Hospital and Physician Charges (Facility Fees)
Medical bills for hospital services can be difficult to understand. For most hospital services patients can expect to receive two bills, one for hospital services and one from each physician or provider who provided care during hospital visits. Certain physician or outpatient clinics located in the hospital are designated and considered part of the hospital. These locations are listed below and represent hospital-based clinics where patients may receive a hospital and physician bill separately.
Sinai Hospital Locations
| Clinic Name |
Location |
| Adult Outpatient Psych |
Ambulatory Psych Building, 2441 Cylburn Ave. Baltimore MD |
| Anitcoagulation Clinic |
Hoffberger Building, 2401 W Belvedere, Baltimore MD |
| Brain & Spine Institute (The Sandra & Malcom Berman) |
Mirowski Medical Office Building, 5051 Greenspring Ave. Baltimore MD |
| Diabetes Management Clinic |
Hoffberger Building, 2401 W Belvedere, Baltimore MD |
| Ear, Nose and Throat Clinic |
2nd floor, Main hospital, 2401 W Belvedere, Baltimore MD |
| Heart Failure Clinic |
Hoffberger Building, 2401 W Belvedere, Baltimore MD |
| Infectious Disease Clinic |
Hoffberger Building, 2401 W Belvedere, Baltimore MD |
| Krieger Eye Institute (Ophthalmology) |
Morton Mower Medical Office Building, 2401 W Belvedere Ave. Baltimore MD |
| Krieger Eye Institute (Retina Clinic) |
Morton Mower Medical Office Building, 2401 W Belvedere Ave. Baltimore MD |
| Maternal-Fetal Medicine |
Blaustein Building, 2401 W Belvedere, Baltimore MD |
| Outpatient Physical, Occupational and Speech Therapy |
Schoeneman Building, 2401 W Belvedere Ave, Baltimore MD |
| Pediatric Hematology/Oncology Infusion Clinic |
Cancer Building, 2401 W Belvedere, Baltimore MD |
| Pre-Anesthesia Screening Services (PASS) |
2nd floor, Main hospital, 2401 W Belvedere, Baltimore MD |
| Radiation Oncology (The Weinman Family Department) |
Mount Pleasant Building, 2401 W Belvedere Ave. Baltimore MD |
| Rubin Institute for Advance Orthopedics |
Schoeneman Building, 2nd and 5th floor, 2401 W Belvedere Ave, Baltimore MD |
| Sharp Clinic, non-grant Ambulatory |
Psych Building, 2441 Cylburn Ave. Baltimore MD |
Northwest Hospital Locations
| Clinic Name |
Location |
| Anticoagulation Clinic |
1st floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
| Breast Care Center |
1st floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
| Cardiac Rehab |
1st floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
| Hyperbaric Oxygen Treatment Clinic |
1st floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
| Krieger Eye Institute (Ophthalmology) |
Medical Office Building at 5415 Old Court Rd., Randallstown MD |
| The Diabetes and Nutrition Center |
1st floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
| Outpatient Infusion & Cancer Therapy Center |
1st floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
| Sleep Disorders Clinic |
1st floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
| Pulmonary Rehab |
2nd floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
| Wound Care Clinic |
1st floor, Main hospital, 5401 Old Court Rd, Randallstown MD |
Carroll Hospital Locations
| Clinic Name |
Location |
| Anticoagulation Clinic |
East Pavilion, 2nd floor, Main hospital, 200 Memorial Ave. Westminster MD |
| Diabetes Counceling/Nutrition Therapy |
East Pavilion, 2nd floor, Main hospital, 200 Memorial Ave. Westminster MD |
| Kalhert Regional Cancer Center |
Carroll hospital, 291 Stoner Ave. Westminster MD |
| Sleep Disorders Clinic |
1st floor, Main hospital, 200 Memorial Ave. Westminster MD |
| Wound Care Clinic |
East Pavilion, 2nd floor, Main hospital, 200 Memorial Ave. Westminster MD |
Levindale Hospital Location
| Clinic Name |
Location |
| Levindale Outpatient Mental Health Clinic |
2434 W. Belvedere Ave. Baltimore MD |
Grace Hospital Location
| Clinic Name |
Location |
| Grace Outpatient Mental Health Clinic |
2000 W. Baltimore Street, Baltimore MD |
Frequently Asked Questions
What is facility fee or “hospital-regulated based” billing?
Facility fee or hospital-regulated based billing is a status defined by the State of Maryland Health Services Cost Review Commission (HSCRC) and the Centers for Medicaid and Medicare Services (CMS) that refers to the billing process for services rendered in a hospital outpatient location. Patients seen at these locations may receive bills for hospital and physician services, resulting in two bills.
Why are facility fees charged?
The facility or hospital fee covers the use of the room and any medical or technical supplies, equipment and support staff to cover costs of enhanced specialty services.
How will my bills be different at hospital-regulated based locations?
In most cases, charges for services at hospital-regulated based locations are split apart for professional services (physician and other provider fee) and hospital services (facility fee). Depending on insurance coverage, it is possible benefits will be different and some patients may have to pay a higher cost because of hospital charges (facility fees). Patients are encouraged to contact their health insurance plan for more information about insurance coverage and benefits.
Patients with Medicaid or a Medicaid replacement plan have no out-of-pocket costs at hospital-regulated locations. Also, Medicare patients with supplemental insurance may not have any out-of-pocket costs.
Can you provide more details about the billing process?
Patients not covered by Medicaid or Medicare with secondary insurance may receive two separate bills for services provided at the locations listed above. One bill will be for professional services delivered by the physician and other providers, and a second bill for hospital facility fees. Once insurance processes their portion of the claims, the balance will be submitted to a secondary insurance plan, if one is provided. Patients who have a balance after the secondary insurance pays the claim or who do not have secondary insurance coverage may receive two bills for the remaining balance.
How does my insurance impact my bill?
Depending how the services provided, your insurance may be sent two claims, one for physician services and one for hospital fees. After your insurance pays your claims, the remaining balance will be billed to you. If you have a remaining deductible, hospital fees may be applied to your deductible. Please contact your insurance company for information about your insurance plan benefits.
What if I need help paying my bills?
LifeBridge Health offers generous financial assistance to those patients who qualify. Applying is simple. You can request a financial assistance application by calling Customer Service at
(800)788-6995, visiting the Customer Service area at the hospital where you received care, or online
https://lbhstaging22.lifebridgehealth.org/Main/LifeBridgeHealthFinancialAssistance.aspx.
What if I have questions?
Customer Service Representatives are available by calling
(800)788-6995, Monday through Friday, 7:30am to 5:00pm.