In accordance with the Affordable Care Act, The Valley Hospital will make available a listing of standard charges upon request. Please call 201-291-6080 for more information. Click here to obtain the hospital's policy regarding public viewing of hospital charges, and see the Frequently Asked Billing Questions on this page for a summary of the hospital charge master.
Physician fees are billed separately by your physician(s) and are not included in the hospital bill. Please click here for more information.
How much do I owe? You will receive a statement from us once your insurance has paid its portion, denied the charges or has taken too long to process your claim.
What if I have questions? You can call customer service at 201-291-6080 Monday through Friday from 8:30 a.m. until 4:30 p.m.
How can I obtain a copy of my bill? Please call customer service at 201-291-6080 and we will be happy to send you a copy of your itemized bill.
Does Valley Hospital participate with my health plan? Click here for a list of insurances with which Valley participates. Even if you see your plan listed, you should call your insurer directly to verify how your plan will consider services at Valley Hospital as some plans impose limitations even when the provider is participating.
When is authorization, notification, and/or pre-certification necessary? You should always contact your insurer prior to receiving services to see if authorization or prior approval is necessary. If the situation is life threatening, you or a family member can contact your insurance within 24 hours of the visit or admission. If pre-certification is required and you or your physician do not take steps to ensure that authorization is obtained, reduced benefits or the denial of your entire claim by your insurance company is possible.
I am having a baby soon at Valley. Do I need to do anything? Yes. You must call your insurance provider to add your newborn. Failure to do so will result in a denial of your newborn's bill. It is imperative that you fill out the necessary paperwork with your insurance provider to get your newborn enrolled after you have delivered your baby.
Am I responsible for my hospital bill? Yes. Your account is your responsibility and you are responsible for payment of any services provided.
We will first bill Medicare or your health insurance for services provided. Any portion of your hospital bill that is not covered by insurance is your responsibility.
Please note that delinquent accounts are referred to outside collection agencies when payment in full has not been received or appropriate payment plans have not been arranged.
What is a hospital charge master? The federal government requires hospitals to set uniform charges as the starting point for patient bills. This uniform set of charges is set forth in a hospital “charge master.” A charge master is a long and complex document that contains a list of the standard hospital charges for services. Please note that these standard hospital charges are for care without complications and do not take into account applicable insurance or discounts.
It is important to understand that standard hospital charges listed on a hospital charge master may differ from actual hospital charges. Actual hospital charges depend on a number of important factors. For example, actual hospital charges may differ from patient to patient for the same service depending on any complications or different treatment ordered due to a patient’s health. In addition, professional fees, such as physician, radiologists, anesthesiologist, and pathologist fees are not included within the hospital charge master. As a result, the information in a hospital charge master is not a quote or a guarantee of what the actual hospital charges will be for a specific patient’s care.
For an estimate of out-of-pocket financial responsibility for services provided by The Valley Hospital, please contact a representative of the Patient Financial Services Department at (201) 291-6080.
Are physicians’ fees included in my hospital bill? No. Your hospital bill does not include charges from any physicians who provide services directly to you or on your behalf. Each physician involved in your care will bill you separately for services provided. The amount due to your physician(s) is in addition to your hospital bill.
What do I do if I am unable to pay my hospital bill? Patients who are unable to pay for hospital services are welcome to apply for Charity Care or the Uninsured Discount Program. Eligibility is based on household income, family size and the financial resources of your household. To discuss this with one of our Financial Counselors, please call 201-291-6080.