Financial Services

Uninsured patients may take advantage of substantial discounts by paying their bill within 30 days from the time of service. (self-pay only)

Discounts range from 10-15% depending on the method of payment. Accepted payment types are cash, check, or credit card.

Payment balance must be paid within 30 days from the date of service to receive the discount.

If payment was made at the time of the service and there is a difference between the final bill and the estimated amount, the discount will be extended for 30 days after the time of service for the difference.

Payment Options

HSH will bill your insurance and/or Medicaid and Medicare for you.
HSH accepts most major credit cards.
If you cannot pay your bill within 30 days, HSH has flexible payment installment arrangements. To arrange a payment plan, contact the extended business office, Revenue Enterprises: (855) 257-2548 or (307) 864-4009.
Remember each new visit will be added to the payment plan to keep it current. Each hospital visit is billed separatly to properly bill the patient and their insurance. Combined bills on statements are available upon request. Please contact the extended business office: (855) 257-2548 or (307) 864-4009.

Payment Contract

If you have a balance and need to pay over time, please refer to the balance/payment table.

Balance

$250 and under

$250-2,500

$2,500 and more

Payment

Minimum $50 per month

10% of the total every month (minimum of $50)

Minimum of $250 per month

90-Day Option

The Business Office may grant a guarantor a reduced payment contract on a one-time basis for three months (90 days), in order to meet a patient's/guarantor's short-term financial needs. At the end of the 90-day payment exception period, the patient/guarantor will be expected to either pay the balance in full or make payment arrangements according to HSH terms noted above in the "Payment Contract" section of this page.
For more information regarding payment arrangements, please call 307-864-5095.
We are happy to work with you to keep your account from being sent to collections, but accounts must be kept current.

Price Quotes

As prices for services change periodically, it is the policy of Hot Springs Health that all patients' requests for price quotations should be forwarded to Patient Financial Services. Patient Financial Services will then gather as much information as possible to give an accurate quote. They will also inform the patient of other possible costs regarding services and/or procedures.
It is possible to not be able to provide quotes for some procedures or inpatient stays, as there are many variables involved.

Patient Price Information

On August 2, 2018, the Centers for Medicare & Medicaid Services ("CMS") issued a final rule (CMS-1694-F) updating Medicare payment policies, specifically requiring hospitals "make available a list of their current standard charges via the Internet in a machine readable format and to update this information at least annually, or more often as appropriate."

Hot Springs Health analyzed the current charges through 12/31/18.
Hot Springs Health determines its standard charges for patient items and services through the use of a chargemaster system, which is a list of charges for the components of patient care that go into every patient's bill. These are the baseline rates for items and services provided at the hospital. The chargemaster is similar in concept to the manufacturer's suggested retail price ("MSRP") on a particular product or good. The charges listed provide only a general starting point in determining the potential costs of an individual patient's care at the hospital. This list does not reflect the actual out-of-pocket costs that may be paid by a patient for any particular service, it is not binding, and the actual charges for items and services may vary.

Many factors may influence the actual cost of an item or service, including insurance coverage, rates negotiated with payors, and so on. Government payors, such as Medicare and Medicaid for example, do not pay the chargemaster rates, but rather have their own set rates that hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with payors and may or may not reflect the standard charges. The cost of treatment also may be impacted by variables involved in a patient's actual care, such as specific equipment or supplies required, the length of time spent in surgery or recovery, additional tests, or any changes in care or unexpected conditions or complications that arise. Moreover, the foregoing list of charges for services only includes charges from the hospital. It does not reflect the charges for physicians, such as the surgeon, or other physician specialists or providers who may be involved in providing particular services to a patient. These charges are billed separately.

Charges for healthcare services are complex and comparing line item charges does not indicated the total cost of the service you receive. We recommend you contact our staff to request an estimate of the total cost of the service you are scheduled to receive. Please call our business office at 307-864-8115 with any questions. Thank you!

Charity Care
If you find that you are unable to make the payments outlined under "Payment Contract," and require a payment exception for a period greater than three months (90 days), you may complete an application for financial assistance. Please contact our Financial Counselor at 307-864-5095 for more information on the HSH Financial Assistance/Charity Care form.

Financial Assistance
It is the policy of Hot Springs County Memorial Hospital to treat the broadest number of patients residing within our service area while maintaining fiscal responsibility.

Availablility of Financial Assistance

Financial assistance is available for all services that are emergent or medically necessary. To be eligible for financial assistance, your household income must be at or below the federal poverty income guidelines, and you must have exhausted all other means of assistance.
If you think you are eligible for financial assistance, please contact the Hot Springs Health financial counselor within 60 days of receiving a statement. Hot Springs Health will inform you of the requirements that must be met before you apply for assistance.
You must apply to Medicaid to be considered for financial assistance.
Financial assistance is generally determined by a sliding scale of total household income based on Federal Poverty Guidelines (FPG).

Financial Assistance Sliding Scale

When Income is:
Less than 100% of FPG
Between 101% and 150% of FPG
Between 151% and 200% of FPG
Between 201% and 250% of FPG
Between 251% and 300% of FPG

Discount from Gross Charge
100%
85%
65%
50%
34%

Federal Poverty Guidelines (FPG)

No person eligible for financial assistance under the Financial Assistance Policy (FAP) will be charged more for medically necessary care than amounts generally billed (AGB) to individuals who have insurance covering such care.
HSH determines AGB based on all claims paid in full to HSH by Medicare and private health insurers (including payments by Medicare beneficiaries or insured individuals themselves), over a 12-month period, divided by the associated gross charges for those claims. If an individual has sufficient insurance coverage or assets available to pay for care, he/she may be deemed ineligible for financial assistance. Please refer to the full policy for a complete explanation and details.

How to Apply

The application process involves filling out the Financial Assistance form and mailing the form along with the supporting documentation to HSH for processing. You may also apply in person by scheduling an appointment with the Patient Financial Services Department at the address listed below. Financial Assistance applications are to be submitted to the following office:
Hot Springs Health
Attn: Patient Financial Counselor
150 E. Arapahoe
Thermopolis, WY 82443
Phone: 307-864-5095

Payment Discounts