Transparent & Simple Patient Billing

Transparent & Understandable Patient Billing

At Prairie Ridge Health, we strive to ensure that patients have access to the information and resources they need to make informed decisions about their healthcare expenses. If you have any questions or concerns regarding hospital billing, please don't hesitate to contact us — we’re here to help.

CALL (920) 623-1423

Pay Your Bill

We offer a number of ways to pay your bill:

Pay through MyChart (for Hospital & Clinic bills).
Pay through Online Quick Pay (for Hospital bills only).
Call (920) 623-1423 or (877) 731-7108 to speak with a team member and learn how you can pay with cash, a check or money order, a debit card, or an HSA card (for Hospital bills only).

Financial Assistance (Community Care)

We’re committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Visit the link below to learn more about financial assistance.

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Good Faith Estimates & Protection Against Surprise Billing

Good Faith Estimates (English | Spanish)
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Protection Against Surprise Billing (English | Spanish)

Transparency in Coverage

Click below to download machine-readable files made available in response to the federal Transparency in Coverage Rule. These include negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.

TRANSPARENCY IN COVERAGE FILES

Price Transparency & Chargemaster

Resources to help you understand the costs of your healthcare services.

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Billing FAQs

General Billing FAQs
Insurance FAQs
Payment FAQs
Medicare FAQs

general billing faqs

Can I find out the cost of a medical procedure at Prairie Ridge Health?

Yes, you can request a price quote by calling a Patient Financial Counselor at (920) 623-2200 or (800) 549-7511. To provide an accurate quote, we will need the procedure code from your physician. Please note that the final charges may vary based on factors such as the clinical service provided and supplies used.

Why did I receive multiple bills for my care at Prairie Ridge Health?

Our statements only reflect hospital charges. Radiologists and pathologists may bill separately for their services. If you have questions about their bills, please contact them directly. Additionally, each time you receive services at the hospital, a separate account is created.

Can I receive an itemized statement?

Yes, you can request an itemized statement by calling our Business Services team members at (920) 623-1423 or (877) 731-7108.

Why isn't my payment showing on my statement?

Please allow five days for your payment to be applied to your account. If it has been more than five days, please contact our Business Services team members.

How can I find out if a provider is covered under my HMO or PPO plan?

Provider networks associated with HMO and PPO plans may change frequently. To obtain this information, please contact your insurance company.

Insurance faqs

Do I need to bring my insurance card to the hospital?

Yes, please bring your insurance card to the hospital when you register. We need the information on your card to file a claim with your insurance company. All forms of health insurance must be presented at the time of registration.

Will you bill my insurance company for me?

Yes, we will bill your insurance company as a courtesy. However, it is your responsibility to provide any requested information to your insurance company, such as claim forms or accident information.

Do I need to notify my insurance company before my hospital stay?

We encourage you to check with your insurance company or employer to determine if prior approval or notification is required for your hospital stay. Contact your insurance company with specific questions about your coverage.

How do I know if my insurance company will cover my visit or certain services?

Coverage varies with each insurance company, and medically necessary services may not always be covered by your insurance plan. Please refer to your insurance member handbook or contact your insurance company to determine what services are covered.

Will my insurance company cover services provided by all professionals involved in my treatment?

Each professional needs to contract individually with insurance companies, and the hospital cannot confirm if each professional is contracted with your insurance company. Please check with your insurance company or employer for this information.

How will I know if my insurance company has paid my bill?

If there is a balance due after your insurance company has paid, we will send you a statement indicating the amount paid and any remaining balance. You are responsible for paying the balance or contacting our Business Services team members at (920) 623-1423 or (800) 731-7108 to set up payment arrangements.

How do I follow up with my insurance company?

Before calling your insurance company, gather the necessary information, such as your insurance card, date of service, facility name, original billed amount, patient name, and claim number. Ask for the status of the account and the name of the person you talk to. If the bill has not been paid, ask for the anticipated payment date and what is needed. If you still have questions or concerns, ask about filing an appeal.

What do I do if I disagree with the amount my insurance company paid on my bill?

If you have questions or concerns about the payment, call your insurance company for an explanation. If an error was made, note the information and request an anticipated payment date. If the bill was paid correctly and you still disagree, ask your insurance company about filing an appeal.

Will the hospital file my worker's compensation claims for me?

Yes, we will bill worker's compensation insurance or the employer if you provide that information.

Will the hospital file my motor vehicle accident or medical liability claims for me?

We do not bill third-party insurances except for patients with Medicare. At your request, we can provide an itemized statement for you to forward to the liability carrier. Please note that you are responsible for paying the hospital bills, and we do not become involved in liability disputes.

payment faqs

When am I responsible for my hospital bill?

You are legally responsible for your bill at the time you receive services from the hospital. We require all patient balances to be paid immediately after you are notified.

How can I pay my patient balance?

You can pay by cash, check, or money order. Please make the check or money order payable to Prairie Ridge Health and include your account number. Mail your payment to: Prairie Ridge Health, 1515 Park Avenue, Columbus, WI 53925, Attention: Business Services. You can also use our online Bill Pay Service to pay using your MasterCard, VISA, or DISCOVER Card.

Do I have to pay my co-payment at the time of service?

Yes, you are expected to pay your estimated co-payment at the time services are provided.

When will I receive my bill?

We will mail you a statement after your insurance company has paid its portion, or within 15 days of your date of service if you are uninsured.

medicare faqs

Why do I need to provide information about other insurance if I have Medicare coverage?

Medicare requires us to bill any insurance company that could be responsible for your expenses before we bill Medicare. We must consider the possibility that another party may be responsible for your expenses, such as if you were injured in an accident.

Do I need to sign any forms before Prairie Ridge Health can bill Medicare?

Yes, you will be asked to sign a Consent for Treatment form each time you receive services. Medicare also requires us to ask you questions each time you receive services.

Will you bill my other health insurance company if I have coverage in addition to Medicare?

Yes, we will bill your other health insurance company after Medicare has made their payment, provided you have given us information about your other insurance.

What is a Medicare Explanation of Benefits form?

The Explanation of Benefits form is a document that Medicare sends to you after processing your medical claims. It provides information about the payment status of your bill.

What is the difference between Part A and Part B Explanation of Benefits forms?

Part A covers inpatient hospitalization, while Part B covers outpatient and physician services.

What should I do with the Explanation of Benefits form?

We recommend keeping the Explanation of Benefits forms until all your medical claims have been paid in full. If you have other health insurance in addition to Medicare coverage, your insurance company may require a copy of the Explanation of Benefits.

Should I pay the balance listed as "Your Total Responsibility" on the Explanation of Benefits form?

No, this amount could change depending on your insurance coverage. Wait until you receive a bill from your medical provider before making payment.

Will I have to pay any money for my hospital visits as a Medicare patient?

You may be responsible for non-covered charges, co-pays, and deductible amounts, depending on your Medicare coverage. We will bill your other health insurance company for any remaining balance after Medicare's payment. If you do not have other health insurance, you will be billed for the balance.

patients & visitors

Patient Billing

Transparent & Understandable Patient Billing

Pay Your Bill

Financial Assistance (Community Care)

Good Faith Estimates & Protection Against Surprise Billing

Transparency in Coverage

Price Transparency & Chargemaster

Billing FAQs

general billing faqs

Insurance faqs

payment faqs

medicare faqs

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