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Financial payments

Claims and Billing

The majority of claims and account billing will be processed through our Centralized Billing Office in Fargo, ND. Each patient visit will generate a statement.

Physician Services and Fees

Physician services will be billed on a separate account at St. Francis. These include, but are not limited to:

  • ER physician visits
  • Hope Unit psychiatric / psychology visits
  • Pathology reviews

Some physician services are provided in conjunction with other organizations for which you may receive a separate billing from them. These include, but are not limited to:

  • Radiology services for reading x-ray exams
  • Orthopedic services
  • Anesthesia

Billing Questions

If you have questions about your bill (whether you are still in the hospital or have already gone home), please call the Business Office at:

  • 1-866-792-7045.
  • CHI St. Francis Health staff will continue to be available to provide explanation of bills, access your billing status. We can be reached Monday through Friday -       8:00 a.m. to 4:30 p.m. at 218-643-3000.


PNC Bank in Chicago, Illinois will manage the recording and posting of payments to ensure accurate and secure record keeping, as well as to protect patient privacy.


When you are admitted to the hospital, you need to provide information regarding your current health care coverage, i.e., (insurance, Medicare, Medicaid). By supplying your insurance information, you are implying your consent for us to file with your insurance carrier and have your carrier make payments directly to us. As a courtesy service, we will file your insurance claim, but you are ultimately responsible for paying for the services provided. It is our policy at St. Francis to collect co-payments on the date of service.

A representative from the Business Office will contact you if more information is required. This information is requested at each hospital visit. Upon discharge from the hospital, your bill will be filed with the appropriate insurance carrier.

Medicaid Renewal

If you currently receive health insurance through Medicaid or Children’s Health Insurance Program (CHIP), you must renew your benefits this year to maintain health insurance coverage. Learn more on how to renew.

Prior Authorization

Commercial insurance companies may require certification for a hospital admission and periodically during a hospital stay. This is required for each hospital stay. You may wish to call your insurance company and initiate this process. A Business Office representative will be happy to assist you with any insurance questions you may have.

Patients Without Insurance and High Deductibles

If you feel your financial situation is such that it will be difficult or impossible to pay for your health care services, there are programs, which address such situations including the CHI St. Francis Health Uncompensated Care Program. Please discuss these programs with a representative of our Business Office.

Your Bill

You will be charged for a full day of care on the day of your admittance, regardless of the time you are admitted. You will not be charged a room charge for the day you leave the hospital.

The final bill, which is mailed to your home, will show room charges which cover the cost of your room, meals and routine hospital care. Charges will be listed for many other services including radiology, laboratory, pharmacy services, medical supplies and operating rooms.

You may receive separate billings from the physicians who care for you, such as the radiologist, pathologist, surgeon, anesthetist and your admitting physician.

Your hospital charges are payable in full when you receive your bill unless other arrangements have been made. If you feel your financial situation is such that it will be difficult or impossible to pay for your health care services, please call our Business Office at 218-643-0312.

How to Apply for Financial Assistance

Financial Assistance for Patients

Catholic Health Initiatives (CHI) understands that paying for emergency and/or medically necessary medical care can be difficult, particularly for patients who lack health insurance. As part of our ongoing commitment to our patients, CHI works hard to help our patients address their financial responsibilities in a way that is fair and sensitive to their circumstances. We have instituted a program designed specifically to help those who find themselves in financial distress.

The Program

The CommonSpirit Health Financial Assistance Policy (available in multiple languages) applies to uninsured/underinsured patients who come to our facilities for treatment. This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines. The program is designed specifically for urgent/emergent and/or medically necessary care patients whose household financial resources and/or income are at or below 400 percent of the Federal Poverty Level.

To qualify for any assistance, uninsured/underinsured patients will be asked to complete a CHI Financial Assistance Application (available in multiple languages) which includes information relating to household income and expenses.

We are committed to working with our patients to establish an appropriate payment plan based on the amount due and the patient’s financial status.

To review the Financial Assistance Policy, the Financial Assistance Plain Language Summary Policy, the Financial Assistance Application, and the Participating Physicians List,  visit our financial assistance page.

Questions about financial policy or applications?

If you have questions regarding our financial policy or applications(s), please contact:

Centralized Charity Center

Frisco Assistance Center

P.O. Box 660872

Dallas, TX 75266-0872

Questions about financial assistance?

If you have questions about qualifying or applying for financial assistance,  contact our Business Office by calling 218-643-0312.