Patient Billing & Financial Assistance
Why Pay Bills Online
Paying your healthcare bill online saves you postage and takes less time. You will receive a copy of your receipt in your Email and can always log on to see a history of your payments.
Paying your bill online is more secure than sending a check in the mail. All information is viewed and submitted over a SSL encrypted connection. This avoids placing your checking account or credit card information in an envelope where it may be susceptible to prying eyes.
What is a chargemaster?
How are charges determined?
Why do different hospitals charge differently?
Will I find all of my charges in the chargemaster?
Do the charges show my out-of-pocket costs?
Who do I contact for billing concerns?
Janet Walliman, Patient Accounts Coordinator, at 503-769-9334, email@example.com, or 1401 North 10th St. / Stayton, OR 97383-9987
- Responsible parties with gross family income at or below 250% of Federal Poverty Guidelines may
be eligible for financial assistance at 100% of amount due.
- Responsible parties with gross family income above 250% but below 400% of the Federal
Poverty Guidelines may be eligible for a prorated amount of financial assistance.
What does my financial assistance cover?
Financial Assistance covers services at Santiam Hospital & Clinics as well as any of our affiliated clinics for medically necessary services based on an individual’s eligibility. Financial assistance may not cover any additional costs incurred or provided by other organizations.
What information is needed to apply?
· The enclosed application form (signed and dated)
· Proof of income
· Copy of recent tax return
· Complete and current bank statement
· Include a letter explaining your current situation and additional need for assistance.
When will I know the outcome of my application?
You will receive a determination letter in the mail within 21 days after receiving your completed application. If additional information or documentation is required to process the financial assistance application, you will be informed of those requirements.
Who can I contact with additional questions?
If you have questions or need assistance, please call our financial assistance specialist at 503-769-4572.
Payment plans are available to all patients regardless of financial status.
Understanding our Charge List
In compliance with federal legislation, Santiam Hospital & Clinics is publishing our chargemaster, an extended version of our charge master with payer rate information and an estimator tool.
The chargemaster is a comprehensive list, showing the charges for each procedure, service, or item provided by the hospital. It is a helpful tool for financial transparency, but not for comparing hospital prices or estimating service cost.
The extended version of our charge master contains our standard charges and services as well as information on gross charges, discounted cash prices, payer-specific negotiated charges, and de-identified minimum and maximum negotiated charges on all items and services provided by the hospital.
Please note that the chargemaster reflects standard charges, and should not be used to estimate out-of-pocket costs. Out-of-pocket costs are based on individual health plans, personalized treatment plans, individual health, and more.
The patient estimator tool allows you to receive an estimate on over 500 different procedures performed throughout the hospital including the 70 CMS mandated procedures.
For further information, please contact our Customer Service Team. Our staff is available Monday-Friday from 8:00 am – 5:00 pm with 24-hour voice mail. We welcome your call!
Payments, payment plans, questions or financial assistance:
Other resources include:
- The Oregon Hospital Guide
- Medicare’s Procedure Price Look-up
- Oregon Association of Hospitals and Health Systems
Billing department mailing address:
PO Box 577
Stayton, OR 97383