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School of Medicine
Types of Bills
You may receive separate bills for hospital and physician services. Sometimes it comes as a surprise after paying the hospital bill to receive additional invoices. We know that keeping track of multiple bills in the midst of an illness is an added challenge. Before your stay or procedure, it may help to create a master list with the estimated costs for your medical treatment, breaking down the costs by category such as hospital, surgeon, anesthesiologist, outside lab work and other relevant areas. Then as the invoices come in, keep copies in a folder and refer to your master list to see which bills are outstanding and quickly check for remaining financial obligations.
Don’t be shy: Ask your primary care physician’s office or our customer service department for help understanding all the expected charges and their sources.
Here are the types of bills with examples of charges:
Patients admitted to the hospital (inpatients) will receive separate invoices for some services. Your hospital bill will include charges for your room, food, medical supplies and services, and any tests or procedures that you undergo, including X-rays.
Patients seen in a clinic or outpatient setting may receive separate invoices for some services. Your clinic or outpatient bill will include charges for the use of the facility and any tests or procedures done at the time of your appointment. For scheduling reasons, some tests or procedures may be performed at a later date and will be billed separately from your outpatient or clinic invoice.
Home care patients will receive a bill for services and/or products provided in the home. The invoice might include charges for visits from a nurse, home health aide, physical therapist, occupational therapist, speech therapist or social worker. You may also receive separate bills if you receive IV therapy or home medical equipment.
Physician fees will be billed by the Johns Hopkins University Clinical Practice Association and/or Johns Hopkins Community Physicians. Some physicians and physician groups may send you separate invoices that include the cost of medical or surgical care as well as costs involving review and interpretation of your diagnostic tests. For example, you might receive a bill from the radiologist who reads your X-ray. In addition, patients seen at Howard County General Hospital may receive invoices from hospital-based physicians like anesthesiologists, emergency medicine physicians, pathologists, as well as from private community physicians.