Billing & Financial Assistance

In accordance with our mission and values, St. Joseph Regional Medical Center is committed to caring for all people regardless of their ability to pay, with special attention to those who are poor and vulnerable. St. Joe's offers financial counseling and assistance to help address any financial concerns patients or families may have regarding their care.

Our financial aid policies reflect St. Joe's dedication to working together with our patients in a compassionate and caring manner to identify options for resolving their financial obligations.

Other resources:

Business Office Phone Numbers
Clinic office: 833-203-0026 (clinic questions)
Hospital office: 208-799-5333 (hospital questions)

Payments & Statement questions: 1-855-840-2350

Understanding Your Bill

St. Joe's is committed to providing you with the best medical care possible. We want to help you understand your bill and make sure any questions you have are answered.

How much do I really owe?
After your insurance company has processed your claim, we will bill you for your part of the bill. Most insurance plans require patients to pay part of their hospital bill.

If you have questions about your insurance, please contact your insurance company. If you do not have insurance, you are responsible for your hospital bill. We give an automatic discount for patients without insurance coverage.
What if I cannot pay?
In keeping with our mission, we are proud to provide financial assistance based on resources, income, and household size. We may be able to help you with all or part of your responsibility for hospital services. Financial assistance is available to all patients.

If you would like to pay your bill over time in smaller payments, we can help you set up a payment plan.

Please reference the Financial Assistance Application.
Why did I receive a separate doctor, ambulance, or laboratory bill?
Many doctors, ambulance companies, and laboratories who work with St. Joe's are not St, Joe's employees. They're separate businesses with their own billing. If you have insurance questions, contact their office directly.
- Phoenix Radiology: 208.743.4393
- Pathologist Regional Laboratory: 208.746.0156
- HNI Health (Hospitalists): 866.254.3991
- Sound Physicians (Emergency Dept. Providers): 866.535.5215
- LifeFlight: 866.883.9998
- MedStream Anesthesia: 877.350.3511
- City of Lewiston (Ambulance Services): 208.743.3556

Hospital-Based Outpatient Care

“Provider-Based” or “Hospital-Based Outpatient” refers to the billing process for services rendered in a hospital outpatient clinic or location. This is the national model of practice for integrated health systems involved in patient care and St. Joseph Regional Medical Center follows these very specific billing practices as regulated by the Centers for Medicaid & Medicare Services.

This means that patient may receive two bills: One from the hospital (the technical component) and one for the practitioner’s professional services.

What is hospital-based or provider-based billing (PBB)? Provider-based billing (PBB) is a national model of billing practice that is regulated by Centers for Medicare & Medicaid Services (CMS). It is also known as Outpatient Prospective Payment System or OPPS. PBB/OPPS refers to the billing process for services that are rendered in an outpatient clinic (department) of the hospital. In plain terms, the professional services and the facility overhead expenses must be billed separately. How does provider-based billing affect copayments, co-insurance and deductibles? PBB claims are billed with a facility fee and a professional fee. Co-payments, co-insurance, and deductibles will be processed according to your insurance coverage and benefits. Some insurance plans apply all payments, adjustments, and assignment of co-insurance to the professional charges only and some may apply this to both facility and professional portion. Why is the same procedure/service code (CPT code) used twice? For services rendered in a PBB clinic (or in any hospital outpatient department for that matter), the reason that you see the same CPT code on both the hospital bill and on the physician’s bill is this: • The code on the hospital (facility) bill represents all of the overhead expense incurred to perform that service/procedure and is submitted as a “facility” claim. Examples of overhead expenses are utilities, medical equipment, medical supplies, general maintenance and upkeep of the building, the salaries of the support staff, and other operational expenses. • The same code on the healthcare provider’s bill represents the physician or non-physician practitioner’s personally-performed, professional work to perform that procedure and is submitted as a “professional” claim. Which St. Joseph Clinics are provider-based? All clinics on the St. Joseph Regional Medical Center campus are provider-based. “On-campus” refers to those clinics that are in or within 250 yards of the main hospital building. All of the St. Joe's off-campus clinics are also provider-based, with the exception of Student Health on the LC State campus. Future clinics may or may not be provider-based, however a notice to patients will be posted in all PBB locations once the billing structure is established.

Payment options

St. Joe's accepts the following forms of payment:

Credit card and debit card (Visa, MasterCard, American Express or Discover)
Personal check
Money order
Cash, when presented in person

Need additional help?

If you are having trouble, we are here to help! Financial counselors are available Monday through Friday from 8 a.m. to 4 p.m. for walk-in questions.

415 6th Street | Lewiston, ID 83501

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