ER/OR Information

If you go to the emergency room or have to stay in a hospital, it's likely you will get care from a hospital-based physician.

Cross icon that opens and closes an accordion of text What is a Hospital-based Physician?

A hospital-based physician performs medical services only in that hospital. They give care in one of the following specialties:

  • Anesthesiology
  • Pathology
  • Radiology
  • Emergency Medicine
  • Neonatology
Cross icon that opens and closes an accordion of text I Have to Have Surgery. What Should I Do?

If you’re having surgery at a hospital or surgery center that accepts ambulance patients, and those places are in our network, make sure that physician is in our network.

If the physician is not in network, you should ask your surgeon if you can have the surgery done at another hospital in our network.

Cross icon that opens and closes an accordion of text Hospital-based Physician Providers

Please use these lists to help make informed decisions before you seek medical care. Using network healthcare providers as much as possible will lower your out-of-pocket costs.

Cross icon that opens and closes an accordion of text My Hospital-based Physician is Out of Network!

If you can't have the surgery done at a network hospital and you get billed for the difference between Blue Cross' payment and the provider's allowable charge, call the provider's office and ask if they will accept Blue Cross' allowable charge as full payment.

Read more about out-of-network hospital-based doctors.

If you have any questions, call Customer Service at the number on your member ID card, or use our secure online inquiry form to send us your question.