Billing & Insurance

Our goal is to provide resources to make billing as easy to understand as possible for patients.

Hospital Charges

We know billing and insurance matters can be stressful, but we want to offer as much information as possible to make the process stress-free. The nationally based Healthcare Financial Management Association (HFMA) developed the guide below to aid patients in understanding their hospital charges.

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Questions about your billing statement?

 

Hospital Billing Department
Medicare Billing: 217-465-2606, Ext. 4213
Commercial Insurance: 217-465-2606, Ext. 4211 or 4367

Patient Accounts Manager: 217-465-2606, Ext. 4310
Financial Assistance Coordinator: 217-465-2606, Ext. 4257

HFMA’s Understanding Healthcare Prices: A Consumer Guide:

 Standard Charges

Hospital charges are the amounts set before any discounts. Hospitals are required by the federal government to utilize uniform charges as the starting point for all bills. Charges are based on what type of care was provided and can differ from patient to patient for the same service depending on any complications or different treatment provided due to the patient's health. Therefore, actual charges for a specific patient will differ from the listed standard charges.

These charges represent the standard charges for procedures and diagnosis-related groups. The charge is for care without complications.

Actual charges may be different for specific patients due to:

  • Medical condition
  • Length of time spent in surgery or recovery
  • Necessary specific equipment
  • Supplies or medication
  • Complications requiring unanticipated procedures or 
  • Other treatment ordered by the physician


Requests to View Hospital Standard Charges

Paris Community Hospital has historically publicly displayed in its Registration Department the hospital charges for its most common procedures. A new federal rule, effective 10/1/14, entitled Requirement for Transparency of Hospital Charges Rule in the Affordable Care Act, requires hospitals to make public their standard charges for items and services provided by the hospital. Paris Community Hospital has elected the option to make their policy for allowing the public to view a list of those charges.  This brochure explains the procedures for public viewing of hospital charges. (insert brochure - not on current site)

The Requirement for Transparency of Hospital Charges Rule is intended to assist patients in understanding their potential financial liability for services obtained at our hospital and to allow comparison for similar services across hospitals. However, hospital charge masters are lengthy and complex documents which do not provide information at a level that is easy to understand for this purpose. Therefore, additional information, as outlined below, is available to patients seeking price estimates so as to help aid better understanding of hospital charges. However, requests by patients for the hospital’s charge master detail list should be made through the Hospital’s Patient Accounts Manager, 217-465-2606, Ext. 310.


Discounts & Financial Assistance

Illinois rural hospitals, such as Paris Community Hospital, provide discounts and financial assistance to patients in need. The amount of assistance depends on several factors including income and family size. These discounts are available by completing a financial need assistance application. For additional information, please contact the Hospital’s Financial Assistance Coordinator: 217-465-2606, Ext. 4257. 

Price Estimates

Requests for price estimates should be directed to the Hospital’s Patient Accounts Manager, 217-465-2606, Ext. 4310. Price estimates are not a quote or a guarantee of what the charges will be for a specific patient's care.

Quality Care

An important component for choosing a health care provider is determining quality of care. Your doctor can be a helpful resource in choosing where to obtain care. Further Medicare hospital-specific quality outcome measures are located on the Hospital Compare website.

To compare hospital median charges for nearly 50 major diagnoses, quality and patient satisfaction metrics in Illinois, visit the Illinois Hospital Report Card.

Read more about our commitment to quality and patient safety.

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