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Billing & Financial Services | Houston Healthcare

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Patients & VisitorsBilling & Financial Services

Billing & Financial Services

Pay My Bill

We have partnered with Patientco to provide you with a simple method to

pay and manage all of your healthcare expenses in one, convenient place.

To opt-in for paperless billing and access affordable, self-service payment

options, create a free PatientWallet® account by clicking on the link

above and follow the instructions.

Our Patient Financial Services office is located at 233 North Houston Road

in the Roy H. "Sonny" Watson Health Pavilion, Entrance E4. Our

office may be reached by calling

(888) 263-9025. We are pleased to be your provider of choice and hope you will find the

following information helpful.

Insurance and Billing

We accept all types of health insurance. The Patient Financial Services

Office will bill your insurance carrier for you. The hospital will also

file multiple insurances for you if you have more than one policy. All

payments by debit or credit card can be made over the phone. If you have

any questions about your insurance or any statement you’ve received,

please contact the Business Office at

(888) 263-9025. The office is open from 8:30 am until 5 pm, Monday through Friday.

Medicare & Medicaid

If you are admitted under the Medicare plan, you must be responsible for

the deductible, co-insurance, and non-covered items. If you are admitted

under the Medicaid/Georgia Better Healthcare plan, you must present a

valid Medicaid card. Houston Healthcare also participates in the PeachState,

Amerigroup, and Caresource health plans.

TRICARE

We participate in TRICARE - Active Duty (Resource Management), TRICARE

Prime and TRICARE Standard.

Indigent and Charity Care

We serve our patients with dignity, respect, and compassion, no matter

their financial situation. We assist patients who cannot pay for their

care to qualifying patients. Because we understand not all patients are

able to pay their hospital bills due to financial hardship, we provide

free care and discounted services.

As further described below, our financial assistance policy:

Includes eligibility criteria for financial assistance

Describes the basis for calculating amounts charged to patients eligible

for financial assistance under this policy

Limits the amounts that Houston Healthcare will charge for emergency or

other medically necessary care provided to individuals qualified for financial

assistance to no more than the lowest amounts generally billed (received)

by Houston Healthcare

Describes the method by which patients may apply for financial assistance

Describes how Houston Healthcare will widely publicize the Policy within

the community served by each hospital facility

Describes Houston Healthcare's collection Policy

We remain committed to serving the emergency needs of all patients, regardless

of their ability to pay.

Financial Assistance Forms:

Financial Assistance Instructions & Application - English (PDF)

(updated 02/14/24)

Financial Assistance Instructions & Application - Spanish (PDF)

(updated 02/14/24)

Financial Assistance Plain Language Summary - English (PDF)

(updated 01/04/23)

Financial Assistance Plain Language Summary - Spanish (PDF)

(updated 01/04/23)

Financial Assistance/Collection Practices Policy (PDF)

(updated 4/18/2024)

Financial Assistance/Collection Practices Policy - Spanish (PDF)

(updated 4/18/2024)

Price Transparency

The “Hospital Price Transparency Final Rule” requires hospitals

to establish, update, and make public a list of their standard charges

for items and services they provide. CMS interprets “items and services”

provided by the hospital to include all items and services that could

be provided by a hospital to a patient in connection with an inpatient

admission or outpatient department visit, including all individual items

and services and all “service packages” for which the hospital

has established a standard charge.

Hospital is defined as “an institution in a State in which State or applicable

local law provides for the licensing of hospitals, that is licensed as

a hospital pursuant to such law, or is approved, by the agency of such

State or locality responsible for licensing hospitals, as meeting the

standards established for such licensing.”

Items and Services include each item or service appearing on the hospital’s charge

description master (“chargemaster”) and services performed

by non-physician practitioners.

Standard Charges are defined by CMS to mean “gross charges” and “payer-specific

negotiated rates.”

Gross charges – The charge for an individual item or service that is reflected

on Hospital’s chargemaster. This rate does not include any discounts.

Payer-specific negotiated rates – The charge that Hospital has negotiated with a third-party payer

for an item or service. This rate does not include the amount ultimately

paid by the insurer or patient for an item or service, just the negotiated

base rate. Additionally, this rate does not include non-negotiated payment

rates, such as those for fee-for-service Medicare and Medicaid. Charges

negotiated by third-party payer managed care plans (i.e., Medicare and

Medicaid managed care plans, etc.) are required and included in these

negotiated rates.

Discounted cash price – This rate is the discounted rate Hospital charges individuals

who pay cash, or the cash equivalent, for an individual item or service

or service package. The published rate is unrelated to any charity care,

financial assistance, or bill forgiveness that Hospital may apply to a

particular individual’s bill as part of its documented financial

assistance program.

De-identified minimum and maximum negotiated rate – These charges are the lowest and highest charges a hospital has

negotiated with all third-party payers for an item or service. The lowest

and highest de-identified negotiated rate is published for each item or

service the hospital provides.

Disclaimer(s)

Fees and/or costs provided via this tool are only estimates and your final

bill may be higher or lower than the estimate for various reasons including

but not limited to differences in the number of comorbid conditions among

patients having the same or similar primary procedures, differences in

physician ordering practices, unforeseen complications, etc.

This is not a guarantee of benefit plan coverage or payment and the actual

payer and patient portion reflected in your final bill may also be higher or lower.

The shopping service/pricing estimator and/or machine-readable file DOES

NOT include other services billed for separately by independent contractors

including but not limited to physician or practitioner fees including

but not limited to pathologist, radiologist, anesthesiologist, emergency

room physicians, etc.

A single line-item charge may not represent a complete medical service;

in general, multiple charge line items are necessary to represent all

components of a service (e.g. procedure(s), supplies, and drugs).

Standard Charges - Shopping Services / Pricing Estimator

Pricing Transparency – Houston Healthcare – Perry(CSV Format)

Pricing Transparency – Houston Healthcare – Warner Robins(CSV Format)

Final Billing

Once you have been discharged from the hospital, you will receive the final

bill for your hospital stay. This statement will reflect any outstanding

balance on your account. Upon request, we can provide an itemized statement

for your convenience.

Your hospital bill does not include professional fees from your personal

physician, ER physician, and surgeon. Depending on your services and procedures

during your stay, you may also receive a separate bill from the anesthesiologist,

pathologist, or radiologist. All of these physicians are independent contractors,

and you will receive a separate bill from them for their services.

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Emory Hospital Warner Robins

1601 Watson Boulevard

Warner Robins,

Georgia

31093

Telephone: (478) 922-4281

Emory Hospital Perry

1120 Morningside Drive

Perry,

Georgia

31069

Telephone: (478) 987-3600

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