Self-Pay Policy
For Those Without Health Insurance
Ascension Columbia St. Mary’s offers a 33% discount to any patient without health insurance. This discount does not apply to deductibles, co-pays, or co-insurance. To make a payment arrangement, contact one of our customer service representatives at the number listed below.
Customer representatives are available:
Monday through Friday
8:00 a.m. - 5:30 p.m.
- For Ascension Columbia St. Mary's clinic/physician services received before December 1, 2015, call Monday - Friday, 8:00 a.m. - 6:00 p.m, 877-202-0506.
- For Ascension Columbia St. Mary's clinic/physician services received on or after December 1, 2015, call Monday - Friday, 8:00 a.m. - 5:00 p.m., 844-240-4837
- For Madison Medical Affiliates clinic/physician services received before December 1, 2015, call Monday - Friday, 8:00 a.m. - 6:00 p.m, 414-272-5775
- For Madison Medical Affiliates clinic/physician services received on or after December 1, 2015, call 414-272-5775
- For hospital services call 877-202-0506
For patients requesting financial assistance, Ascension Columbia St. Mary’s has trained financial counselors available at each hospital. Upon making an appointment, the financial counselor will meet with you to review what other financial assistance programs you may qualify for.
Refund Policy
Refund requests should be submitted to the Ascension Columbia St. Mary's Customer Service Department.
Customer service representatives are available:
Monday - Friday
8:00 a.m. - 5:30 p.m.
- For Ascension Columbia St. Mary's clinic/physician services received before December 1, 2015, call Monday - Friday, 8:00 a.m. - 6:00 p.m, 877-202-0752
- For Ascension Columbia St. Mary's clinic/physician services received on or after December 1, 2015, call Monday - Friday, 8:00 a.m. - 5:00 p.m., 844-240-4837
- For Madison Medical Affiliates clinic/physician services received before December 1, 2015, call Monday - Friday, 8:00 a.m. - 6:00 p.m, 414-272-5775
- For Madison Medical Affiliates clinic/physician services received on or after December 1, 2015, call 414-272-5775
- For hospital services call 877-202-0506
If no money is owed on other accounts, refunds will be issued within 90 days of receipt of your request. Refunds will be issued with original method of payment. If money is owed on other accounts, the refund will be credited towards the oldest outstanding balance.
Accepted Forms of Payment
We accept the following forms of payment:
- E-Check (In-person, by phone, and U.S. mail payments only)
- Flexible Spending Account (FSA) Debit Card with Visa® or MasterCard® logo
- Visa
- MasterCard
- Discover
- American Express
- Cashier's Check (In-person and U.S. mail payments only)
- Money Order (In-person and U.S. mail payments only)
- Personal Check (In-person and U.S. mail payments only)
