Insurance Billing

We understand insurance is complicated, so we try to help patients by billing private insurance, including Medicare and Medicaid for treatment and services we provide automatically, and by deducting payments we receive from them and applying negotiated discounts before sending patient bills. We also bill auto insurance companies covering charges for injuries due to auto accidents.

Different plans have different coverage levels and co-pays, deductibles and co-insurance that patients are responsible for. If you have questions about what your plan covers, contact your insurance company. If you have questions about how your insurance works with our billing process, contact us by phone at 1-866-869-9677 or by email at  SHPATIENTACCOUNTS@shhpens.org or in person at any of our facilities.


Different Types of Hospital Bills

Hospital bills can be confusing. There are three different types of hospital bills that you might receive: a summary bill, an itemized bill and a billing statement.b

Summary Bill - A summary bill lists out the total charges for your hospital visit and is what the hospital submits to your insurer. Summary bills are often grouped by service categories, such as room and board, pharmacy, laboratory and operating room.

Itemized Bill - An itemized bill includes specific details on the services you were provided, including dates and charges for each item of service. Hospitals are required to provide an itemized bill if you request it.

Billing Statement - A billing statement shows the dates of service, the amount billed, the account status, the amount paid by the insurer and the balance due from the patient. Billing statements are issued on a hospital-determined frequency, often monthly.

It is important to remember that in addition to your hospital bill, you may receive separate bills from your physician(s): Emergency Physicians (care provided in an emergency room), Radiologists (imaging services), Consulting Physicians (other physicians brought in by your physician), Pathologists (laboratory and pathology test(s)), Anesthesiologists (surgical procedures) and Surgeons.

You may also receive an Explanation of Benefits (EOB), or a statement from your health insurance provider, which shows the amount you owe for your hospital visit or outpatient procedure and what benefits were paid by your insurance company on your behalf.

If you have questions about how your insurance works with our billing process, please contact us by phone at 1-866-869-9677, or by email at SHPATIENTACCOUNTS@shhpens.org or in person at any of our facilities.