Our financial counselors can guide you through the billing process by answering insurance questions, offering financial counseling, and assisting with payment plans for medical bills.
Our priority is that our financial assistance, Charity Care and collections processes be fair, reasonable, and legally compliant with both State and Federal laws in a manner that is both respectful and effective.
- Online at Jeffersonhealthcare.org/billpay
- Online through My Chart
- By mail to Jefferson Healthcare, Financial Services Office, 834 Sheridan, Port Townsend, WA 98368
- By telephone at 360.385.2271
- In-person at the Financial Services Office located via the main entrance on the first floor.
Alternative Payment options:
- Prompt pay discounts and interest-free payment plans
- Financial Assistance, which includes Charity Care supported by Washington State Law.
In late 2018, Jefferson Healthcare conducted a complete pricing study to ensure alignment with similarly sized hospitals. From the study, several areas for adjustments were identified to be more competitive while continuing to be viable and to enable reinvestment in community care. Jefferson Healthcare Pricing Chart or Chargemaster
Also available is a list of standard charges for each diagnostic related group (DRG). These standard charges are based on averages of services for these diagnostic related groups at our hospital during the last three years. Please remember that this gives an average, but total costs vary based on a patient’s scope of service and insurance agreements. Standard charge estimates by DRG
• How are prices set?
Jefferson Healthcare sets prices to be comparable to other hospitals in the area at the same time considering the resources needed to provide each service. Resources include staffing, time, equipment and materials used for service. Jefferson Healthcare reviews every line of the Chargemaster (list of charges with corresponding procedure codes) to ensure prices are comparable, match the complexity of the service and correspond to the resources needed to provide the service.
• Where were the biggest adjustments made?
The biggest downward adjustments were made to diagnostic imaging (x-ray, CT, MRI and ultrasound), laboratory tests and respiratory therapy.
• How will this impact the overall hospital budget?
The hospital budget for 2019 includes these price decreases. Through the budget process, the hospital identified ways to find savings or grow other programs that will offset these costs. Additionally, there were a few areas where prices were below market; these have been adjusted (though to a much smaller degree than the decreases). Overall, this will affect the overall budget by a decrease in contractual adjustments because a significant portion of our reimbursement is contingent on factors other than price.
• Will these changes affect my care?
Absolutely not. Jefferson Healthcare continues to invest in services and programs with both excellent staff and equipment to ensure the highest level of care. The hospital has identified ways to offset these reductions without affecting staffing or any other components that affect the care our patients receive.
• What is a Chargemaster?
The Chargemaster is the complete list of prices, across all departments and service lines. This list includes procedure codes for care, as well as the price per unit. Some units are obvious (per visit, per procedure) while others are based on diagnosis or a less straightforward unit (minute per surgery, duration of recovery).
• Can this list of prices be used to get an estimate?
The list is a useful tool to understand prices, though most services involve a combination of prices. Understand that in many cases it is impossible to predict final charges because of variables that affect services. Please contact our Financial Counseling office at 360-385-2200 ext 2267 for an estimate to ensure all components are considered.
• How is patient financial responsibility calculated?
Patient responsibility varies by payor and can include copays, coinsurance, or other patient responsibility. Insurance companies determine the portion of the bill the member is responsible for, and the team of Jefferson Healthcare Financial Counselors is available to help you understand these terms.
• What other hospitals are considered relevant for comparing prices?
Given their proximity, Jefferson Healthcare looked at Olympic Medical Center and Harrison Medical Center. Several hospitals in the Seattle area (including Harborview, Overlake, Providence Everett, Swedish First Hill, University of Washington, and Virginia Mason) and two hospitals in the Tacoma area (St. Josephs and Tacoma General Hospital) were considered in the analysis as well.
• How do property taxes affect pricing?
As a public hospital with very low tax support compared to other public hospital districts, it is important to set prices at a sustainable level to ensure very important services to our community are maintained. Jefferson Healthcare does not go above the median of the market to achieve this priority; as a result, rates have been reduced in several areas to meet this objective.
• Are prices different at different Jefferson Healthcare locations?
Jefferson Healthcare works to keep prices the same across different settings, although billing requirements result in some variances in terms of how these services are billed. Services are priced the same, though they may be broken into two components in specialty clinics.
Jefferson Healthcare is here as a partner to help patients understand both the prices and potential patient responsibility. Questions and/or concerns can be directed to the Financial Counseling team at 360-385-2200 ext 2267
You have the right to request an estimate of potential charges prior to receiving any medical service. Estimates may vary based upon the complexity of your medical condition and any deviations from the initial care plan as determined by your provider. To request an estimate please call 855.581.LINK (5465) for more information.
After your visit and after your insurance company has reviewed your claim, a statement will be mailed to you from Jefferson Healthcare. Payment in full is due at this time. If you cannot pay in full, please contact us to discuss your options. You will receive three reminder statements and a final notice before being referred to a third party agency if you have not paid. Prior to being referred to a third party agency a financial counselor will attempt to call you.
Beginning January 1, 2020, Washington state law protects you from ‘surprise billing’ or ‘balance billing’ if you receive emergency care or are treated at an in-network hospital or outpatient surgical facility. Read more about this law Balance Billing Protection Act
Jefferson Healthcare contracts with other providers for services to help meet your care needs. These companies represent anesthesia, laboratory, radiology, sleep medicine, urology, etc. If you have questions about these companies please contact the Financial Services Office.
We must make a reasonable effort to collect on accounts that are due. We do not harass patients for payment or use collection agencies that use pressure tactics. Any patient who states that he or she does not have the means to pay a bill will be referred for financial counseling to determine eligibility for one of the helping programs. To ensure consistency and fairness throughout our system, we base our charging methodology on the American Medical Association’s common procedural terminology codes. Our charges are in the mid-range for rural hospitals. We realize that hospital charges are increasing and that the health care system is very complex. Therefore, we have made a significant effort to ensure that access to needed care is available. If you have more questions, please call us at (360) 385-2200 ext. 2267.
Jefferson Healthcare offers a variety of alternative payment options including:
- Prompt pay discounts
- Interest-free payment plan arrangements
- Financial Assistance, which includes Charity Care and Sliding Fee Scale supported by Washington State Law
- Community Health Plan of WA (not accepted after 12/31/2019)
- Coordinated Care (not accepted after 12/31/2019)
- First Choice Health
- Medicare Railroad
- Molina Healthcare
- Noridian Medicare
- Premera Blue Cross
- Regence Blue Shield
- Regence Medicare Advantage (effective 1/1/2020)
- United Healthcare
- WA Labor & Industries
- WA State Medicaid
- VA Choice
Financial Services Office Hours
Monday – Friday
9:00am – 4:30 pm
p) 360.385.2200 ext 2267