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Billing and insurance

Iredell Memorial Hospital is committed to providing quality patient care at the lowest possible cost. We constantly strive for sound financial management, seeking ways to contain our costs and pass this savings on to patients. To enhance an atmosphere of mutual understanding, the hospital has developed certain guidelines regarding patient accounts. In addition, you will have a representative in the business office who will be familiar with your account.

Frequently asked questions

Pre-admission

If you are covered by insurance, it is always a good idea to be familiar with your insurance plan and/or contact your insurance carrier before coming to the hospital. Understanding your referral, authorization and financial requirements will help avoid any potential delays or issues.

Financial assistance

We realize that healthcare is expensive and not everyone has access to adequate insurance coverage. If you anticipate difficulty concerning the payment of your bill, our financial counselor will assist you by determining whether you can qualify for various assistance programs. The hospital provides financial assistance for those who qualify. Ask the person who registers you or admits you about our financial assistance program. Or contact the financial counselor at 704.878.4572. In addition, a representative of the Iredell County Department of Social Services will take your application for Medicaid while you are at the hospital. An appointment can be made by contacting the financial counselor.

We are also happy to provide the services of a Medicare/Supplemental Insurance Advocate who will assist in filing claims even if they do not involve a stay at Iredell Memorial and in answering questions related to the Medicare program.

If you have any questions regarding your account, please review them with your business office representative. The name and phone number of your representative will be on your hospital bill. The business office is open Monday through Friday, 8:30 a.m. to 5 p.m., and is located off the hospital campus at 541 Gaither Road, Statesville.

Insurance

You are probably aware that insurance plans are varied and many seldom provide for full coverage of your hospital bill. In most cases, the plan will pay a percentage that can vary from providing for very little to most of your bill. Deductibles and coinsurance amounts also vary from policy to policy.

Your benefits are a contract between you and your insurance company and we are happy to submit claims for you. However, you are ultimately responsible for your account. If your insurance company does not respond to the claim, you will be asked for payment. Should you pay for services that are eventually paid by your insurance company, the hospital will send you a refund check, providing you have no outstanding accounts.

Your bill

Inpatients: After you are discharged, you will receive a statement summarizing the cost of your hospital stay and a bill for any balance not covered by your insurance.

Outpatients: A bill will be produced within 10 days after your visit to the hospital. We will send one copy to you and, if you have insurance, another will be sent to your insurance provider. The bill will ask that you pay any charges that will be not be covered by your insurance.

Staff physicians: You will be billed separately for the services of a physician who is on our staff.

We will send regular statements indicating your current balance after any payments, adjustments or additional charges have been added.

You may receive an itemized bill at any time by calling 704.878.4600. Secure online bill payment is also available.

Other professional services

If you have certain tests or treatments in the hospital, you may receive bills from physicians you did not see in person. These bills are for professional services rendered by physicians whose expertise was needed to assist in your diagnosis or your care while you were a patient. Pathologists, anesthesiologists, radiologists, cardiologists and other specialists perform these services and are required to submit separate bills. If you have questions about these bills, please call the phone number printed on the statement you receive from them.

Chargemaster

Disclaimer and explanation for standard hospital charges.

Iredell Health System determines its standard charges for patient services with 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 services provided.

The chargemaster contains the price of each service performed and goods consumed associated with the individual patient's treatment. The chargemaster rates are updated from time to time to accurately reflect the hospital's expenses to operate.

Standard charges shown in the attached file do not necessarily reflect what a patient may pay. Government insurance plans such as Medicare and Medicaid do not pay the chargemaster rates, but rather have their own set of rates which hospitals are obligated to accept. Commercial insurance payments are based on contract negotiations with managed care payors and may or may not reflect the standard charges. Patients without commercial insurance or not covered by a government health care plan should contact the hospital prior to a procedure to discuss charges, alternative pricing, and payment term.

Download files

Download CSV version of the chargemaster.

Download CSV version of average inpatient charges by MS-DRG.