We're here to help. Learn how our billing process works, your rights as a patient and what programs are available to those in need to help with the cost of care.
Decoding Your Bill
Here's what different kinds of medical codes mean and how they're used for billing.
ICD-10 codes describe your condition or injury, as well as other aspects of your health. They’re used to determine what services or procedures you may need.
- S62.5 – fracture of thumb
- E119 - Type 2 diabetes mellitus without complications
- J45.30 - Mild persistent asthma, uncomplicated
These standardized procedure codes specify the care you received. Each has a clear, published cost from your provider and a specific reimbursable amount from your insurance provider.
- CPT® 45378 - Diagnostic Colonoscopy
- CPT® 80061 - Lipid panel
- M1069 - Patient screened for future fall risk
- G0379 - Direct admission of patient for hospital observation care
Professional and facility codes detail services from specific facilities, such as nursing time, medicine given or supplies used.
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
More Billing Policies
We may send bills that aren’t resolved in 121-181 days to an outside collections agency. But if patients are working with their insurance provider or applying for financial assistance, collections are paused.
If you want to discuss an error in your bill, call the patient billing office. Contact us to find local contact information for your area. You can also notify us in writing about inaccuracies. Written disputes should be mailed directly to your hospital at the address on the front of your bill.
Recently, a government program that helped cover COVID-19 testing, vaccination and care ended. Now patients may be billed for some COVID-19 services. If you need help with the costs of this care, please visit the Financial Assistance page and learn more about how we can help.
To easily access the billing support you need, visit our contact resources directory. You'll find detailed contact information, hours of operation and the option to receive prompt assistance either by phone or email.
Top Billing FAQs
We’re here to help. If you are unable to pay for some or all of your medical care, you may be eligible for Providence’s financial assistance program. This program provides free or discounted services to eligible patients.
Our financial counselors can also assist you in applying for many government programs that can help with the costs of care. And we offer interest-free, long-term payment plans starting at $25 a month and lasting up to 24 months.
Please note that if you have not yet received a bill, you will not be able to set up a payment plan. If you’ve received a bill and would like to set up a payment plan, visit our Online Bill Payment page and choose your state to get started. However, financial assistance applications can be filled out at any time before, during or after you receive care.
If you wish to discuss concerns about your bill, call the patient billing office at 800-378-4189, Monday through Friday, 8 a.m. - 4:30 p.m. or any of the phone numbers listed on the front of your bill.
Or you can notify us in writing if you think your bill is inaccurate. Written disputes should be mailed directly to your hospital at the address listed on the front of your bill. Please include:
- Your name and account number
- The charge you feel may be inaccurate
- An explanation of why you believe the bill is in error
After we receive your written concerns, we will:
- Acknowledge receipt of your letter within 30 days
- Pause all formal collection attempts until we have responded to your concern
- Respond to you or explain the delay within 60 days of receipt of your letter
- Correct your bill, if an error is verified
Because facilities, physicians and caregivers and medical equipment can be billed separately, you may receive more than one bill per visit. For example, you may be billed separately by each physician (e.g., surgeon, anesthesiologist, radiologist, pathologist, intensivist or hospitalist) involved in providing or reviewing your care.
Providence determines your bill based on several factors, including the costs associated with the following:
- Specific medical services, treatments and procedures you receive
- Duration of your hospital stay
- Complexity of your condition
- Medications administered
Additionally, the bill may also take into account your insurance coverage, applicable discounts, financial assistance and any outstanding balances from previous visits. Your financial responsibility will be determined based on your insurance plan's coverage.
The billing process is transparent, and you can inquire about the details of your bill by contacting Providence's billing department or reviewing the itemized statement provided to you.
We offer a 10% pre-pay discount if you pay an estimate on or before your day of care. Self-pay discounts for people not billing insurance are also available.
We understand that medical expenses can be challenging to manage. Providence offers a financial assistance program to eligible individuals, providing discounts based on their income and financial situation. To learn more about our financial assistance program and how to apply, please visit the financial assistance page.