Financial Assistance

Financial Assistance Program

Patients with no insurance or with limited coverage may make payment arrangements prior to dismissal by contacting one of our Financial Representatives at 317.776.7141 or 888.272.9295.

The following forms and documents are available for the Financial Assistance Program:

• Billing and Collections Information
• Patient Financial Assistance Program Policy
• Financial Assistance Application
• Self-Employment Worksheet Financial Assistance Program
• Financial Assistance Policy Plain Language Summary
• Patient Rights, Responsibilities and Payment Options
• Emergency Medical Treatment and Transfer

Billing Questions

Our staff can help you finalize your financial arrangements or explain the billing procedures. If you need help with payment of your bill or have questions concerning your bill, please contact one of our financial representatives at 317.286.6575 or 888.272.9295. Also, check out the Billing & Insurance Frequently Asked Questions.

You can also learn more in our glossary of billing terms.

Understanding Your Bill

A daily room charge includes fees for the room, 24-hour nursing care, meals, housekeeping, maintenance and laundry services—all of which are provided for your comfort and to guard you against infection and injury. Special services ordered by your physician, such as an operating room, pharmacy, X-rays, laboratory tests, anesthesia, physical therapy, respiratory therapy and other diagnostic treatment procedures, will appear as extra charges on your bill.

Often, you will get more than one bill because separate bills are issued by Riverview Health and by individual physicians involved with your care, such as your surgeon and radiologist. Your hospital bill doesn’t include the fees of your attending physician, surgeon, anesthesiologist, pathologist, radiologist or consulting physician. You will be billed directly by their offices. We will bill your insurance company if you provide us with the necessary information.

Charges for Shoppable Services

A ‘shoppable’ service includes tests or procedures you can schedule ahead of time, usually on an outpatient basis. The link below includes our standard charges for up to 300 shoppable services. Each is grouped with ancillary charges that are customarily provided by the hospital in conjunction with the shoppable service. The links below are comprehensive lists of charges for each inpatient and outpatient service or item provided by Riverview Health. Costs can vary based on the services and level of care needed for each patient. These lists do not reflect the negotiated price between Riverview Health and insurers, and it is not the price that most patients would pay for care. For more information about the cost of care, please visit mycareINsight, a website was created by the Indiana Hospital Association to inform health care consumers about various aspects of pricing as well as quality information.

In accordance with federal requirements, each ‘shoppable service’ is displayed with the following standard charges:

• Discounted cash price: The charge that applies to an individual who pays cash (or cash equivalent) for a hospital item or service.
• Minimum negotiated charge: The lowest charge that we have negotiated with all third-party payers for an item or service.
• Maximum negotiated charge: The highest charge that we have negotiated with all third-party payers for an item or service.
• Payer-specific negotiated charges: The charge that we have negotiated with a specific third-party payer for an item or service.

 Standard Charges for All Items & Services

The links below provide access to all chargeable items and services provided by us for our hospital-registered inpatients and outpatients. In accordance with federal requirements, each item and service includes the following standard charges:

• Gross charge: The charge for an individual item or service that is reflected on our chargemaster, absent any discounts. Our patients do not pay this amount. 
• Discounted cash price: The charge that applies to an individual who pays cash (or cash equivalent) for a hospital item or service.
• Minimum negotiated charge: The lowest charge that we have negotiated with all third-party payers for an item or service.
• Maximum negotiated charge: The highest charge that we have negotiated with all third-party payers for an item or service.
• Payer-specific negotiated charges: The charge that we have negotiated with a specific third-party payer for an item or service.

Riverview Health Standard Charges

Riverview Chargemaster

Riverview Average Charge by DRG

For information about the cost of your specific care, please contact our patient financial services staff 317.776.7141 or 800.523.6001.