Financial Assistance Resources

Amounts Generally Billed

Amounts Generally Billed means the amounts generally charged to patients for emergency and medically necessary services who have insurance for such services. Charges for patients who are eligible for financial assistance shall be limited to no more than amounts generally billed (“AGB”) for such services. These charges are based on the average allowed amounts from Medicare and commercial payers for emergency and other medically necessary care. The allowed amounts include both the amount the insurer will pay and the amount, if any, the individual is personally responsible for paying. The AGB is calculated using the look back method per 26 CFR §1.501(r).

   AGB
Baltimore  See below*
Hampton Roads 25%
Kentucky  25%
Rappahannock 25%
Richmond 25%
South Carolina  20%

*Because both Maryland law and Federal tax law limit the amounts that may be charged to patients, a Financial Aid-eligible individual or an uninsured individual will not be charged more than the lesser of the Amount Generally Billed or the regulated charge set by the Maryland Health Services Cost Review Commission for emergency or other medically necessary care.

Further information regarding the Amounts Generally Billed discount is available by calling customer service at 877-342-1500

Federal Poverty Guidelines

The table below is based on the 2017 federal poverty guidelines.

# Persons in Family Household 48 Contiguous US States and DC 200% FPL 300% FPL 400% FPL
$12,600 $24,120 $36,180 $48,240
2 $16,240 $32,480 $48,720 $64,960
3 $20,400 $40,840 $61,260 $81,680
4 $24,600 $49,200 $73,800 $98,400
5 $28,780 $57,560 $86,340 $115,120
6 $32,906 $65,920 $98,880 $131,840
7 $37,140 $74,280 $111,420 $148,560
8 $41,320 $82,640 $123,960 $165,280
Each additional person $4,180 $8,360 $12,540 $16,720