Insurance Billing and Payment Options
HSHS St. Mary's Hospital will file an insurance claim with your primary insurance carrier (as well as most secondary insurances). Please provide accurate and complete insurance information at the time of registration.
Itemized billing statements (an itemized hospital bill) are available upon request.
Services provided by your physician may not be included on your hospital bill. If Radiology, Anesthesia or Emergency care were received, you may receive a bill for services from:
Medicare billing for self-administered drugs
- Anesthesia Management Partners (800) 444-6110
- Central Illinois Radiology Associates (CIRA) (866) 720-2502
- HSHS Physicians Services (877) 636-2261
- Infinity-MEDS (ER Physicians) (888) 290-6720
- KMB Pathology (800) 535-3058
- Prairie Cardiovascular (800) 578-8887
During the course of outpatient treatment, you may be given medication Medicare considers self-administered. Medicare defines these as medications the patient could, in another setting, take themselves, and may include tablets, drops, inhalants and some injectable drugs.
In order to remain compliant with Medicare regulations related to billing of these drugs, the hospital is required to submit these self-administered drugs as non-covered items on our billing to Medicare. Once Medicare (and any other insurers you may have), have made payment to us, you will receive a bill from HSHS St. Mary's Hospital. In addition to any deductible and co-insurance due, this bill will reflect the charges for unpaid self-administered drugs, and payment for these items is expected from the patient. Some Part D Plans may reimburse the patient for the self-administered drugs. You will need to contact your Part D carrier for information on how to submit a claim. Please contact Patient Financial Services with any questions.
Deductibles, co-insurance and non-covered amounts not paid are your responsibility. All charges not paid by your insurance must be paid in full within 30 days after billing.
We accept the following payment methods:
We accept all major credit cards online, by phone or mail
Pay in person
HSHS St. Mary's Hospital
Cashier's Office - Main Lobby
1800 Lake Shore Dr.
Decatur, IL 62521
Pay by mail
HSHS Mary's Hospital
PO Box 4019
Carol Stream, IL 60197-4019
If the account cannot be paid in full within 30 days, there are two payment options:
Minimum monthly payment plan
We are here to provide assistance to all our customers with paying their bills. One option is monthly payment plans. Patient balance payment plans are offered to patients who cannot make payment in full.
For those balances less than $500, the payment plan can be for up to six months. For balances greater than $500, the payment plan can be for up to 12 months, with the ability to extend the time frame beyond 12 months for higher balances and/or other circumstances.
A 4 percent down payment of the balance due is asked for at the time of the payment plan agreement. We do have the flexibility to work with our patients on the down payment amount.
Bank note plan
For patients who need extended time to pay the account balance, external financing at competitive rates is available through a local bank.
While you are a Medicare hospital patient, you have the right to receive all the hospital care necessary for the proper diagnosis and treatment of your illness or injury. According to federal law, your discharge date must be determined solely by your medical needs.
You have the right to be fully informed about decisions affecting your Medicare coverage, payment for your hospital stay and for any post-hospital services.
You have the right to request a review by a Peer Review Organization (PRO) of any written "Notice of Non-coverage" that you receive from the hospital stating that Medicare will no longer pay for your hospital care. PROs are groups of doctors who are paid by the federal government to review medical necessity appropriateness and quality of the hospital treatment furnished to Medicare patients.
If you think you are being asked to leave the hospital too soon, ask a hospital representative for a written notice of explanation immediately. This notice is called a "Notice of Non-coverage."
Third-party liability cases
The hospital will not become involved in any third party liability cases. It is the patient’s responsibility and obligation to see that the hospital bill is paid promptly, regardless of any pending litigation resulting from an injury caused by a third party. The hospital will file liability liens against the patient and/or responsible party whenever deemed necessary to protect the interest of the hospital.