We understand that this is a difficult and stressful time for your family. Many families worry about health care costs, especially if they do not know what insurance will cover or if they do not have insurance. While health care is costly, no child is ever denied or delayed care based on ability to pay.
If you have health insurance, it usually pays at least part of your child’s medical costs. If you don't have insurance or need help with costs that aren't covered, Methodist Le Bonheur Healthcare offers discounts and payment plans to assist you. We want you to understand your options and are here to help.
Le Bonheur will file your insurance claims for you. Once the insurance company has paid its part of the hospital bill, you will be billed for the remaining portion. You may receive bills from a variety of doctors or medical groups. The Patient Financial Services Department is here to help you understand your hospital bills. Please contact us with any questions or to arrange payment on your account. We accept cash, check, MasterCard, Visa and Discover. We are able to take your payment with a credit card over the phone. If you have any questions, please call 901-516-1000; hours are Monday through Friday 8 a.m. to 4:30 p.m. Click here to pay your bill online.
You can request a copy of your billing records (UB04/ itemized statement) from Patient Financial Services.
1350 Concourse Avenue
Memphis, Tennessee 38104
Phone number :
Third party requestors: 901-542-5384
The price estimator is a tool that provides patients with an accurate estimate of their financial responsibility for desired medical services. Estimated costs can be calculated for both insured and uninsured patients.
The price estimator utilizes common procedures provided by Methodist Le Bonheur Healthcare (MLH), your insurance carrier’s contracted rates and your real-time insurance benefits to provide a good faith estimate of out-of-pocket expenses.
Complications, add-on services and final diagnosis, all which can impact the patient responsibility, cannot be predicted by the price estimator.
What services are included?
The price estimator lists services that are more commonly provided by MLH. These include:
- Cardiovascular Services
- Evaluation and Management Services (Clinic)
- Laboratory Services
- Oncology Services (Radiation Therapy, Chemo)
- Radiology (CT, MRI, Ultrasound, X-Ray)
- Rehabilitation Services (Audiology, Occupational, Physical, Speech)
- Additional Services
If the service you are looking for is not listed, call 901.516.1000 for more information.
How do I use the price estimator?
Complete the following steps:
- Click on the “Use the Price Estimator” button above
- Select "Le Bonheur Children's Hospital" as the facility at which you would like to receive care
- Provide patient details, contact information, expected date of service and insurance information (if applicable)
- Select from the available categories for types of care
- Select the procedure/service(s) under your chosen type of care
After you've completed these steps, the price estimator will provide you with an estimate for the cost of services.
How do I know if I'm coverered by insurance?
The price estimator populates a list of insurance providers for you to choose from. If you do not see your insurance provider listed, please call 901.516.1000 for further details.
Le Bonheur Children’s is here to help your family through financial hardships
We believe financial hardships or loss of employer-based insurance should never be a barrier to care for your family.
Le Bonheur Children’s Hospital is working with MedAssist to provide free screening services for families who may qualify for financial assistance programs. If you are interested in this free screening, please visit https://screen.firstsource.com/lebonheur to begin the process. Patient representatives are available to help families complete and register applications with the appropriate agencies by supporting through the application process and providing valuable information and resources.
To speak with a patient representative, please call 866-758-1358.
Free services include:
- Eligibility screening and enrollment in Medicaid
- Assistance with SSI/SSD applications
- Education and verification services
- Increased manageability of outstanding bills through payment reductions if approved
- Assistance with social and/or community based programs
Timely filing of applications required by agencies can be critical to receive coverage of medical bills. All information acquired by MedAssist will be private and confidential under federal HIPAA laws and regulations and applicable state law.
Accepted Insurance Plans
We know that your child’s health care is a big priority for your family. It’s important to us too. It’s why Le Bonheur will always be the best place for kids and why we work to provide the highest level of pediatric care.
Although local insurance plans may change from time to time, Le Bonheur is included in most local health plans. It’s part of our promise to provide all families hope and treatment when they need it most. We accept most local commercial medical health plans, including:
- American PPO
- Arkansas Higher Education Consortium
- Arkansas State Police
- Community Health Alliance
- Coventry Health and Life
- Fortified Provider Network
- Galaxy Health Network
- Health Cost Solutions
- Langston Companies (HealthChoice Network)
- Municipal Health
- North Mississippi Health Link
- North Mississippi Health Services Employee Health Plan
- NovaSys Health Network
- Planned Administrators Inc
- Razorback Concrete
- Seabrook Wall Coverings
- Sharp PHO
- TriWest Veterans Choice
- United Food & Commercial Workers
- United HealthCare
- V Alexander & Co
For more information or questions about plans, call (901) 287-5580.
Understanding Insurance Terms
If you are coming to the hospital for a planned procedure or test, we may call you at home before you arrive to explain your costs to you and arrange payment. Since all insurance plans are different, Methodist Le Bonheur Healthcare researches the coverage and benefits for each patient for each visit to the hospital. Here are a few insurance terms you may hear while in the hospital:
Co-Payment – or co-pay, is the set amount of money you pay for a medical service or medication. Each insurance plan establishes these fees up front and they are often printed on your health insurance card. Examples: Emergency Room services often have a co-payment of $50 or more. If your child is admitted to the hospital, you may have a daily co-pay or a co-pay for his/her entire hospital stay.
Deductible – A set amount of money that you must pay each year before the insurance company begins to pay for care. The health care deductible is very similar to your auto insurance deductible. Deductible amounts vary by plan and can be separated into individual or family deductibles.
Co-Insurance – Co-insurance is the part of the bill that you must pay after you've met the deductible. Example: Your insurance policy calls for a 30% co-insurance. If the medical procedure is $1,000, the insurance plan will pay $700 and you are responsible for $300 (assuming your deductible has been met).
Out-of-Pocket Maximum – The dollar limit of how much you are required to pay out-of-pocket during the year. Beware that visits to the Emergency Room or to your child’s doctor’s office, and prescription co-pays are usually not included in the out-of-pocket maximum. You may still be required to pay those costs after you reach the out-of-pocket maximum. Example: An out-of-pocket expense limit might be $5,000, which means once a patient has paid $5,000, he or she may not have to pay for anything for the rest of the year.
Call your insurance company or 901-516-1000 for more specific details about your payment options.