Patient Billing

As part of our ongoing commitment to provide the best possible service to our patients, we want you to understand the billing process that occurs after your visit to a Penn Medicine Hospital or Physician office.

If you have given us insurance information at the time of registration, we will send a claim to your insurance company. Once your insurance company pays its portion of the bill, you may receive an Explanation of Benefits (EOB). This explanation should describe how your insurance company processed the bill.

You will then receive a billing statement from Penn Medicine for any portion that is considered to be patient liability. This statement will tell you the balance due after the insurance processes the claim in accordance to your insurance benefit plan. It will also include a summary of charges for the services you received.

If you have any additional questions regarding your bill, please call the number listed on the bill or contact us at:

(877) 433-5299 for Hospital accounts or (800) 406-1177 for Physicians accounts
Penn Medicine bills for services rendered within Hospital of the University of Pennsylvania, Presbyterian Medical Center and Pennsylviania Hospital as well as all professional fees for the physician and practitioners who are faculty memebers of the University of Pennsylviana Medical School and Clinical Care Associates.

Billing is required to be billed separately, therefore, you may receive 2 bills depending on where your services were rendered:
  • A physician bill for services provided at your physician's office, a consulting physician, radiologist, or other specialists
  • A hospital bill for services provided at one of our hospitals.


Click on the following links to view the two bills and their explanations:

Hospital Sample Statement Physician Sample Statement
Penn Hospital Icon Penn Physician Icon


If you received services from a private practice physician who maintains medical staff privileges at a Penn Medicine hospital but is not employed by Penn Medicine, you will receive a bill directly from that physician's office and will need to contact the number on that specific billing statement if you have any questions.




Physician Bill

The University of Pennsylvania Health System bills the professional fees for the physicians and practitioners who are faculty members of the University of Pennsylvania Medical School and Clinical Care Associates. A sample bill is shown here. If you received services from a private practice physician who maintains medical staff privileges at a University of Pennsylvania Health System hospital but is not employed by Penn Medicine, you will receive a bill directly from that physician's office and should contact the number on your statement for any questions you may have.

Physician billing could include:
  • Physicians services (Inpatient or outpatient hospital based services)
  • Laboratory
  • Anesthesia
  • Radiology
  • Ambulance
  • Pathology
  • Diagnostic Testing Interpretation
  • Specialty professional services
*** You also may receive statements for consultation charges if your primary care doctor or attending physician spoke with a specialist such as a radiologist or pathologist about your treatment or test results.

Hospital Bill

If you received services at Hospital of University of Pennsylvania, Pennsylvania Hospital or Penn Presbyterian Medical Center, you will receive a bill separate from the physician bill and it will be identified with the hospital specific name at the top of the billing statement. An example of this bill can be seen here.

Hospital billing could include:
  • Inpatient Room Charges
  • Operating Room Charges
  • Special Services (such as radiology or laboratory services ordered by your physician)
  • Pharmacy
  • Nursing Care
  • Meals

Billing Rights and Obligations

Not all medical costs are covered by insurance. The hospital makes every effort to see that you are billed correctly. It is up to you to provide complete and accurate information about your health insurance coverage when you are brought in to the hospital or visit an outpatient clinic. This will help make sure that your insurance company is billed on time. Some insurance companies require that bills be sent in soon after you receive treatment or they may not pay the bill. Your final bill will reflect the actual cost of care minus any insurance payment received and/or payment made at the time of your visit. All charges not covered by your insurance are your responsibility.

Payment Options:

Unpaid balances, including all applicable co-payments, co-insurance, deductibles and any non-covered services are the responsibility of the patient and/or patient guarantor and must be paid within 30 days of the statement date. Payments can be made online in ‘My Account’ if you are a registered user. If you do not wish to register to pay, you can use Quick Pay to make individual payments.

In addition to online payments options, we offer the following:

By Phone:
  • Visa
  • Discover
  • Master Card
  • American Express
Mail or Cashiers office:
  • Cash (at the cashier's office only)
  • Check or money order
  • Traveler's Check
  • Visa
  • Discover
  • Master Card
  • American Express
If you are unable to pay your portion of your healthcare bill, financial assistance is available to persons who meet certain requirements based on household income. Please visit Financial Assistance for more information or contact our Patient Billing Customer Service Representatives at:

(877) 433-5299 for Hospital accounts or (800) 406-1177 for Physicians accounts


***Patients who are uninsured or fail to provide us with adequate insurance information are responsible for the total payment of their bill.

Any payment arrangements, other than payment in full must be approved in order to keep your account from being considered past due.

Why wasn't my insurance carrier billed?

If your insurance information is on our billing system when the services are entered, your insurance carrier will be billed directly. However, if the information is inaccurate or incomplete, we may be unable to bill your insurance carrier.
 

Did my insurance carrier pay for services?

Any reimbursement from your insurance carrier will be reflected on your statement. In addition, many insurance carriers send an explanation of benefits to their subscribers explaining how their medical claim was processed.
 

Why didn't my insurance carrier pay for the services?

To obtain a clear understanding of your benefits and any limitations of your insurance coverage, it is best to contact your insurance carrier directly for an explanation of the way your claim was processed and/or denied.
 

Why am I getting a bill now, when services were provided so long ago?

Once a response is received from your insurance carrier and we have confirmed that there is additional patient liability, we will bill the patient. However, this process is dependent on when we receive a response from the insurance carrier. In addition, insurance carriers often request additional information that could delay the processing of your claim.

Why do I keep getting bills?

You are still receiving bills because the account balance is still open.

Who ordered the test?

All testing is ordered by a physician or health care provider. Please check with the physician's office if you have any further questions.

Why did I have these tests?

Your physician's office will be able to answer this question.
 

How do I get my test results?

If your services were provided by a Penn Medicine Physician you can access myPennMedicine to view your test results or you can call your physician's office. The business office is not qualified to answer questions regarding tests or test results.

If you have any additional questions regarding your bill, please call us at:
(877) 433-5299 for Hospital accounts
or
(800) 406-1177 for Physicians accounts.

Contact Us:   Email Us  |   Hospital Accounts (877) 433-5299   |   Physician Accounts (800) 406-1177