Patient Estimates Disclaimer An estimate is based on information Community Health Network ("Community") has at the time of your request and is NOT a guarantee of what you will be charged. The estimate is a rough calculation of the likely charges Community will bill for the service(s) and your out-of-pocket responsibility. Final charges may differ due to complications, additional tests ordered by your provider and/or other recommended treatments unknown at the time of the estimate. Community cannot guarantee coverage or payment by your insurance company. Please contact your insurance company directly for more information about your out-of-pocket obligations and to determine if the service is a covered service (in-network) under your benefit plan. The estimate does not include fees from independent providers such as consultants, radiologists, pathologists or anesthesiologists, which are additional charges. For a complete estimate inclusive of potential charges not billed by Community, please contact our Pricing Support Center at 844-786-9503 (toll-free) or 317-355-9279 eCommunity.com/pricing-support-center An estimate may be viewable in your MyChart account by anyone who has full proxy access to your account. The estimate you receive is for today only. By clicking "Accept and Continue" below, you acknowledge Community is not be liable for any difference between the charges listed in the estimate and the final bill for services. Further, you understand you may be eligible for financial assistance under Community's financial assistance policy. Financial hardship is evaluated on a case-by-case basis. As a spam prevention measure, complete the CAPTCHA below. Accept and continue Have a MyChart account? Save time by signing in and using your insurance information on file. Sign in Interoperability GuideFAQsPrivacy PolicyTerms and ConditionsHigh Contrast Theme MyChart® licensed from Epic Systems Corporation, © 1999 - 2021.