><\/div><\/div><div class=\"eb-accordion-content-wrapper eb-accordion-content-wrapper-eb-accordion-2kyij\"><div class=\"eb-accordion-content\">\n<h3 class=\"wp-block-heading\">Welcome to Washington Regional Medical Center, where your health and well-being are our top priorities.<\/h3>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Here at <strong>Washington Regional<\/strong>, we believe in transparency when it comes to your healthcare costs. In line with federal guidelines from the Centers for Medicare and Medicaid Services (CMS), we\u2019re dedicated to providing you with clear information to help you navigate your healthcare journey confidently.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>Understanding healthcare billing can be complex, especially with the multitude of insurance plans available. That\u2019s why we encourage our valued patients to reach out directly to their insurance provider or connect with our financial services team for personalized estimates. Rest assured, we\u2019re here to assist you every step of the way.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>For those without insurance coverage, including Medicare or Medicaid, <strong>Washington Regional<\/strong> offers financial assistance options such as discounts or reductions on our standard charges.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>As a token of our commitment to your well-being, we\u2019ve compiled some helpful information to shed light on the intricacies of healthcare billing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><br>What\u2019s not covered in our chargemaster and consumer driven services (shoppable services) list?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>It\u2019s important to note that charges for services rendered by the doctor or doctors overseeing your care at our hospital are not included. This means you may receive separate bills from both the hospital and the physicians involved in your treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>Here is a sample of some of the healthcare providers who might bill you separately:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Attending Physicians that may visit during your hospital stay<\/li>\n\n\n\n<li>Emergency room physicians<\/li>\n\n\n\n<li>Radiologists interpreting your imaging results<\/li>\n\n\n\n<li>Other specialists your doctor may consult during your hospitalization<\/li>\n\n\n\n<li>Pathologists reviewing your specimens<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><br>Additionally, certain laboratory testing may not be covered. We want to ensure that you are aware of all potential billing entities so you can plan accordingly and make informed decisions about your healthcare journey.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><br>Price Transparency<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>At Washington Regional Medical Center, we aim to provide transparency regarding hospital charges to our valued patients. Through our chargemaster, you can access a detailed list of charges for services and items provided at our Plymouth NC Campus. This comprehensive list covers everything from tests and exams to room charges.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>While we strive to offer this information in compliance with state and federal guidelines, we understand that it can be overwhelming and may not directly answer questions about actual costs or specific bills. We encourage you to learn more about our chargemaster to better understand how it functions.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>It\u2019s important to note that the amounts listed in our chargemaster are typically not what patients are billed. Instead, they are billed to insurance companies, Medicare, or Medicaid, which then apply their negotiated rates. For uninsured patients, our hospital offers discounts. Please contact our financial assistance team for any questions you may have.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>Please be aware that while our hospital charges remain consistent for all patients, the actual amount billed and your financial responsibility may vary depending on the specific services provided during each visit and your insurance coverage. Additionally, charges for certain items like medications and supplies may fluctuate throughout the year, potentially resulting in discrepancies between the listed charges and your statement.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>The details provided in our chargemaster represent a thorough compilation of charges for both inpatient and outpatient services or items offered at Washington Regional Medical Center. These charges were verified for accuracy as of January 31, 2023.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>While our hospital upholds uniform charges for all patients, the final amount billed and your financial responsibility can differ significantly. This variance is influenced by the particular services rendered during each visit and the type of insurance coverage you possess. Additionally, fluctuations in charges for medications, supplies, and other factors throughout the year may result in disparities between the listed charges and what appears on your statement.<\/p>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div style=\"text-align: center;\">\n    <a href=\"https:\/\/washingtonregionalmedical.org\/wp-content\/uploads\/2026\/08\/842516855_Washington_Regional_Medical_Center_NC_standardcharges.csv\" download=\"842516855_Washington_Regional_Medical_Center_NC_standardcharges.csv\" style=\"display: inline-block; background-color: #ffffff; color: #000000; border: 2px solid #000000; padding: 14px 28px; border-radius: 8px; text-decoration: none; font-weight: 600;\">\n        Download Chargemaster File\n    <\/a>\n<\/div>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-accordion  root-eb-accordion-72itm\"><div class=\"eb-parent-wrapper eb-parent-eb-accordion-72itm\"><div class=\"eb-accordion-container eb-accordion-72itm\" data-accordion-type=\"accordion\" data-tab-icon=\"dashicons-plus-alt2\" data-expanded-icon=\"dashicons-minus\" data-transition-duration=\"500\"><div class=\"eb-accordion-inner\">\n<div class=\"wp-block-essential-blocks-accordion-item eb-accordion-item-jihm1 eb-accordion-wrapper\" data-clickable=\"true\"><div class=\"eb-accordion-title-wrapper eb-accordion-title-wrapper-eb-accordion-72itm\" tabindex=\"0\"><span class=\"eb-accordion-icon-wrapper eb-accordion-icon-wrapper-eb-accordion-72itm\"><span class=\"dashicon dashicons dashicons-plus-alt2 eb-accordion-icon\"><\/span><\/span><div class=\"eb-accordion-title-content-wrap title-content-eb-accordion-72itm\"><h3 class=\"eb-accordion-title\">Will the chargemaster file assist me in estimating my out-of-pocket expenses?<\/h3><\/div><\/div><div class=\"eb-accordion-content-wrapper eb-accordion-content-wrapper-eb-accordion-72itm\"><div class=\"eb-accordion-content\">\n<p class=\"wp-block-paragraph\">While the chargemaster file contains detailed information, it may not provide precise estimates for patients regarding their out-of-pocket costs. Your actual billing and expected payment, especially if you\u2019re covered by health insurance, depend on the specifics of your insurance coverage and the contractual agreements between your insurance company and the hospital. For personalized assistance in understanding your costs, please don\u2019t hesitate to reach out to our Financial Services Team at: <a href=\"tel:2523878885\">252-793-7617<\/a>.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-accordion-item eb-accordion-item-14a9v eb-accordion-wrapper\" data-clickable=\"false\"><div class=\"eb-accordion-title-wrapper eb-accordion-title-wrapper-eb-accordion-72itm\" tabindex=\"0\"><span class=\"eb-accordion-icon-wrapper eb-accordion-icon-wrapper-eb-accordion-72itm\"><span class=\"dashicon dashicons dashicons-plus-alt2 eb-accordion-icon\"><\/span><\/span><div class=\"eb-accordion-title-content-wrap title-content-eb-accordion-72itm\"><h3 class=\"eb-accordion-title\">How Can I Access Further Details?<\/h3><\/div><\/div><div class=\"eb-accordion-content-wrapper eb-accordion-content-wrapper-eb-accordion-72itm\"><div class=\"eb-accordion-content\">\n<p class=\"wp-block-paragraph\">Please call our Billing assistance line at <a href=\"tel:2523878885\">252-793-7617<\/a> for assistance.<\/p>\n<\/div><\/div><\/div>\n\n\n\n<div class=\"wp-block-essential-blocks-accordion-item eb-accordion-item-dzkdw eb-accordion-wrapper\" data-clickable=\"false\"><div class=\"eb-accordion-title-wrapper eb-accordion-title-wrapper-eb-accordion-72itm\" tabindex=\"0\"><span class=\"eb-accordion-icon-wrapper eb-accordion-icon-wrapper-eb-accordion-72itm\"><span class=\"dashicon dashicons dashicons-plus-alt2 eb-accordion-icon\"><\/span><\/span><div class=\"eb-accordion-title-content-wrap title-content-eb-accordion-72itm\"><h3 class=\"eb-accordion-title\">Terminology Explained<\/h3><\/div><\/div><div class=\"eb-accordion-content-wrapper eb-accordion-content-wrapper-eb-accordion-72itm\"><div class=\"eb-accordion-content\">\n<h4 class=\"wp-block-heading\"><strong>DRG\/MS-DRG:<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">DRG stands for Diagnosis-Related Group. It\u2019s a system used by Medicare and some other health insurance providers to classify hospital cases into groups that are expected to have similar clinical characteristics and costs. This classification system is used for the purpose of payment, where hospitals receive a fixed amount of reimbursement for each case within a specific DRG category. MS-DRG stands for Medicare Severity-Diagnosis Related Group. It\u2019s an extension of the DRG system used by Medicare to further classify cases based on severity of illness and resource utilization. MS-DRGs provide a more refined way of determining reimbursement rates by accounting for factors such as complications, comorbidities, and major complications or comorbidities (MCCs\/CCs) that may impact the cost of care.<\/p>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">REIMBURSEMENT\/PAYMENT:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Reimbursement denotes the funds a hospital collects for delivering healthcare services. These funds typically originate from three primary sources: government programs like Medicare and Medicaid, commercial insurance providers such as BCBS, Aetna, and Cigna, and direct payments from patients. Patient payments may encompass various out-of-pocket expenses such as co-pays, deductibles, coinsurance, or costs not covered by their insurance plan.<\/p>\n\n\n\n<div style=\"height:24px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h4 class=\"wp-block-heading\">Charge\/Hospital Billing:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The cost structure at hospitals encompasses a multitude of factors, including supplies, medication, medications, and the personalized care tailored to each patient\u2019s needs. Hospitals are tasked with establishing fixed rates for many thousands of items, which are meticulously recorded and updated within the hospital\u2019s billing system.<\/p>\n<\/div><\/div><\/div>\n<\/div><\/div><\/div><\/div>\n<\/div><\/div><\/div>\n<\/div><\/div><\/div><\/div>\n\n\n\n<h3 class=\"wp-block-heading has-text-align-center\">Looking for Policies? <\/h3>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-z811f\"><div class=\"eb-parent-wrapper eb-parent-eb-button-z811f\"><div class=\"eb-button-wrapper eb-button-alignment eb-button-z811f\"><div class=\"eb-button\"><div class=\"eb-button-inner-wrapper\"><a class=\"eb-button-anchor\" href=\"https:\/\/washingtonregionalmedical.org\/es\/site-policies\/\" rel=\"noopener\">Go to Policies Page<\/a><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Debt &amp; Transparency Looking for Policies?<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","_eb_data_table":"","footnotes":""},"class_list":["post-327","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/washingtonregionalmedical.org\/es\/wp-json\/wp\/v2\/pages\/327","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/washingtonregionalmedical.org\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/washingtonregionalmedical.org\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/washingtonregionalmedical.org\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/washingtonregionalmedical.org\/es\/wp-json\/wp\/v2\/comments?post=327"}],"version-history":[{"count":28,"href":"https:\/\/washingtonregionalmedical.org\/es\/wp-json\/wp\/v2\/pages\/327\/revisions"}],"predecessor-version":[{"id":1244,"href":"https:\/\/washingtonregionalmedical.org\/es\/wp-json\/wp\/v2\/pages\/327\/revisions\/1244"}],"wp:attachment":[{"href":"https:\/\/washingtonregionalmedical.org\/es\/wp-json\/wp\/v2\/media?parent=327"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}