Need help paying your bill? Let us know. At Ascension St. John, we understand that not all patients have insurance or the same financial circumstances. As part of our faith-based mission, we are dedicated to helping the most vulnerable and treating everyone with compassion, dignity and respect. We have a variety of discount programs and payment options, and trained financial counselors who can work with you one-on-one to understand your bill, your insurance coverage and assistance for which you may qualify. Please review our Financial Assistance Policy, linked below.

These financial assistance documents cover services provided at:

  • Ascension St. John Broken Arrow
  • Ascension St. John Jane Phillips
  • Ascension St. John Medical Center
  • Ascension St. John Nowata
  • Ascension St. John Owasso
  • Ascension St. John Sapulpa

Learn more regarding doctor's office billing at Ascension St. John. 

Financial assistance documents

You may be eligible for financial assistance with your hospital and/or physician bill. Financial assistance is generally determined by your total household income compared to the Federal Poverty Level (FPL). If your income is less than or equal to 250% of the FPL, you will receive 100% charity care write-off on the portion of the charges for which you are responsible less the charity care copay amounts for services rendered. Emergency and or Inpatient services will have a copay due of $100.00 per visit. Outpatient hospital services will have a copay due of $25.00 per visit. If your income is above 250% of the Federal Poverty Level but does not exceed 400% of the Federal Poverty Level, you may receive discounted rates on a sliding scale.

Patients who qualify for presumptive charity will be billed a copay amount. Emergency and or Inpatient services will have a copay due of $100.00 per visit. Outpatient hospital services will have a copay due of $25.00 per visit. Patients who are eligible for financial assistance will not be charged more for eligible care than the amounts generally billed to patients with insurance coverage.

To apply for financial assistance, you will need to complete a written application and provide supporting documentation, as described in the Financial Assistance Policy and the Financial Assistance Policy application. To obtain an application, receive assistance with the application and/or receive additional information regarding eligibility requirements, please call 888-329-0421 or visit the Financial Assistance Office, Monday through Friday from 8:00 am to 5:00 pm.

For additional information regarding the St. John Health System Financial Assistance policy, application form, or information in other languages please reference the document links below.

English

Spanish

Simplified Chinese

Traditional Chinese

Vietnamese

Hmong