Billing

Our business office will bill your insurance carrier(s) directly; who will then provide you an “explanation of benefits” (EOB) statement. This is not a bill. The EOB itemizes all services you received at Summit Medical Center and explains what the insurance carrier will pay our hospital and which portion you will need to cover.

Once the EOB is processed, we will bill you for the portion not covered by insurance; this will be due upon receipt. While Summit Medical Center will bill you for hospital services, please note that you may receive separate bills from other providers, including the radiologist, surgeon or anesthesiologist.

Understanding Pricing Information

Summit Medical Center is committed to fulfilling its mission to provide quality and compassionate health care services to people from all walks of life. Our goal is to help you understand the charge, billing, and payment process prior to your visit so you can make an informed decision regarding your health care out of pocket costs.

How to Request a Hospital Charge Estimate

Summit Medical Center believes it is important for our patients to understand their potential financial liability before services are performed. Patients are encouraged to request a charge estimate for any hospital procedure/service/test by contacting our facility at 307-232-6600 or in person on campus. Estimates are based on information provided by you (the patient) and do not include additional tests/procedures/services ordered by your physician after the initial estimate or post unforeseen complications, or physician charges which are billed separately by your physician.

Insured Patient: How Do I Request an Estimate of my out of pocket costs?

Every Insurance plan is different; we encourage our insured patients to contact our facility at 307-232-6600 to request an estimate of what you may pay for services. We will ask you to provide the following information in order to provide the most accurate estimate of what you may pay for services.

  • Name of Insurance company
  • Type of Policy (HMO, PPO, POS, Indemnity)
  • Policy Holder/Member Name
  • Policy Number
  • Group Name and Number
  • Insurance company phone number
  • Name of test/procedure/service to be performed
  • Discuss financial assistance options which may be available to help cover your cost after insurance payment.

During your call, we will verify your insurance and provide you with an estimate of your financial liability based on your current insurance benefits.

Please note: this is only an estimate of out of pocket costs and does not confirm coverage of the service or authorization with your insurance company. We encourage you to contact your insurance company to ensure your test/procedure/service is a covered benefit under you insurance plan.

How Will the Billing Process Work If I Have Insurance?

We will bill your insurance company shortly after health care services are provided and you will receive a letter notifying you your insurance has been billed. It usually takes 30-45 days for your insurance company to pay your bill. After your insurance company pays us, we will send you a bill for the amount you owe after insurance.

Uninsured Patient: How Do I Request an Estimate of my out of pocket costs?

Summit Medical Center provides self-pay pricing to patients who are uninsured and the discounted amount is shown on your first statement.

We encourage our uninsured patients to contact our facility at 307-232-6600 to request an estimate of the discounted amount. We will ask you to provide the following information in order to provide the most accurate estimate of the discounted amount.

  • Name of test/procedure/service to be performed
  • Discuss financial assistance options which may be available to help cover the discounted amount you (the patient) may incur.

How Will the Billing Process Work If I Do Not Have Insurance?

We will bill you shortly after health care services have been rendered for any outstanding balance that was not paid at the time of registration/discharge. This billing is based on information you provided us during your registration process.

How Do I Request A Complete Chargemaster Review?

You may request a complete listing of all charges contained within Summit Medical Center’s chargemaster in person at our business office on our campus.

The Affordable Care Act contains a provision that is consistent with our effort to improve the transparency of hospital charges. As a result of the Affordable Care Act, section 2718(e) of the Public Health Service Act requires that every hospital operating within the United States develop a policy to make public a list of the hospital’s standard charges for items and services provided by the hospital.

Understanding Your Physician Billing Process

Physicians are independent contractors and are not employed by Summit Medical Center and physician prices are set by the individual physician practice. Professional fees charged by these physicians for services provided to you will be billed by these physicians separately from the fees charged by the hospital. Some of these physicians may be considered out of network by your insurance carrier. You will need to work with your insurance carrier to address this issue.

Physicians who will bill you separately and may be out of network include but are not limited to:

  • Primary Care Physicians
  • Specialty Care Physicians
  • Radiologists
  • Pathologists
  • Anesthesiologists
  • Surgeons