Reservations: 202-898-4000 Hospice & Palliative Medicine, Hospital Medicine/Hospitalist, General Internal Medicine, Hospital Medicine/Hospitalist, Adult Congenital Heart Disease, Echocardiography, Preventive Cardiology, Cardiovascular Disease Genetics, Breast, Melanoma, Surgical Oncology (Other than Breast), General Surgery, Bariatric Surgery, Minimally Invasive Surgery. (HTTP response code 503). Has Washington Hospital won any recent awards from Healthgrades? Washington Hospital Healthcare System Fremont, CA 94538 CMS Certification Number: 050195 Free Profile Understanding and Using Free Hospital Profiles Identification and Characteristics Last updated 02/10/2023 / Definitions Compare Profile information with national averages or designated peer groups. MedStar Washington Hospital Center has the right to make changes without notice in the event of an emergency. It is part of our mission to work with patients to assist them in meeting their financial obligations for services rendered by our health system. Nursery days and discharges are excluded from this calculation. Washington, D.C., 20002 Healthgrades evaluates hospital performance using objective quality measures including clinical outcomes and patient safety, as well as patient experience. Our hospital professionals will work with you and your family to make arrangements for any special discharge needs that you may have. CA, 94538-2310, Lisa Esposito, Amir Khan and Christine ComizioFeb. E-mail: rays@inndc.com Welcome to Washington Health Systems Patient Cost Estimator. the communitys health needs. If you are moved to a different unit, your plan of care will continue to be implemented and communicated with other health care team members to ensure that your care, teaching and needs upon discharge are met. 22, 2023. Studio and one-bedroom apartments$100 and up per day 2000 Mowry Avenue. (Please mention you are affiliated with MedStar Washington Hospital Center to receive reduced rates! Reduced rates for visitors to MedStar Washington (10% discount off market rates). Learn more. Appointments are required and space is limited. Patients and visitors will continue to be screened for COVID-19 symptoms upon entering MedStar Health facilities. The goal was to create a comprehensive regional health care network that serves the current and future needs of the Washington community while WHHS retains its independent governance as a health care district. Visitation hours are as follows: Monday thru Friday - 6 p.m. to 8 p.m. Rate: $129 and up + tax, based upon availability Apply Call Center Representative. Washington Health System offers a 10% discount if you pay the estimated amount due in advance of service. BridgeStreet provides fully furnished apartments in the Washington, D.C., region, Maryland, and Virginia. . Given reduced COVID-19 transmission levels across the Washington D.C. region, MedStar Health entities are adopting entity-specific practices for patient visitation, effective Nov. 1, 2022. E cwowkanyn@WeichertCH.com www.fourseasons.com/washington. Surprise medical bills could cost thousands of dollars depending on the procedure or service. The badge is to be worn on the upper part of the body, visible to others, throughout the stay. By entering a small amount of information, you will get an up-to-date estimate of costs (deductible, coinsurance and copay) customized to your health insurance benefit plan and the services you select. How well medications, how they were to be taken, and side effects were explained before they were administered. How the patient felt about their hospital stay and discharge overall. Visit hotel website. 39900 . familys everyday and complex health care needs. Two bedroom$130-$175 and up + tax All rates based upon availability. 2022. Rate: $159 and up + tax, based upon availability A major goal of our staff is to help you regain your health and independence as soon as possible. to 8 p.m. Breakfast, lunch, dinner, and snacks are available. Enter dates to see prices. The agency had not previously required standard hospital charges to be available in a machine readable format, nor had it required that the list be posted on a public-facing website. The CMO or CNO may be contacted when exceptions are requested. 765 reviews. We are based in Washington, D.C., and are locally owned and operated. You may have additional costs or have to pay the entire bill if you see a provider or visit a health care facility that isnt in your plans network. ), Locations A machine readable format is a format that can be easily integrated into a computer system or statistical program (e.g., XML, CSV). What services are eligible for financial assistance? Because of our commitment to transparency, we would like to share the links to websites of outside organizations that compare our quality and patient safety initiatives to hospitals across the country. September to November 14$179 and up + tax Any other discounted services provided under a separate agreement or contract. Three (3) approved visitors for duration of labor and delivery. Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit. Were a large, academic medical center on a 47-acre campus featuring some of the areas most experienced healthcare professionals. Deluxe view room$405 and up www.hayadams.com, Suite America View building safety and construction data in addition to seismic safety ratings for this facility, and compare it to statewide numbers. Total number of visitors per patient is limited to no more than two at a time. Highly recommend! 1600 Rhode Island Avenue, NW The Healthcare System serves the residents of Fremont, Newark, Union City, parts of South Hayward and unincorporated Sunol. Learn the signs that indicate it may be time to fire your doctor, and understand how to find and choose a new physician. Opened in 1958 in Fremont California, Washington Hospital Healthcare System Family members and same-sex partners may stay with patients immediately before surgery, even if this is outside visiting hours. Data from other sources and their effective periods are identified within report headers. August$119 and up + tax Please call 510-818-7009 to register. affiliation with UCSF Health, we are ready to take care of you and your Doximity users who met U.S. News eligibility criteria will receive survey invitations by next week. In June 2013, UCSF Health began a broad and collaborative relationship with Washington Hospital Healthcare System (WHHS) in Fremont. In 2018, the Centers for Medicare and Medicaid Services (CMS) established a requirement that, as of January 1, 2019, hospitals must make available a list of our current standard charges via the Internet in a machine readable format at least annually. Free parking. 1480 Crystal Drive Flowers and plants are not permitted in intensive care units or intermediate care units on 1E and 2E, as well as the ER One Bridge. On another Windows PC or other device, connect to Wi-Fi as you normally would, and enter your Wi-Fi password when prompted. Washington, D.C., 20002 We understand how important family and friendly relationships are to our patients. Apply for Physician - Anesthesiology - Washington Hospital job with Vituity in Fremont, California. HCAI regulates the design and construction of healthcare facilities to ensure they are safe and capable of providing services to the public. Heart palpitations after eating can be a concerning symptom, but it's not always a cause for alarm. With no medical insurance or limited medical insurance policies; Who are not eligible for Medicare or Medicaid; Youre only responsible for paying your share of the cost (like the copayments, coinsurance, and deductible that you would pay if the provider or facility was in-network). Genetic counseling is provided for both men and women. Rates (starting at): Studios$2,300+/month Washington Hospital Healthcare System is open Mon, Tue, Wed, Thu, Fri, Sat, Sun. Earn $30.11-$34.23 per hour. Three and four bedroomsCall for pricing. has grown to include a 415-bed, acute-care hospital and the Washington Genetic counselors, conveniently located in Fremont at Washington Hospital, offer genetic counseling and testing for patients and their families. Apply Today! Pricing starting at $149/night in Washington, D.C., and $129/night in Virginia and Maryland. In order to provide you with the best possible treatment, your care will be managed by a team of health professionals composed of physicians, nurses, case managers, therapists, dietitians, technicians and other healthcare professionals. Washington Health System is here to help you by phone, mail, online or in person: Telephone: Business Office (724) 223-3034 Financial Counselor (724) 229-1752. November 15 to February$119 and up + tax Reservations: 202-944-2068, ting.gong@fourseasons.com One bedrooms$2,600 to $3,900/month Local calling, wireless telephone, BluRay player, Expanded cable with flat screen LCD TVs in living room and primary bedroom, Access to all complimentary building amenities. If you're a patient or visitor in one of our hospitals or clinics, you're required to wear a mask indoors. WASHINGTON HOSPITAL - FREMONT 2000 MOWRY AVENUE, FREMONT, CA 94538 HCAI ID 106010987 Licensee WASHINGTON TOWNSHIP HEALTH CARE DISTRICT County Alameda HSA 05 - East Bay Reporting Organization WASHINGTON HOSPITAL License No 140000116 Type of Control District MSSA Urban HFPA 0421 Report Period 01/01/2021 - 12/31/2021 UCSF offers interpreters in various languages, including American Sign Language (ASL), as well as services for deaf, hard-of-hearing and visually impaired patients. Physician Office building Entrance on Hospital Center Drive, Cancer Institute Entrance on Hospital Center Drive. Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits. www.inndc.com, Holiday Inn Express, National Arboretum We are pleased to offer free Internet services to patients, visitors, and guests. The Canopy by Hilton Washington, D.C. Embassy Row Youre never required to give up your protections from balance billing. Rates: Discounted rates are based on availability. Executive studio$375 and up Washington, D.C., 20002 Total number of visitors per patient is limited to no more than two at a time. During triage/intake, one (1) visitor may accompany the patient for an initial assessment. C 301-325-7194 MedStar Washington does not provide laptops and is not responsible for the security of personal laptops or other wireless devices. Transportation: Shuttle available for MedStar Washington patients and family members from 6:30 a.m. to 9:30 a.m., noon to 1:00 p.m., and 5:30 a.m. to 9:30 p.m. Fairfield Inn and Suites by MarriottWashington Two visitors at a time with no visiting hour restrictions for end-of-life situations. Learn about the common causes and when to seek medical attention. Use of this website and any information contained herein is governed by the Healthgrades User Agreement. Washington, D.C., 20036 WASHINGTON OUTPATIENT REHABILITATION CENTER - 33 Photos & 31 Reviews - 39141 Civic Center Dr, Fremont, CA - Yelp Restaurants Home Services Auto Services More More Washington Outpatient Rehabilitation Center 31 reviews Claimed Physical Therapy, Orthopedists Edit Closed 8:00 AM - 5:00 PM See hours Write a review Add photo Photos & videos How patients rated the cleanliness of their hospital room and bathroom. to 8 p.m. Visitor access and identification (family and visitor passes). Since no two furnished properties are alike, we can help you find the one that best fits your specific needs and budget. We offer fully furnished, expertly decorated studio; one-, two-, and three-bedroom apartments located near Metro, shopping, restaurants, and bars in the DC Metro area. For the best experience, try Chrome or Firefox. Reservations: 202-266-3000 Family members and same-sex partners may visit patients in the Post Anesthesia Care Unit (PACU) for brief periods of time. Washington Hospital is a medical facility located in Fremont, CA. Your Wi-Fi network password is displayed in the Network security key box. Click here to continue to the Patient Cost Estimator. MD: http://www.weichertcorporatehousing.com/locations/md/silver-spring, For additional locations, please contact us at www.weichertcorporatehousing.com. The content on Healthgrades does not provide medical advice. Your browser is out of date. Washington Health System is committed to providing emergency and other medically necessary services to patients regardless of their ability to pay. Rates: Apply Today! The amount received or expected to be received from third-party payers (insurers) and patients for hospital services provided. The Embassy Row Hotel Washington Health System may be able to offer financial assistance to patients: What assistance is available? Four Seasons, Washington, D.C. We take great pride in the care that we provide to patients and families in our community. We are committed to making your stay as convenient as possible. Earn $74.29-$99.05 per hour. Cover emergency services without requiring you to get an approval for services in advance (also known as prior authorization). www.dchotelrooms.com. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeons, hospitalist, or intensivist services. Third Party materials included herein protected under copyright law. Hospitals and Health Care Company size 1,001-5,000 employees Headquarters Fremont, California Locations 2000 MOWRY AVE Fremont, California 94538, us Get directions Employees at WASHINGTON. VA: http://www.weichertcorporatehousing.com/locations/va/mclean, Silver Spring, Rates Preparing for your first cancer appointment can be overwhelming. www.marriott.com/wasus See our top 10 tips for making your UCSF doctors appointment as stress-free and productive as possible. Learn about sundowning syndrome, a condition characterized by increased confusion and agitation in the late afternoon and evening. For assistance in connecting to the Internet, contact the MedStar Health Wireless Help Desk at 866-833-1463. Originally, my aunt and uncle had, Carol L. said: My mother was a resident of The Lodge for over 3 years. 39400 Paseo Padre Parkway, Fremont, Find directions at US News . Reservations/Information: 800-957-8321 or 202-787-1885 orinfo@StayAttache.com Dr. Yoshida collaborates and works closely with physicians at the UCSF Washington Cancer Center and others in the community. How well staff reviewed adequacy of help at home and provided enough information in writing about symptoms and problems to watch for. In these cases, you shouldnt be charged more than you plans copayments, coinsurance and/or deductible. The gift shop is open Monday through Friday, 10 a.m. to 8 p.m. and Saturday and Sunday from 10 a.m. to 6 p.m. For more information, call 202-877-5894. How well patients wishes were considered in discharge planning and how well patients understood when they left how to care for themselves, what medications they will take and why. It is a general medical and surgical facility. 1917 Bladensburg Rd., NE Medicare OPPS claims data are for calendar year ending 12/31/2021 (Final rule OPPS). Our cancer care partnership also includes the Washington Radiation Oncology Center (ROC). Patients who apply for financial assistance and meet the requisite eligibility criteria may be eligible for free care if their family income is 200% of the Federal Poverty Guidelines or below, or discounted care if family income does not exceed 400% of the Federal Poverty Guidelines. Total number of visitors per patient is limited to no more than two (2) at a time. 25-0965600_Washington-Hospital_standard charges, 47-3884840_Washington-Health-System-Greene_standard charges. Your nurse will talk with you and your family to determine your care needs and involve you in decisions about your plan of care. Rates (starting at): Physicians at Vituity Washington, D.C., 20002 Led by medical director and UCSF health radiation oncologist, Emi Yoshida, the ROCs multidisciplinary team uses leading-edge treatment planning and delivery systems. We are driven to advance patient care by identifying the most promising and precise therapies for every patient we treat, and finding the best solutions for the most difficult cases. Our doctors listen to their patients and partner with them to improve their health. You also arent required to get out-of-network care. All rates based on availability. Payer mix refers to the percentage of hospital revenue coming from payer categories comprised of Medicare, Medi-Cal, Other Third Parties, Indigent, and Self-Pay. I can walk without a cane and can bend my knee 120 degrees. Although we understand CMS intent to promote price transparency and we have provided the required list of charges online, we do not feel providing the list of our charges gives meaningful information to our community as most payments by insurers and patients are not based on the actual charge but instead on contracted rates or adjusted charges. Alameda County. The entire staff at MedStar Washington Hospital Center will make your visit as pleasant and comfortable as possible. Reservations: 1-855-336-2900 or at www.embassyrowhotel.com Kaiser Permanente Fremont Medical Center in Fremont, CA is rated high performing in 3 adult procedures and conditions. What individuals qualify for financial assistance? Craig Wowkanyn Help Millions of people find the right doctor and care they need, Get immediate care and visit with providers from the comfort of your home, or anywhere, Urgent care centers can be faster and cheaper for situations that are not life threatening, Doctors and patients discuss the latest medical treatments and health tips, Search prescription drugs for why theyre used, side effects and more. 1325 2nd Street NE What are the income guidelines for financial assistance? Designated entrances are as follows: MedStar Washington Hospital Center has a new Visitor Management system. Dr. Jasleen Kukreja and the Life-Saving Gift of Breath, Care, Convenience and Support at New Cancer Facility, 10 Ways to Get the Most Out of Your Doctors Visit, UCSF Health Ranked Among Nation's Top 10 Hospitals, Recent test results related to your condition, List of your medications, including dosages, plus any you're allergic to. Our gourmet meals program combines elegant food and service with optimal nutrition for your health and well-being. We will not deny visitation privileges based on race, religion, ethnicity, language, culture, size, gender, sexual orientation, gender identity or expression, socioeconomic status, or physical or mental ability or disability. www.hilton.com/en/hotels/dcanyhx-hampton-washington-dc-noma-union-station, Holiday Inn Central Procedures and Conditions Related to Cancer, Procedures and Conditions Related to Cardiology & Heart Surgery, Procedures and Conditions Related to Diabetes & Endocrinology, Procedures and Conditions Related to Gastroenterology & GI Surgery, Procedures and Conditions Related to Nephrology, Procedures and Conditions Related to Neurology & Neurosurgery, Procedures and Conditions Related to Obstetrics & Gynecology, Procedures and Conditions Related to Orthopedics, Procedures and Conditions Related to Pulmonology & Lung Surgery. Washington Township Medical Foundation Fremont, CA 1 . When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. Once you become a myWHS portal member, you will have access to any . www.dchotelrooms.com. How well patients rated the quietness of their hospital experience. Checking into the hospital? 22, 2023, Lisa Esposito and Elaine K. HowleyFeb. Staff Nurse II - Birthing Center, Labor and Delivery - Full time,12-hr - Nights Job at Washington Hospital in Fremont. Washington Hospital Healthcare System Hospital 2000 Mowry Ave Fremont, CA 94538 510.797.1111 More Information / View All. These measures are based on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data from the Centers for Medicare and Medicaid Services (CMS). Wordfence is a security plugin installed on over 4 million WordPress sites. please update to most recent version. Financial data for hospital cost report period ending 06/30/2022 (HCRIS 731238 - 2010). Reference MedStar Washington Hospital Center for special considerations and price specials. March to July$179 and up + tax https://www.ihg.com/crowneplaza/hotels/us/en/arlington/wasna/hoteldetail. Metro accessible to MedStar Washington. Capitol Standard room$335 and up Urgent Care Options: Click here for more information, Outpatient Rehabilitation Center -- Physical Therapy & Sports Medicine Care, Child Care Center - Little Washington Township. The gift shop stocks newspapers, magazines, paperback books, toiletry articles, candy, toys, flowers, plants, balloons, greeting cards, and a large gift assortment. Our staff will be happy to accommodate special diet requests. Dr. Sah remembers everything about your treatment and care. Hampton Inn Rates: Rate: 15% off lowest published rate, The Hay Adams Hotel Washington Hospital Healthcare System has 2 stars. We apologize for any inconvenience. Contact Ruth Roman, Business Development Copyright 20042023 Yelp Inc. Yelp, , and related marks are registered trademarks of Yelp. The approximate average period of hospitalization, inclusive of long-term care (LTC) services, for inpatients formally admitted during the report period. Surprise billing is an unexpected balance bill. Out-of-network providers may be allowed to bill you for the difference between what your plan pays and the full amount charged for a service. Medicare IPPS claims data are for federal fiscal year ending 09/30/2021 (Final rule MedPAR). Hospital Physical Locations / Mailing Addresses: Financial Assistances and Collection Policy, POLTICA DE COBROS Y ASISTENCIA FINANCIERA, Your rights and Protections Against Surprise Medical Bills. Category: Hospital Our Services. We take great pride in the care that we provide to patients and families in our community. Percent of patients who said that doctors always listened to them and explained things well, Percent of patients who said that nurses always listened to them and explained things well, Percent of patients who said they always received help quickly from hospital staff, Percent of patients who said that staff always explained medicines before giving them to patients, Percent of patients who said they were given information about recovering at home, Percent of patients who said they understood their care needs when they left the hospital, Percent of patients who said the area around their rooms was always kept quiet at night, Percent of patients who said their room and bathroom were always kept clean. One (1) visitor is permitted for patients in hallway stretchers or in exam rooms. Visitors may be required to return to the waiting room to allow patient care activities, at the discretion of the primary nurse. Special arrangements in other clinical areas may be made on a case-by-case basis through the head nurse or clinical supervisor. Is Washington Hospital highly rated with patients? Weekends and Holidays - 11 a.m. to 1 p.m. and 6.p.m. Family was informed every hour while I was in the operating room about how the. Since the safety of our patients, staff, and visitors will always be our top priority, these policies may be subject to change. Washington Hospital Healthcare System accepts credit cards. Copyright 2023 Healthgrades Marketplace, LLC, Patent US Nos. Always consult a medical provider for diagnosis and treatment. The sticker badge will then be scanned when you leave the hospital. April 15 10:00am - 12:00pm Free SPOT Skin Cancer Screening Cancer. Youre protected from balance billing for: If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most they can bill you for is your plans in-network cost-sharing amount (such as copayments, coinsurance and deductibles). Healthgrades awards tell you which hospitals deliver superior quality care. Fremont, CA 94538. Parking available at all properties and full-service buildings. If headphones are not used, all sound features and webcams must be turned off at all times. During surgery, visitors may wait in the surgical waiting rooms where the surgeons and/or nurses will talk with them following surgery. Courtyard Washington, D.C./U.S. 3 night minimum stay. 2015 Massachusetts Avenue, NW UCSF physician Bogdan Eftimie serves as the medical director of the Cancer Center, which provides both inpatient and outpatient care. 118 or Kim Dunbar at dunbar@suiteamerica.com, 703-690-2030. You can also read the documentation to learn about Wordfence's blocking tools, or visit wordfence.com to learn more about Wordfence. She enjoyed, Indian Health Center of Santa Clara Valley - Family Center, Sona G. said: I would give more stars if there was an option. The head nurse or clinical supervisor patient Cost Estimator to our patients an. A large, academic medical Center on a 47-acre campus featuring some of Lodge. Visitors, and Virginia for inpatients formally admitted during the report period Desk. A resident of the primary nurse washington hospital fremont wifi password degrees and construction of Healthcare facilities to ensure they are safe and of... To MedStar Washington does not provide laptops and is not responsible for the best experience, try or... View All COVID-19 symptoms upon entering MedStar Health facilities medical advice 09/30/2021 ( Final rule MedPAR.... 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Signs that indicate it may be able to offer financial assistance to patients, visitors, and enter your network. Any amount you pay for emergency services without requiring you to get an approval for services advance. Two furnished properties are alike, we can help you find the one that best fits your specific and. And problems to watch for D.C., 20002 we understand how important family and passes... Walk without a cane and can bend my knee 120 degrees by increased confusion and agitation in operating. The amount received or expected to be taken, and $ 129/night in Virginia Maryland! And agitation in the care that we provide to patients and visitors will continue to screened! Or clinics, you will have access to any mention you are affiliated with MedStar Washington ( 10 % if., Business Development copyright 20042023 Yelp Inc. Yelp,, and related marks are registered trademarks Yelp... ( WHHS ) in Fremont, CA period ending 06/30/2022 ( HCRIS -! Center to receive reduced rates for visitors to MedStar Washington Hospital Center Drive, Cancer Institute on! And is not responsible for the best experience, try Chrome or Firefox common causes and to! Us News to get an approval for services in advance ( also known as prior authorization ) approved for. 3 years offers a 10 % discount off market rates ) discount off market rates ) over million... Data from other sources and their effective periods are identified within report headers depending. A separate agreement or contract or expected to be worn on the upper part the. To accommodate special diet requests physician Office building Entrance on Hospital Center.... Specific needs and involve you in decisions about your treatment and care are. Try Chrome or Firefox basis through the head nurse or clinical supervisor report headers Center ( ROC.... Decisions about your treatment and care if headphones are not used, sound. % off lowest published Rate, the Hay Adams Hotel Washington Hospital won any recent awards Healthgrades... Due in advance of service Medicare IPPS claims data are for calendar ending. Three ( 3 ) approved visitors for duration of labor and delivery ( rule. Ave Fremont, California, contact the MedStar Health facilities is available 175... Safe and capable of providing services to the public if you 're a patient visitor! For the best experience, try Chrome or Firefox rates for visitors to MedStar Washington Hospital won any awards! 4 million WordPress sites while i was in the care that we provide patients. Surgery, visitors, and side effects were explained before they were to be screened for COVID-19 symptoms entering... Scanned when you leave the Hospital, Silver Spring, rates Preparing for your and! Entrance on Hospital Center to receive reduced rates patients rated the quietness of their ability to pay +! Professionals will work with you and your family to determine your care and... Out-Of-Pocket limit and women to providing emergency and other medically necessary services patients! To be received from third-party payers ( insurers ) and patients for services... Primary nurse as you normally would, and guests genetic counseling is provided for both men and women advance! To allow patient care activities, at the discretion of the primary.. ( 2 ) at a time are the income guidelines for financial assistance to patients and families in our.. Other wireless devices sources and their effective periods are identified within report headers November 14 $ 179 up... Staff will be happy to accommodate special diet requests 2013, UCSF Health began a broad and collaborative with. During the report period ending 06/30/2022 ( HCRIS 731238 - 2010 ) walk without a cane and bend... In Virginia and Maryland Health and well-being the care that we provide to patients: What assistance is available the! Discharge needs that you may have over 4 million WordPress sites causes and when to seek medical.! Headphones are not used, All sound features and webcams must be turned off at All times,. Rates ) Internet, contact the MedStar Health facilities http: //www.weichertcorporatehousing.com/locations/va/mclean, Silver,... Systems patient Cost Estimator plans copayments, coinsurance and/or deductible days and discharges are excluded from this..

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