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BillingFrequently Asked Questions
1. Do I need to pre-certify my hospital visit with my insurance company?
2. Do we accept Medicare and Medicaid Assignment?
3. Is St. Vincent Hospital part of any Preferred Provider Network?
4. How will I know if St. Vincent Hospital sent a bill to my insurance?
5. Will St. Vincent Hospital bill for all services received at the hospital?
6. What is the cost of a private room?
7. How can I pay my bill?
8. How do I get a price quote for a service I want to receive at St. Vincent Hospital?

1. Do I need to pre-certify my hospital visit with my insurance company?

St. Vincent Hospital does not pre-certify your hospital visits. Since each insurance plan is unique in what services need to be pre-certified, it is best to contact your plan to ensure your insurance will pay for the service.

2. Do we accept Medicare and Medicaid Assignment?
St. Vincent Hospital does accept Medicare and Medicaid assignment. However, any deductible, co-insurance and non-covered amounts not paid by insurance are your responsibility.

3. Is St. Vincent Hospital part of any Preferred Provider Network?
St. Vincent Hospital participates in the following PPO networks:
  • Aetna Open Access
  • Americhoice Medicaid HMO
  • Arise/WPS
  • Bellin/ThedaCare
  • Anthem Blue Cross/Blue Shield
  • Christian Brothers/Sisters of St. Francis
  • Cigna Open Access
  • HCI (Health Care, Inc.)
  • Health EOS/Multiplan
  • HPS (Health Payment System)
  • Humana/ChoiceCare
  • IHG (Interplan Health Group)
  • KidsCare of Michigan
  • Managed Health Services /Medicaid HMO
  • Network Health Plan (Affinity)
  • Network Health Plan HMO
  • Network Health Plan PPO/U.S. Paper
  • Prevea PPN and PHN
  • Three Rivers Provider Network
  • Trilogy Health
  • UnitedHealth Care
  • WEA
  • Wisconsin High Risk Sharing Plan
  • WPS/Statewide
Physicians are not employees of St. Vincent Hosptial and bill separately for their services. Please verify with your insurance company that the physicians who are treating you are considered "in-network."

4. How will I know if St. Vincent Hospital sent a bill to my insurance?
A summary bill of charges will be sent to the guarantor (person noted as responsible for payment of the bill) along with a cover letter informing them what insurance company(s) we will be billing.

A monthly statement will be sent to the guarantor listing any billing, payments, or adjustments to each hospital visit that they are responsible for.

5. Will St. Vincent Hospital bill for all services received at the hospital?
St. Vincent Hospital will only bill you for services provided by the hospital. Any physician services (i.e. Emergency, Radiologist, Anesthesiologist, Pathologist) will be billed by their billing services.

6. What is the cost of a private room?
There is no difference between the cost of a semi-private and private room per day.

7. How can I pay my bill?
You can make payment by cash, check, money order, Visa, MasterCard, or Discover Card. To make a payment over the phone by credit or debit card, please contact one of our financial services representatives at (920) 433-8122 or (800) 211-2209. If you cannot pay your bill in full St. Mary's and St. Vincent Hospitals offer a short-term, payment plan.  As a service to you, no interest will be charged for this option.  If you need a longer-term payment option for a balance of $250 or more, you can apply for the Help Expense Loan Program (HELP).  The hospitals work with HELP, an independent company that can provide you a lower interest loan.   Contact a financial service representative for more information on these payment options.  We will make available upon request an application for Community Care if you do not have the resources to pay your bill. However, we will work with you to explore other options for financial help before considering your application.

8. How do I get a price quote for a service I want to receive at St. Vincent Hospital?
If you would like to receive a quote for services provided by St. Vincent Hospital, you may fill out an online request by clicking here or you may call (920) 433-8122 or (800) 211-2209.  Also, Wisconsin PricePoint Web site allows users to view facility-specific charge and utilization data related to some inpatient and outpatient hospital services.


Hospital Sisters of the Third Order Regular of St. Francis Hospital Sisters Health System