Understanding the Different Fees
At Connecticut Children’s, there are three groups of providers caring for you/your child. This page will help you understand how the Medical Center, Specialty Group, and other service providers work together and how the services your child receives may affect your bill.
Hospital (the “Medical Center”)
Connecticut Children’s Medical Center (the “Medical Center”) offers inpatient and outpatient hospital services. These services are offered at the Medical Center in Hartford and other satellite locations. Many of the hospital services include the use of expensive equipment that the Medical Center possesses and maintains. The outpatient hospital services may include:
- Emergency room services
- Rehabilitation services (such as physical therapy, occupational therapy, speech therapy and audiology)
- Imaging services (such as x-rays, ultrasounds, CTs, MRIs, EKGs)
- Day surgery services
- Clinical nutrition services
- Other specialized services (such as chemotherapy infusion services, etc.)
Physician (the “Specialty Group”)
Connecticut Children’s Specialty Group (the “Specialty Group”) is a pediatric physician group that provides primary care and specialty physician services. If your child is treated by a physician, nurse practitioner or physician assistant (other than a radiologist or anesthesiologist) during a clinic visit or while in the hospital, he/she is receiving physician services. These physician services are provided at the Medical Center in Hartford and other satellite locations.
Other service providers may also be involved in providing care for you/your child. The Medical Center and Specialty Group have contracts with these providers to perform the services. Examples of these services include:
- A radiologist from Jefferson Radiology who interprets your child’s x-ray results
- An anesthesiologist from Hartford Anesthesiology Associates who provides anesthesia services to your child during a surgery or procedure
- A clinical laboratory (Quest Diagnostics) that performs tests on your child’s clinical specimens (such as blood, urine, etc.)
- A psychologist from the Institute of Living who performs a behavioral health evaluation
- A pathologist from Hartford Pathology Associates who analyzes a tissue sample that is received after surgery
We recognize that your time is valuable and want your child to be able to receive all of his/ her services in one visit. As such, it is possible that you will receive physician services, hospital services and/or other services during the same visit.
If your child receives inpatient or outpatient hospital services during a visit, the Medical Center will send a bill for the hospital services.
If your child receives any physician services during a clinic visit or while your child is in the hospital, the Specialty Group will send a bill for the physician services.
If your child receives care or other services from a provider during a visit (other than from the Medical Center or Specialty Group), each of those other service providers will send a bill for their services.
If your child receives hospital services, physician services and/or other services in the same visit, you will receive one bill from each. Examples include:
- Seeing a cardiologist (Specialty Group) for a follow-up care visit and receiving an echocardiogram (Medical Center).
- Seeing an orthopedist (Specialty Group) for an outpatient visit, receiving an x-ray (Medical Center), and then having a radiologist (other service providers) interpret the x-ray.
- Receiving services in the emergency room (Medical Center) by an emergency medicine physician (Specialty Group).
- Having a urologist (Specialty Group) and anesthesiologist (other service providers) perform outpatient surgery in the ambulatory surgery center (Medical Center).
- Seeing a sports medicine physician (Specialty Group) and physical therapist (Medical Center), receiving an x-ray (Medical Center), having a radiologist (other service providers) interpret the x-ray, and having blood drawn for lab tests (other service providers).
If you have specific questions regarding your health insurance coverage, please contact your insurance carrier.
If you have questions about:
- the services your child received or is scheduled to receive
- your bill
- financial assistance
- financial billing arrangements
Contact our financial counselors Monday — Friday from 8:00 a.m. to 4:00 p.m. at 860.545.8086.
Visit the following links for questions regarding:
- any of our physician providers
- the different locations where hospital, physician and/or other services are provided
You can request information about the cost of a diagnostic test or procedure and our hospital’s quality ratings by contacting a financial counselor at 860.545.8086, option 4.