ABOUT US

Pricing Transparency

At ClearSky Rehabilitation Hospital of Lecanto, we’re committed to openly sharing information with our patients and their families regarding what we charge insurance companies for the cost of our specialized rehabilitative services.

Our standard charges are based upon the expected length of the hospital stay for an individual’s rehabilitation program or service package as determined by a medical condition.  Our pricing information includes diagnosis, room and board, ancillary services, pricing agreements with insurance companies, and expected out-of-pocket expenses for patients. Actual length of stay, charges, and out-of-pocket expenses may vary by individual.

It’s important to note that insurance regulations are complicated. Changes in insurance policies and individual coverage plans can affect your out-of-pocket totals.

To best understand our shoppable services, please note:

  • We bill insurance companies the total charges incurred during a stay for a patient’s service package.
  • Some insurance companies pay a flat amount per service package regardless of how long a patient stays. Other insurance companies pay a set amount per day.
  • Room and board charges are standard. Other charges depend on specific patient needs, such as medications, medical supplies, therapy, and other ancillary services.
  • We have included insurance companies that have contracts with us if applicable. Insurance providers that we are not contracted with will pay out-of-network rates if benefits are available under the individual’s plan. Co-pays, deductibles, and co-insurance may be higher.
  • Physician services are not listed. Physicians’ services are billed separately and directly by the physician and/or the physician group. Please contact your physician directly. View Physician Listing Page.
  • For more information, please contact your insurance company regarding your specific co-payments and deductibles.

Click below to view the How To Guide

About Us

Standard Charges

We offer this machine-readable file as a convenience for individuals and organizations who wish to combine and analyze data.

Requesting an Estimate

Estimates of expected charges may be requested and will be provided within seven business days after the receipt of the request.  Estimates are based on the average charges for the anticipated service package or charge bundle. The service package is determined by the patient’s stated medical condition and is a personalized estimate including a review of your insurance benefits and anticipated out-of-pocket expenses.  Patients are also encouraged to contact their health plan for more information regarding their specific plan details.

To request an estimate, please contact our Central Business Office by calling or emailing using the below information:

  1. Central Business Office phone number: 505.317.3956
  2. Central Business Office email: businessoffice@clearskyhealth.com

Please note the following:

  • The estimates are provided in good faith; however, the actual charges and patient responsibility may exceed the estimate. Changes in your medical condition may change or impact your personalized estimate.  Please contact your health insurance for more information about your potential financial responsibility and cost-sharing estimates.
  • Physician services are not included in the estimate and will be billed separately by the physicians. Please note that physicians may or may not participate with the same health insurance companies or managed care organizations as our rehabilitation hospital. You are encouraged to contact the provider to request a personalized estimate of expected charges for your treatment from your provider.
  • You may pay less for services at another facility or in another healthcare setting.

If you have health insurance, we will bill your insurance provider, including secondary coverage, after your hospital stay to determine the patient’s financial responsibility.  Once this process is completed, you will receive a statement with the final amount due.

If you need financial assistance in paying your balance or you do not have health insurance, please contact the Central Business Office at the number listed above to determine if you qualify for financial assistance, discounts, and/or to discuss payment plan options.

Click Here for financial assistance information.

Florida Health Finder

As a resource, patients have access to the Florida Agency for Health Care Administration. This website contains health-related data and hospital quality metrics, including readmissions data, mortality rates, complications rates, infection rates, patient experiences, and other patient safety-related data.

Visit: quality.healthfinder.fl.gov

Florida Health Price Finder

The Florida Agency for Health Care Administration also provides information on payments made to facilities for defined “service bundles.” Visit the State’s pricing tool to view average payments for over 200 service bundles in Florida.

Visit: price.healthfinder.fl.gov

Please note the following:

  • The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and actual costs will be based on services actually provided to the patient.
  • You have the right to request a personalized estimate from the hospital.  Please see “Requesting an Estimate” above.

Hyperlinks for Direct Access to Health Insurers Websites

We are not currently contracted with any health insurers or health maintenance organizations.

Your Rights & Protections: Surprise Medical Bills

This disclosure notice outlines patient rights and protections against surprise medical bills and balance billing when you are treated by an out-of-network provider at an in-network hospital. Please read the attached disclosure for more detailed information.