Patients & Visitors
Patient Billing
Helping patients understand their bills and payment options.
Transparent & Understandable Patient Billing
At Prairie Ridge Health, we strive to ensure that patients have access to the information and resources they need to make informed decisions about their healthcare expenses. If you have any questions or concerns regarding hospital billing, please don’t hesitate to contact us — we’re here to help.
Call (920) 623-1423Pay Your Bill
We offer a number of ways to pay your bill:
- Pay through MyChart (for Hospital & Clinic bills).
- Pay through Online Quick Pay (for Hospital bills only).
- Call (920) 623-1423 or (877) 731-7108 to speak with a team member and learn how you can pay with cash, a check or money order, a debit card, or an HSA card (for Hospital bills only).
Financial Assistance (Community Care)
We’re committed to providing high-quality, compassionate care to all patients, regardless of their ability to pay. Visit the link below to learn more about financial assistance.
Learn MorePrice Transparency
Resources to help you understand the costs of your healthcare services.
Learn MoreShoppable Services for Consumers
Hospitals must post standard charges for shoppable services that can be planned in advance, along with a description and any other services the hospital customarily provides with it. Visit the link below to find our standard charges for shoppable services and see other associated costs.
Transparency in Coverage – Self-Funded Health Insurance
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to access and analyze data more easily.
Hospital Billing Support
Our office is open 8 a.m. – 4 p.m. Monday – Friday. If you would like to speak to a Business Services team member in person, please visit our hospital’s main registration desk or call (920) 623-1423 or (877) 731-7108.
Provider-Based Clinic Billing/Facility Site Fees
Prairie Ridge Health Clinic – Columbus is considered a Provider-Based clinic. Find out what that means for you.
Learn MoreGeneral FAQs
Yes, you can request a price quote by calling a Patient Financial Counselor at (920) 623-2200 or (800) 549-7511. To provide an accurate quote, we will need the procedure code from your physician. Please note that the final charges may vary based on factors such as the clinical service provided and supplies used.
Our statements only reflect hospital charges. Radiologists and pathologists may bill separately for their services. If you have questions about their bills, please contact them directly. Additionally, each time you receive services at the hospital, a separate account is created.
Yes, you can request an itemized statement by calling our Business Services team members at (920) 623-1423 or (877) 731-7108.
Please allow five to seven days for your payment to be applied to your account. If it has been more than seven days, please contact our Business Services team members.
Provider networks associated with HMO and PPO plans may change frequently. To obtain this information, please contact your insurance company.
Insurance FAQs
Yes, please bring your insurance card to the hospital when you register. We need the information on your card to file a claim with your insurance company. All forms of health insurance must be presented at the time of registration.
Yes, we will bill your insurance company as a courtesy. However, it is your responsibility to provide any requested information to your insurance company, such as claim forms or accident information.
We encourage you to check with your insurance company or employer to determine if prior approval or notification is required for your hospital stay. Contact your insurance company with specific questions about your coverage.
Coverage varies with each insurance company, and medically necessary services may not always be covered by your insurance plan. Please refer to your insurance member handbook or contact your insurance company to determine what services are covered.
Each professional needs to contract individually with insurance companies, and the hospital cannot confirm if each professional is contracted with your insurance company. Please check with your insurance company or employer for this information.
If there is a balance due after your insurance company has paid, we will send you a statement indicating the amount paid and any remaining balance. You are responsible for paying the balance or contacting our Business Services team members at (920) 623-1423 or (800) 731-7108 to set up payment arrangements.
Before calling your insurance company, gather the necessary information, such as your insurance card, date of service, facility name, original billed amount, patient name, and claim number. Ask for the status of the account and the name of the person you talk to. If the bill has not been paid, ask for the anticipated payment date and what is needed. If you still have questions or concerns, ask about filing an appeal.
If you have questions or concerns about the payment, call your insurance company for an explanation. If an error was made, note the information and request an anticipated payment date. If the bill was paid correctly and you still disagree, ask your insurance company about filing an appeal.
Yes, we will bill worker’s compensation insurance or the employer if you provide that information.
We do not bill third-party insurances except for patients with Medicare. At your request, we can provide an itemized statement for you to forward to the liability carrier. Please note that you are responsible for paying the hospital bills, and we do not become involved in liability disputes.
Payment FAQs
You are legally responsible for your bill at the time you receive services from the hospital. We require all patient balances to be paid immediately after you are notified.
You can pay by cash, check, or money order. Please make the check or money order payable to Prairie Ridge Health and include your account number. Mail your payment to: Prairie Ridge Health, 1515 Park Avenue, Columbus, WI 53925, Attention: Business Services. You can also use our online Bill Pay Service to pay using your MasterCard, VISA, or DISCOVER Card.
Yes, you are expected to pay your estimated co-payment at the time services are provided.
We will mail you a statement after your insurance company has paid its portion, or within 15 days of your date of service if you are uninsured.
Medicare FAQs
Medicare requires us to bill any insurance company that could be responsible for your expenses before we bill Medicare. We must consider the possibility that another party may be responsible for your expenses, such as if you were injured in an accident.
Yes, you will be asked to sign a Consent for Treatment form each time you receive services. Medicare also requires us to ask you questions each time you receive services.
Yes, we will bill your other health insurance company after Medicare has made their payment, provided you have given us information about your other insurance.
The Explanation of Benefits form is a document that Medicare sends to you after processing your medical claims. It provides information about the payment status of your bill.
Part A covers inpatient hospitalization, while Part B covers outpatient and physician services.
We recommend keeping the Explanation of Benefits forms until all your medical claims have been paid in full. If you have other health insurance in addition to Medicare coverage, your insurance company may require a copy of the Explanation of Benefits.
No, this amount could change depending on your insurance coverage. Wait until you receive a bill from your medical provider before making payment.
You may be responsible for non-covered charges, co-pays, and deductible amounts, depending on your Medicare coverage. We will bill your other health insurance company for any remaining balance after Medicare’s payment. If you do not have other health insurance, you will be billed for the balance.
