Checklist for Price Inquiries
Since the 1980s, Illinois law has required hospitals to make available to prospective patients information on the normal charge incurred for any procedure or operation the prospective patient is considering, as well as post current charges for 18 specific services. See IHA's checklist for price inquiries (password required).
The Affordable Care Act requires hospitals to make public the hospital's standard charges for items and services they provide. Hospitals are allowed to either make public a list of their charges—their charge master or another form of their choice—or their policy for the public to view a list of those charges.
Summaries of Laws and Regulations
- The Fair Patient Billing Act requires hospitals to notify patients about the availability of financial assistance and comply with specific requirements regarding billing and collections. Regulations require a specific format for financial assistance application forms and policies for presumptive eligibility.
- The Hospital Uninsured Patient Discount Act requires hospitals to provide free and discounted care to eligible uninsured patients.
IRS Section 510(r)
Nonprofit hospitals cannot charge patients eligible for financial assistance more than the amounts generally billed to patients with health insurance. Read about the specific requirements for financial assistance policies and collection and about conducting community health needs assessments.