Billing and pricing information
Thank you for choosing Crossing Rivers Health as your health care provider. We understand that health care bills, pricing and health insurance claims can be confusing. It’s our goal to make the process as easy as possible for everyone.
Understanding your health care bills and health insurance claims can be confusing. Here are some items to keep in mind when reviewing your statement from Crossing Rivers Health.
- Each time you receive services at Crossing Rivers Health Medical Center, a separate account will be created.
- Payment of deductibles, co-pays and non-covered expenses are your responsibility.
- Online bill payment is available with the convenience of the Patient Portal.
We provide various levels of financial assistance to those who are unable to pay for health care services. Financial assistance is available to individuals who do not have the ability to pay their full obligation as determined by the qualification criteria in our Community Care Program.
Crossing Rivers Health charges the same for all patients, regardless of whether you are insured. We will automatically file a patient’s claim with his or her insurance company as a courtesy. This initiates the payment process in the most timely manner.
Financial responsibility rests with the patient or the patient’s representative (guarantor). Health insurance is a contract with the patient and the patient’s carrier.
If you are insured by a government program such as Medicare or Medicaid, your self-pay responsibility is determined by the government program.
If you are insured by a commercial carrier, your self-pay responsibility will be determined by your carrier and based on the benefits of your plan. Please refer to the "Explanation of Benefits" summary you receive from your health plan to determine how benefits are paid and how your carrier determines self-pay responsibility. If you have questions about coverage or how your plan calculated your benefits, you should check your health plan book or call the customer service phone number on your insurance card.
If a patient’s health insurance does not make payment within a reasonable period of time (usually 60 days) and does not respond to our attempts to resolve payment matters, Crossing Rivers Health will then bill the patient.
Crossing Rivers Health will attempt to provide all information to your insurance company. However, there are times that the insurance company requires information from a patient to resolve issues related to a claim.
Crossing Rivers Health will not be involved in disputes arising from personal injury claims. Crossing Rivers Health will file your Worker Compensation claims, if verified by your employer.
When receiving care at Crossing Rivers Health Medical Center, patients may receive more than one bill. Depending on the care received, patients may receive bills from independent areas of expertise available at Crossing Rivers Health Medical Center, for example: pathologists, your physician or other physician specialists.
- In person or by mail using:
- Cash, check or money order
- Visa, MasterCard or Discover
- HSA (Health Savings Account)
- Other pre-approved payment arrangement
- Online bill payment is available with the convenience of the Patient Portal
An account is past due if:
- Full payment is not received and no approved payment arrangements have been made.
- There is no response to requested information through letters and/or telephone calls.
- Required application forms for hospital assistance (Community Care) programs have not been completed and returned.
If you have billing questions not answered here, please call Crossing Rivers Health Patient Accounts at 608.357.2000, Monday through Friday, 8:00 a.m. to 4:00 p.m., and ask to speak with one of our financial counselors.
If your question pertains to Clinic billing, please contact the Crossing Rivers Health Clinic at 608.357.2500.
The Healthcare Marketplace offers options for you to buy Marketplace insurance. Badgercare and Iowa Medicaid benefit enrollment is open throughout the year. If you need help understanding the options or preparing for enrollment contact us at 608-357-2000.
At Crossing Rivers Health, we agree that transparency about the cost of health care is important. Click here to access several resources to help understand and compare costs.
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.
For information that would help you estimate the cost of your care or the amount you might owe for your care, please contact our patient financial services staff at 608.357.2000
You can find our Financial Assistance Policy here. To help our patients better understand healthcare services, the cost of their care, and comparison shop between hospitals, we're happy to provide the following resources:
Understanding Healthcare Prices: A Consumer Guide
Avoiding Surprises in Your Medical Bills
CMS's Frequently Asked Questions Regarding Pricing Transparency Requirements
Wisconsin Hospital Association's PricePoint
Crossing Rivers Health's Standard Charges