Financial Services


Payment Discounts

Uninsured Patients may take advantage of substantial discounts by paying your bill within 30 days from your time of service. (self pay only)

Discounts range from 10% - 15% depending on method of payment (cash, check or credit card).

You must pay your balance within 30 days from date of service to receive your discount.

If payment was made at the time of the service and there is a difference between your final bill and the estimated amount, determined at the time of service, the discount will be extended for 30 days after the time of service for the difference.

View our Financial Assistance Policy

Payment Options

HSCMH will bill your insurance and/or Medicaid and Medicare for you.

HSCMH accepts most major credit cards.

If you cannot pay your bill within 30 days, HSCMH has flexible payment installment arrangements. To arrange a payment plan patients must contact our extended business office, First Party Receivable Solutions at 855-484-1299.

Please keep in mind each new visit must be added to your pay plan to keep it current. In order to properly bill you and your insurance, each hospital visit must be billed separately. If you would like to have them combined on your statement, please contact our extended business office at 855-484-1299.

Payment Contract
If you have a balance, and need to pay over time, please refer to the balance/payment table below.

Balance:
Payment:
$250 and below
Minimum $50 per month
$250-2500
10% of the total every month (Minimum of $50)
$2500 and above
Minimum $250 per month

90-Day Option
The Business Office may grant a guarantor a reduced payment contract on a one-time basis for a three month period (90 days), in order to meet a patients/guarantor's short-term financial needs.

At the end of the 90-day payment exception period, the patient/guarantor will be expected to either pay the balance in full, or make payment arrangements according to HSCMH terms noted above in the "Payment Contract" section of this page.

For more information regarding payment arrangements, please call 307-864-5095. We are happy to work with you to keep your account from being sent to collections, but accounts must be kept current.

View our Financial Assistance Policy

Price Quotes

As prices for services are changed periodically, it is the policy of Hot Springs County Memorial Hospital that all patient requests for price quotations should be forwarded to Patient Financial Services.

Patient Financial Services will then gather as much information as possible to give an accurate quote. They will also inform the patient of other possible costs regarding services and/or procedures.

It is possible to not be able to provide quotes for some procedures or inpatient stays as there are many variables involved.

Charity Care

If you find that you are unable to make the payments outlined under "Payment Contract," and require a payment exception for a period greater than 3 months (90 days), you may complete an application for financial assistance.

Please contact our Financial Counselor, Jessyca Rodriquez at 307-864-5095 for more information on the HSCMH Financial Assistance/Charity Care form.

View our Financial Assistance Policy

Financial Assistance

It is the policy of Hot Springs County Memorial Hospital to treat the broadest number of patients residing within our service area while maintaining fiscal responsibility.

Availability of Financial Assistance

Financial assistance is available for all services that are emergent or medically necessary. To be eligible for financial assistance, your household income must be at or below the federal poverty income guidelines and you must have exhausted all other means of assistance.

If you think you could be eligible for financial assistance, please contact Hot Springs County Memorial Hospital (HSCMH) our Financial Counselor within 60 days of receiving a statement. We will inform you of the requirements that must be met prior to your application for assistance.

You must apply to Medicaid to be considered for financial assistance.

Financial assistance is generally determined by a sliding scale of total household income based on Federal Poverty Guidelines (FPG).

Financial Assistance Sliding Scale

When Income is:
Discount from Gross Charge
Less than 100% of FPG
100%
Between 101% and 150% of FPG
85%
Between 151% and 200% of FPG
65%
Between 201% and 250% of FPG
50%
Between 251% and 300% of FPG
34%

FPG - Federal Poverty Guidelines

No person eligible for financial assistance under our Financial Assistance Policy (FAP) will be charged more for medically necessary care than amounts generally billed (AGB) to individuals who have insurance covering such care.

HSCMH determines AGB based on all claims paid in full to HSCMH by Medicare and private health insurers (including payments by Medicare beneficiaries or insured individuals themselves), over a 12-month period, divided by the associated gross charges for those claims. If an individual has sufficient insurance coverage or assets available to pay for care, he/she may be deemed ineligible for financial assistance. Please refer to full policy for a complete explanation and details.

Where to Obtain Information

There are numerous ways that an individual may obtain information about the Financial Assistance Policy (FAP) application process, or obtain copies of the FAP or FAP Application Form:

Download the information online at www.hscmh.org
Request the information by telephone by calling the Hot Springs County Memorial Hospital Patient Financial Service's Financial Counselor at 307-864-5095.

In person at Hot Springs County Memorial Hospital, 150 E. Arapahoe, Thermopolis, WY 82443.

How to Apply

The application process involves filling out the Financial Assistance form and mailing the form along with the supporting documentation to HSCMH for processing. You may also apply in person by scheduling an appointment with the Patient Financial Services Department at the address listed below. Financial Assistance applications are to be submitted to the following office:

Hot Springs County Memorial Hospital
Attn: Patient Financial Counselor
150 E. Arapahoe
Thermopolis, WY 82443
Phone: 307-864-5095

View pdf version of our Financial Assistance Policy

Financial Assistance Application