Billing | Pay Your Bill

You can uses these preferred forms of payment:

• Credit Card (American Express, Discover, MasterCard, or Visa)
• Check

You can also use these forms of payment:

• Cashier’s Check
• Money Order

Our hospital pricing document outlines the charges for services at Cincinnati Children’s. Download a pdf copy of the price disclosure required under Ohio law.

The Center for Medicare and Medicaid Services (CMS) requires providers to publish the pricing or provide patient estimates for 300 shoppable services that will provide patients with their estimated out-of-pocket expenses. These 300 services include outpatient visits, diagnostic testing, radiology, labs and certain outpatient procedures that represent some of the services named by CMS and others that were considered shoppable by Cincinnati Children's Hospital Medical Center because they are high volume services provided by our organization. To obtain an estimate for one of these 300, click here.

In addition, you may download a copy of our standard charges for items and services for hospital patients required under the Affordable Care Act. This contains current prices in Cincinnati Children’s chargemaster plus reimbursement by payer for clinical services as required by federal rules that are effective January 1, 2021.

Cincinnati Children’s chargemaster is a list of billable services charged by the hospital for services rendered at the main location at 3333 Burnet Ave. as well as our neighborhood hospital locations. Prices for supplies, drugs and miscellaneous items not included in the chargemaster are also provided in the downloadable copy of our standard charges.

Reimbursement by payer is the amount paid by a third-party payer under the terms of their contract with Cincinnati Children’s. For Medicaid third-party payers who pay under DRG or EAPG payments systems, the average payment amount for each DRG or EAPG is displayed for the time period July 1, 2019 through June 30, 2020.

Supplies, drugs and miscellaneous items are priced at the time they are dispensed to patients based on their acquisition costs and will vary over time. Prices for these three categories shown in the attached file are snapshots of most recent prices based upon:

• Average prices for the most recent 5-month period prior to July 1 for drugs
• Prices as of July for supplies and miscellaneous items

Total hospital charges for a service or a procedure for an individual patient will vary based on the combination of hospital services provided, including drugs, supplies, lab tests, or radiology procedures.

As required by Kentucky Administrative Regulation 311A.032, fees for ambulance services can be found here.

Hospital prices do not reflect what patients pay for services. This is determined by your insurance coverage that includes out-of-pocket requirements and contracted rates and discounts based on agreements between payers and Cincinnati Children’s.

To obtain an estimate of the price you would pay for a service, you may contact our Customer Service Department at 1-877-430-8495 or 1-513-636-4427. You can also create an estimate using our new Guest Estimate feature. Prior to calling for a price estimate, you will need the following information:

• Description of services or the CPT procedure codes, which may be obtained from your referring physician
• Name of your insurance plan

If you are worried about paying your medical bills or if you have no health insurance, we can help. Read more about financial assistance.

A deductible is the amount of money you must pay before the insurance company begins covering part or all of your medical expenses.

Co-insurance is a set percentage of the insured medical expenses that you may have to pay after you reach your deductible. Co-insurance can vary greatly among insurance plans, so check with your provider to find out how much co-insurance you may have to pay.

You may use Online Business Office to view insurance payment information. If you have additional questions about insurance payments, please call your insurance company directly. The insurance company's phone number is usually printed on the back of your insurance card.

A co-payment is a set payment made at the time a service is received. Co-payments can vary greatly among insurance plans, so check with your provider to find out how much you may have to pay. We ask that you pay your co-payment when you register.

You will be registered as "self-pay" during registration, which means you are responsible for paying the entire bill. However, you may use Online Business Office or call 513-636-4427 to provide your insurance information.

The cost for a video visit is often the same as cost for an in person visit. Co-payment, co-insurance, and/or deductible amounts apply to video visits. You may be billed for those after Cincinnati Children’s bills your insurance.

Video visits are covered by Ohio Medicaid and their plans. (CareSource, etc.) Most insurance plans cover video visits. A small number of employers may not cover video visits.

If you have any questions about your coverage you should check your Summary Plan Description.You can also contact your plan to find out if your video visit will be covered. For more information go to www.cchmc.org/telehealth.

To obtain an estimate of the price you would pay for a service, you may contact our Customer Service Department at 1-877-430-8495 or 1-513-636-4427, Option 3. You can also create an estimate using our new Guest Estimate feature. Prior to calling for a price estimate, you will need the following information:

• Description of services or the CPT procedure codes, which may be obtained from your referring physician
• Name of your insurance plan

Cincinnati Children's files the claim with your insurance company. Please make sure that we have your correct insurance information on file.

Hospital coverage often has a deductible or out-of-pocket expense that you are responsible for paying. Since each plan can be different, we encourage you to carefully review your benefits.

Cincinnati Children’s provides a wide range of medically related services for independent clinics, area physicians and other hospitals. For example, a pediatrician or health center may refer lab work to Cincinnati Children’s for testing or analysis. When this occurs, the bill for the lab services will come from Cincinnati Children’s.

We are committed to providing healthcare needs to every child regardless of a family’s ability to pay. All families that reside in the United States are eligible for discounts and are offered payment plan options for services deemed medically necessary. Families may even be eligible for resources beyond Cincinnati Children's Hospital Medical Center financial assistance. Our Financial Advocates can help you manage your child’s medical bills.

Before an account is referred to a collection agency, you will receive three billing statements from Cincinnati Children’s. You may also receive a phone call from our Billing Office. If you have not made a payment or payment arrangements after these steps have been taken, the account will be referred a collection agency. These agencies act under the direction of Cincinnati Children’s. Once an account is placed with an outside collection agency, we ask that you work directly with the agency to resolve the balance. Before an account is placed with a collection agency, you will receive three billing statements from Cincinnati Children's advising you of your child's account activity. You may also receive phone calls from Cincinnati Children's billing office personnel during this billing period.