Billing info & price transparency

Yes, Roper St. Francis Healthcare offers out-of-pocket cost estimates for patients, providing a typical range for your condition or procedure. These are estimates—exact costs may vary—and do not include physician fees, which are billed separately. Doctors such as the admitting physician, surgeon, hospitalists, or specialists will send their own bills. The hospital’s estimate covers care during your stay but not doctor fees. If services like radiology, lab testing, or physical therapy are ordered and performed by specialists not employed by the hospital, our staff can help you find out what these services will cost.  
Use the Price Estimation Tool, to get a rough idea of your out-of-pocket costs for hundreds of our most common services.

During your visit to the hospital, your doctor may order tests, procedures, and/or other services. Many of these services are performed by physicians who work in the hospital and bill their services separately. After your visit, you may receive bills from the physician, surgeon, pathologist, radiologist, and anesthesiologist. For questions regarding these bills, please call the number listed on their bill. 
 
Roper Radiology: (843) 724-2988 
APS Lab Billing: (800) 365-3744 
Anesthesia: (866) 399-6324 
ER Physicians: (877) 308-6738

Our registration, scheduling, and financial counseling staff can help you understand your insurance's network status. Also, your insurance company can provide that information to you. 

Our Pre-registration/scheduling team can be reached at (843) 402-5100, option 1

Insurance networks and their contracts change frequently; it is always advisable that you check with your insurance provider directly for the most current list of in-network providers.

Our customer service team will be happy to assist you in updating personal and insurance information. Do not hesitate to contact our Customer service number at (888) 472-0043.

Most insurance plans require you to pay a deductible and/or coinsurance. In addition, you could be responsible for services not covered by your policy. Please contact your insurance company for specific answers to your questions. You should receive an Explanation of Benefits (EOB) from your insurance company indicating how much the insurance company paid and how much you owe for out-of-pocket expenses.

Copayment is a predetermined fee the member pays to providers at the time of service. Copayments are applied to emergency room visits, hospital admissions, office visits, etc.

The deductible is a provision in many insurance policies that requires the insured to incur a specific amount of medical costs before insurance benefits are provided. For example, if a member’s policy contains a $500 deductible, the member must accumulate and pay $500 out of pocket before the insurance carrier will begin to pay benefits. Once the patient has met the deductible, the carrier usually pays a percentage of the bill.

Coinsurance is a form of cost sharing. After your deductible has been met, your insurance plan will begin paying a percentage of your medical bills. The remaining amount, known as coinsurance, is the portion due from the patient.

In most cases Roper St. Francis Healthcare will act on your behalf to understand the reason for the denial or coverage decision. However, patients are responsible for any charges not paid/covered by their insurance carrier.

Many insurance plans may pay for healthcare services provided in an outpatient hospital setting differently than those provided in a physician’s office.

Please contact our Customer Service department at (888) 472-0043 if you are unable to pay your bill in full. Our representatives can assist you in determining the right solution in meeting your financial responsibilities. 
 
Roper St. Francis Healthcare has several ways to provide help:

• No-interest payment arrangements.
• We have a financial assistance program.
• Financial Assistance Applications can be found on the Roper St. Francis Financial Assistance webpage.

1. Call our customer service department at (888) 472-0043 to request an itemized bill.

2. Patients enrolled in MyChart will automatically receive an itemized bill in my chart for their first statement. If not, an itemized bill can be located in MyChart upon request.

3. Email is an option as well upon request.

Roper St. Francis Healthcare 
PO Box 602441 
Charlotte, NC 28260-2441

• When a patient is involved in a Motor Vehicle Accident or MVA (auto) the Auto Insurance primary. If the patient does not have auto insurance or the insurance denies, then we may bill patient’s medical insurance. 
• If the patient has Medicare, before Medicare can be billed, we must obtain information about all available automobile or liability insurance information. For a period of 120 days (about 4 months) from the date of service such automobile or liability coverage is considered primary to Medicare and must be billed. 

A claim is often sent electronically to your insurance company after discharge. If your insurance company does not accept electronic claims, a paper claim is mailed to them. Your insurance company will be billed for the total charges of the services.

Once all charges are finalized, a patient statement will become available. Please allow approximately 7-10 business days from the date of service.

Roper St. Francis offers both free care and discounted care, depending on individuals’ family size and income. Supporting documents such as payroll stubs, tax returns, bank statements, and other financial documents regarding personal or liquid assets may be requested to support the information reported. Uninsured and underinsured patients who do not qualify for free care could receive a sliding scale discount off the gross charges for their medically necessary services based on their family income as a percent of the Federal Poverty Guidelines (“FPG”). 
 
Financial Assistance Applications can be found on our financial assistance webpage

Once your billing has been finalized and patient liability confirmed, four statements will be mailed requesting payment prior to going to collections. If your account is unresolved following the 4th and final statement it may be placed with a collection agency. You will receive a final notice statement to notify you before placement with an agency. Making payments to an account without a payment arrangement will not keep the account from placing with the agency. If your account is placed with an agency, you must contact them directly regarding payment arrangements. 
 
Payment arrangements must be set up over the phone with a representative. If you want to set up payment arrangements, this is possible through MyChart as well as after the payment plan has been initiated with the Customer Service team.

All newborns will have their own account number. Babies are billed for their room, even if they primarily stay with their mother.

You may be in the hospital for observation. Observation services are usually short term; however, there is no hourly limit on the extent to which they may be used. This is not an admission to the hospital as an inpatient. The attending physician decides on observation services or inpatient admission based on medical necessity.

Non-emergency medical services, such as routine check-ups, specialist visits, or elective procedures, may not be covered out of state, depending on your plan. Some plans may require you to return to your home state to receive in-network care, while others may have limited out-of-state network options.

Medicare parts A&B patients can see any doctor or specialist who accepts Medicare, but Medicare Advantage or part C may not cover out-of-state care.

Medicaid is state administered. Generally, Medicaid does not work in South Carolina except in the case of true, life-threatening emergencies. Certain services provided within 40 miles of the North Carolina border in contiguous states (including SC) may be covered by North Carolina Medicaid.