Patients should have access to the information they need to make the best care decisions for themselves and their families. Rush County Memorial Hospital is committed to improving patients’ access to information on the price of their care. We urge patients to call the hospital for their out of pocket costs related to hospital services.
Requirements under the Affordable Care Act (ACA) allow for facility transparency. Section 2718 of the ACA requires “Each hospital operating within the United States shall for each year establish (and update) and make public (in accordance with guidelines developed by the Secretary) a list of the hospital’s standard charges for items and services provided by the hospital including for diagnosis-related groups established under section 1866(d)(4) of the Social Security Act.”
General Price Transparency Disclaimer
This list of charges reflects the standard charges for inpatient and outpatient services provided at Rush County Memorial Hospital. The patient’s financial responsibility for services provided may vary, depending upon individual payment plans negotiated with individual health insurance plans as well as reimbursement schedules set forth by public payers such as Medicare and Medicaid. Patients should contact Rush County Memorial Hospital for assistance. These charges do not include items or services that may be billed separately for physician services, outsourced lab, diagnostic services, etc.
The listed charges do not constitute a contract.
(This list of charges is current as of 01/01/2019)
HFMA Resource – Understanding Health Care Prices: A Consumer Guide
FINANCIAL ASSISTANCE SUMMARY
In our mission to serve the healthcare needs of Rush County and the surrounding area, Rush County Memorial Hospital (RMCH) and Rush County Medical Clinic (RCMC) are committed to making care affordable. RCMH offers discounts, payment options and financial assistance to people who cannot afford to pay for medical care, including Emergency Department services. RCMH offers medically necessary services in our facility at a discounted rate for those patients who are eligible candidates under the Financial Assistance Program.
The Financial Assistance Program applies to all medically necessary hospital patient, clinic patient, outpatient and Emergency Department services that are billed by RCMH or RCMC. The applicant must demonstrate an inability to pay in accordance with the income criteria as established by the current Federal Poverty Guidelines (FPG).
A prompt pay discount of 10% will be applied to all accounts paid in full within thirty (30) days of the date of the first statement. Policy co-pays are not eligible for prompt pay discounts or financial assistance and must be paid in full at the time of service. Each visit to the hospital or clinic initiates a patient bill and financial arrangements should be made for each bill. Patient bills can be combined for payment, with proper arrangements.
PAYMENT SCHEDULE FOR ACCOUNTS
All accounts are due in full within 120 days from the date of the first statement. RCMH and RCMC offers the following payment schedule for those patients wanting to set up a payment plan. The payment schedule is applicable to any account at RMCH or RCMC. Contact the Business Office to set up a payment plan. If a monthly payment is missed, the account will be turned over to an outside agency for collection.
A.Account balances under $100 are expected to be paid in full B.Account balances $100.01 up to $1,000.00 will require a monthly payment plan not to exceed one year (12 months). C.Account balances $1,000.01 up to $2,500.00 will require a monthly payment plan not to exceed 2 years (24 months). D.Account balances $2,500.01 up to $5,000.00 will require a monthly payment plan not to exceed 3 years (36 months). E.Account balances $5,000.01 up to $7,500.00 will require a monthly payment plan not to exceed 4 years (48 months) F.Account balances over $7,500.00 will require a monthly payment plan not to exceed 5 years (60 months).
DISCOUNTS PROVIDED BY THE FINANCIAL ASSISTANCE PROGRAM
Approved applicants of the financial assistance program shall receive discounts for services received based on their annual income and family size under the following conditions. Proof of annual income is required.
•When the gross annual income is less than 100% FPG patients will pay $25.00 per visit. •When the gross annual income is less than 125% but greater than 100% FPG a 70% discount will be provided. •When the gross annual income is less than 150% but greater than 125% FPG a 70% discount will be provided. •When the gross annual income is less than 175% but greater than 150% FPG a 50% discount will be provided. •When the gross annual income is less than 200% but greater than 175% FPG a 25% discount will be provided. •When the gross annual income is 200% FPG or greater no discount will be applied.
BUSINESS OFFICE HOURS
RCMH and RCMC Business Office hours are Monday – Friday 8:00 am to 5:00 pm. The phone number is 785-222-2545 for the Hospital and 785-222-2564 for the Clinic.