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Price Estimates

Northside Hospital offers price estimates for insured and non-insured patients, allowing you to anticipate what to expect financially prior to receiving services.

Contact our Price Estimate line at 404-851-8694 or Price.Estimate@Northside.com to request a tailored price quote. You also can use our Online Price Estimate Tool for commonly shopped services.

The estimate provided is based on historical averages and information received from your insurance company. Northside Hospital cannot predict the care you need and your physician orders. This estimate is not a contract or guarantee of the actual costs for the services that may be provided. The final bill may differ from the price estimate provided, as actual charges may vary based on the specific needs of the patient, including severity of illness, length of stay and/or services and items provided.

Patients with Insurance

Most insurance plans require that patients seek authorization from their insurance companies before admission to a hospital. Many plans impose heavy financial penalties, in the form of reduced benefits, on those who fail to comply. It is your responsibility to determine if your plan requires pre-certification or prior approval and to take the steps necessary to satisfy the requirement. You may be held financially responsible for all hospital charges incurred as a result of late notification as well as all charges your insurance company does not certify as appropriate.

Although Northside Hospital may be a provider in your insurance network, your physician may or may not be a participating provider. This may affect your coverage level for professional services. Please contact your insurance company to learn about your specific coverage.

If your services will be performed on an outpatient basis, we want to make sure there is a clear understanding of how your insurance company processes your claims. Your carrier will process your claim as an outpatient location of the hospital, as opposed to a clinic or doctor’s office where a copay only might apply. Prior to your visit, please discuss your specific policy benefits with your insurance company so that your financial obligation is explained clearly to you. 

If you have adequate proof of coverage (an insurance card, for example), have satisfied all prior approval and pre-certification requirements, and provide the appropriate claim forms and completed employee claim statements, then the hospital will accept an assignment of benefits up to the full extent of the coverage available. You must present your insurance card at admission, or the account will be considered self-pay.

Patients will be required to pay all applicable copays, coinsurance and/or deductible amounts prior to services being rendered. However, payment will not be requested prior to emergency screening and stabilizing treatment in accordance with federal law.

We accept Visa, MasterCard, American Express, Discover, checks and cash. If you are unable to make a  payment in full, there are other financial options that you may qualify for, such as payment plans. To learn more about other financial options, please contact our Financial Counseling offices at the respective hospital below:

Accounts more than 30 days past due will accrue interest at the rate of 8% annually. This interest does not apply to deductibles/copayments of Medicare, Medicaid and or other governmental programs. Accounts under an agreed alternate payment contract will not be considered past due, provided the plan is accepted in writing in accordance with the Northside Hospital’s Payment Installment Agreement plan within ninety (90) days of service with all conditions of the payment plan met.

If you have health insurance but are underinsured, Northside Hospital offers financial assistance for medically necessary health care services for persons who meet Northside Hospital’s Financial Assistance Program qualification guidelines. To learn more about Northside Hospital’s Financial Assistance Program, you can download the Northside Hospital Financial Assistance Program Policy and Financial Assistance Application or you may contact our Financial Counseling offices to request that a copy of these documents be mailed to you. If you are an oncology patient, the Financial Assistance Application for Oncology can be found here.

In the event that a patient has not made a payment on his or her account for a period of 120 days or greater after the first billing cycle, Northside Hospital may pursue collection actions.

Private Pay (Non-Insured) Patients

If you are not covered by insurance, then you need to pay a deposit before receiving non-emergent services at the hospital. A deposit will not be requested prior to emergency screening and stabilizing treatment as required by federal law.

If you are unable to make a deposit after emergency screening and stabilizing treatment or non-emergent services, Northside Hospital does offer many other financial options. To learn about financial options that you may qualify for, please contact our Financial Counseling offices.

Accounts more than 30 days past due will accrue interest at the rate of 8 percent annually. This interest does not apply to deductibles/copayments of Medicare, Medicaid and or other governmental programs. Accounts under an agreed alternate payment contract will not be considered past due, provided the plan is accepted in writing in accordance with the Northside Hospital’s Payment Installment Agreement plan within ninety (90) days of service with all conditions of the payment plan met.

If you are uninsured and think that you may have trouble making payment for the services you receive, Northside Hospital offers financial assistance for medically necessary health care services for persons who meet Northside Hospital’s Financial Assistance Program qualification guidelines. To learn more about Northside Hospital’s Financial Assistance Program, you can download the Northside Hospital Financial Assistance Program Policy and Financial Assistance Application or you may contact our Financial Counseling offices to request that a copy of these documents be mailed to you. If you are an oncology patient, the Financial Assistance Application for Oncology can be found here.

In the event that a patient has not made a payment on his or her account for a period of 120 days or greater after the first billing cycle, Northside Hospital may pursue collection actions.

Northside Billing Resources

 

Insurance and Coverage

Northside Hospital accepts most major insurance plans. View a sampling of the major plans we accept.

Learn More

Financial Assistance

Uninsured, underinsured and medically indigent patients may be eligible for financial assistance through Northside’s Financial Assistance Program. 

Learn More

Billing FAQs

Find the answers to the most common or frequently asked billing questions.

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