Lower Umpqua Hospital Financial Services
Lower Umpqua Hospital ensures that all patients receive high-quality care in an environment free from discrimination and abuse. We provide most services to our patients without regard to their ability to pay. We understand that medical billings can be complex and difficult to read. Our patient account representatives are available to help explain your bill, answer billing or insurance questions arrange payment options and provide financial assistance applications.
Hospital Pricing
Lower Umpqua Hospital has published its chargemaster to comply with new Centers for Medicare & Medicaid Services (CMS) rules, which went into effect on January 1, 2019, requiring all hospitals in the United States to publish their standard list of charges.
A new Price Transparency tool is in development and will be coming soon. This will also comply with the new rules from CMS.
A chargemaster is a comprehensive list of charges for each inpatient and outpatient service or item provided by a hospital.
Key Considerations
It’s important to note, a chargemaster reflects standard charges billed to payors, whether commercial, government, or self-pay – not your out-of-pocket costs. This is because your out-of-pocket costs are ultimately based on your:
- Individual health plan benefits
- Medical situation
- Unique treatment plan
We are committed to providing price information to our patients. Lower Umpqua Hospital provides individualized cost estimates for all services, upon request.
Frequently Asked Questions
Do the charges listed reflect what my out-of-pocket costs will be?
Because your out-of-pocket costs are based on your individual health plan benefits, medical situation, treatment plan and financial situation, the chargemaster is not a useful tool for estimating your out-of-pocket costs.
How are charges determined?
Charges are determined by what it costs Lower Umpqua Hospital to provide the service, local market conditions, payor and regulatory requirements, as well as the costs to operate the hospital.
Why do charges vary from hospital to hospital?
Each hospital system has its own chargemaster with its own unique pricing. Charges may vary between health systems and hospitals – even within the same local markets – because each has its own factors that influence pricing including staffing, equipment and maintenance costs.
Moreover, hospital systems may structure their charges differently, so it isn’t always possible to make a direct price comparison based on chargemasters.
What other resources are there for me to use to estimate pricing?
To see Lower Umpqua Hospital’s price for inpatient procedures: Price Lookup
To see the national average price for procedures for outpatient care, please see Medicare’s Procedure Price Lookup.
For more information on procedure costs in the state of Oregon, visit Oregon Association of Hospitals and Health Systems (OAHHS). It is always prudent to gather as much information from your provider about the anticipated care plan to use as a reference for these tools.
About Your Bill
Although we may submit bills to your insurance company on your behalf, please remember that your policy is a contract between your insurance company and you. You are ultimately responsible for payment of your bill. It is our goal to streamline that experience for you.
Questions about separate bills from providers you did not see in person while being treated by Lower Umpqua Hospital (pathologists, radiologists, etc.) should be directed to the contact information printed on the statement you receive from them. These providers are required to submit separate bills.
Avoiding Surprises in Your Medical Bill: A Guide for Consumers is available here.
Contact us during business hours, Monday through Friday at 541-271-2171 (7:30 am – 4:00 pm)
For Clinic Billing Inquiries please select the option with the first letter of your last name:
Phone: 541-271-2171
A – L extension 3640
M – Z extension 3960
For Hospital Billing Inquiries please select the option with the first letter of your last name:
Phone: 541-271-2171
A – B extension 3140
C – F extension 3010
G – L extension 3160
M – R extension 3530
S – Z extension 3190
Self Pay and Financial Assistance – please call 541-271-6384
Paying your bill:
Our patient account representative is available to assist you, Monday through Friday from 7:30 am to 4:00 pm. Payments of bills may be made during normal business hours at the Lower Umpqua Hospital main entrance, located in the old Gift Shop. You may also make payments online 24 hours per day, seven days per week through our Online Portal.