Billing and Insurance

Our Patient Accounts department handles all patient billing questions and concerns, requests for itemized bills, and account balance inquiries.

Quickly and easily pay your bill online with MyChart.

We participate with most major insurance carriers. Please check with your insurance company prior to your visit to ensure WCHC participates with your insurance carrier. Due to many types of insurance coverage, it is important your insurance coverage is verified. We’ll make a copy of your current insurance card and information at the time of registration is necessary to make sure claims are billed promptly and accurately.

After your visit to WCHC, we’ll submit a claim to your insurance company provided we received the information within your policies filing time frame and you have assigned payment for your benefits to the hospital.

You may receive separate bills for hospital and physician services. This is due to Medicare, Medicaid, and most insurance carriers requiring professional fees for physicians to be billed separately from hospital charges for inpatient, outpatient, clinic, laboratory, imaging, and all other medical services.

Most health insurance plans do not cover the full amount of the hospital and physician bills. You will be required to pay any deductible, co-payment, or non-covered charges. Our Patient Account representatives will assist you with payment arrangements toward any balances owed once your insurance has been filed per request. We accept VISA, MasterCard, and Discover for payment.

We’re here to help.

At Washington County Hospital and Clinics (WCHC), we believe everyone deserves access to quality healthcare, regardless of their ability to pay. No one will be denied access to services due to inability to pay. A discounted/sliding fee schedule is available based on family size and income.

WCHC offers a Financial Assistance Program for eligible uninsured and underinsured patients receiving medically necessary services.

If you qualify, this program may reduce or fully cover your hospital and clinic charges for eligible services.

How to Apply

Patients may apply for financial assistance before, during, or after receiving care.

Applications are available:

• Online: Download our Financial Assistance Application – English or Spanish.
• By Mail or In Person: Pick up a packet at any WCHC location or call us at (319) 863-3911 to request one by mail.

Send Completed Forms To:

Washington County Hospital and Clinics
Attn: Financial Assistance
PO Box 909
Washington, IA 52353
Fax: (319) 863-3928
Email: patientbilling@wchc.org

Documents You’ll Need

• Proof of income (recent pay stubs, tax return, benefit letter)
• Photo ID (Iowa driver’s license or government-issued ID)

The Centers for Medicare & Medicaid Services (CMS) mandated hospital price transparency that went into effect January 1, 2021, requiring hospitals to make a list of their current standard charges available on the internet in two ways: a machine-readable file and consumer-friendly shoppable services. Standard charges include gross charges, discounted cash prices, payer-specific negotiated charges, and de-identified minimum/maximum negotiated charges.

However, provider organizations and patient advocates both agree that the realities of medical-industry pricing make it difficult for consumers to comprehend this data. Insurance companies negotiate a specific discount for their customers and uninsured individuals have access to a variety of state and federal government programs as well as additional Hospital discounts. Please note that the prices listed in both the machine-readable file and shoppable services are only estimates and may not represent a patient’s total responsibility amount.

• Your Rights and Protections Against Surprise Medical Bills
• Sus Derechos y Protecciones Contra Facturas Médicas Sorpresa
• Your Right to Receive a Good Faith Estimate
• Su Derecho a Una Estimación De Buena Fe