![]() With Medicare, Medicaid and some commercial insurers, reimbursement doesn’t cover the cost of care. In many instances, Shepherd Center is paid a flat rate per day (a “per diem”) regardless of the charges or underlying cost of care. What Shepherd Center is ultimately paid varies greatly by payer and is significantly discounted from charges listed on the downloadable file below. However, it is important to note that charges by Shepherd Center, and other hospitals, evolve over time in response to varying and complex reimbursement methods and structures imposed by Medicare and Medicaid or negotiated with commercial insurers. Shepherd Center’s list is available as downloadable file below. ![]() The federal government requires all hospitals to provide a chargemaster, or list of charges for services and items for patients, in a “machine-readable format” (XML file). We provide financial assistance in many forms, from working with patients and families on qualifying for Medicaid or Medicare, providing charity care, and providing substantial self-pay discounts to patients with the ability to pay, but having no insurance coverage. It is part of Shepherd Center’s mission to provide these services without regard for a patient’s ability to pay. Rather, at Shepherd, all earnings flow back to the hospital, so we can provide more and better medical care for you and your family. As a not-for-profit hospital, Shepherd Center does not have shareholders, and no funds flow to private individuals as might occur in a for-profit, shareholder or privately owned corporation.
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