Financial Assistance
For more information about receiving financial assistance for you or your loved one’s care, please download the following documents, available in multiple languages for your convenience.
- Financial Assistance Policy
- Financial Assistance – AGB Calculation
- Summary of Financial Assistance Policy
- Financial Assistance Application
- List of Providers Covered by the Financial Assistance Policy
- Billing and Collection Policy
- Accounts Receivable Policy
- Accounts Receivable Policy (Spanish)
Financial Assistance Policy Translation
Financial Assistance - AGB Calculation Translation
Summary of Financial Assistance Policy in Alternate Language
Financial Assistance Application Translation
- Arabic
- Chinese (Simplified)
- Chinese (Traditional)
- Korean
- Spanish
- Vietnamese
List of Providers Covered by the Financial Assistance Policy Translation
Billing and Collection Policy Translation
List of Standard Charges
A link to a list of the pricing information about the items and services we provide is available below. This list represents gross charges for individual services and base rates negotiated with individual insurance providers and does not reflect personalized estimates of hospital charges that may apply to a specific case nor is it indicative of a patient’s out-of-pocket cost. In addition, several factors may affect pricing, including, but not limited to, the time of selection, additional expenses such as laboratory or professional fees, and additional services that depend on an individual’s specific health condition. The information is not intended to be legal, health, medical, or professional advice but merely conveys general information.