Medical Records Release

Please complete and return the following medical records releases to receive a copy of your records or send records to us. For any further questions regarding record copies, please contact our Medical Records department at 208-226-3200.

Power County Hospital, Physical Therapy, Clinics, or Skilled Nursing Facility Records Release Form


Notice of Privacy Practices

Download Notice of Privacy Practices


Sliding Fee Scale

Notice to Patients

PCHD is committed to treating all patients equitably with dignity, respect, compassion, and professionalism. A Sliding Fee Scale (SFS) discount for clinic visits, emergency and ancillary services and for non-emergency lab and x-ray services may be available. Eligibility for the SFS discount depends solely upon family size and income. The SFS discount is applied in a non-discriminatory, equitable, and uniform manner: 1) regardless of the ability to pay; 2) regardless of participation in Medicare, Medicaid, or CHIP programs; and 3) without regard to race, color, sex, creed, religion, national origin, gender identity, age, physical or mental disability, sexual orientation, citizenship, political belief, marital or family status, pregnancy, veteran status, economic status, or any other legally protected status or assets held.  Applications for the discount program are available at facility Admission areas, Front Business Office, or Hospital Nurse’s station.  *Applying for the discount does not guarantee eligibility.

Aviso a los pacientes

PCHD se compromete a tratar a todos los pacientes de manera equitativa, con dignidad, respeto, compasión, y profesionalismo. Puede haber un descuento disponible de la escala de tarifa (SFS) para visitas a clínicas, servicios de emergencia y servicios auxiliares y para servicios de laboratorio y radiografías que no sean de emergencia. La elegibilidad para el descuento SFS depende únicamente del tamaño de la familia y los ingresos. El descuento SFS se aplica de manera no discriminatoria, equitativa y uniforme: 1.) independientemente de la capacidad de pago; 2.) independientemente de la participación en los programas de Medicare, Medicaid, o CHIP; y 3.) sin distinción de raza, color, sexo, y credo, religión, origen nacional, identidad de género, edad, discapacidad física, o mental, orientación sexual, ciudadanía, creencias políticas, estado civil o familiar, embarazo, estado de económico, o cualquier otro estado legalmente protegido o bienes.

 


Hospital Chargemaster

In accordance with the Centers for Medicare and Medicaid Services (CMS) 2019 IPPS Final Rule of the Public Health Service Act, all hospitals are required to publicly post their charges for consumer review. This chargemaster list will be updated annually on our website.

The following Power County Hospital chargemaster file with rates are estimates only. The pricing for services are for standard procedures and supplies. Patient or procedure complications, final diagnose(s) and unforseen circumstances may impact or change final pricing. Patient insurance plans with varying deductibles, co-insurance, prior-authorizations, etc. will also impact the final amount due by patient.

Please contact our Billing Specialists at 208-226-3200 for questions about pricing and billing, prior to services, for the most accurate account of a final bill. Patient assistance plans and payment arrangements may also be available. Thank you.

2019 PCH Hospital Chargemaster

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