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Billing & Insurance

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For billing support, please call us at 210-358-3260.

Billing & Insurance

University Health supports good health in our community. We do this by providing high-quality care to our patients, along with outstanding support and service you can count on.

Billing and collection for health care services can be confusing. Our admitting and business staff is here to assist you. We’re happy to:

  • Review payment options with you
  • Answer billing questions, or any question you may have
  • Discuss government-sponsored programs

Your Health Insurance

We will bill your insurance after your visit. It may take 60 days or more for your insurance company to pay the bill. We may request your help in contacting the insurance company if payment is delayed or denied.

If your insurance company contacts you for additional information, please call them back as soon as possible to help speed up the process. This will help ensure that your bill is paid on time. You may be responsible for any charges not covered by your insurance.

List of accepted health plans.

Your Hospital Bill

We will ask you to pay at the time of your service. Your first payment will include:

  • Insurance deductible, if applicable
  • Copay for your insurance
  • Coinsurance amounts

Since we may not know the total amount of the bill at the time you are admitted or discharged, it is possible that other charges may be added to your bill after you leave the hospital. If you make an overpayment, we will make sure it is quickly refunded to you.

If you would like an itemized copy of your bill, showing details about each of the charges, please ask. We will send a copy to you within 10 business days. We will also provide our written policies related to billing and collection if you ask.

Your Doctor Bill

You will receive a separate bill from your doctor for the services provided while you were in the hospital. Doctors who bill separately may include:

  • Anesthesiologists
  • Cardiologists
  • Emergency care physicians
  • Hospitalists
  • Neonatologists
  • Primary care doctors
  • Pathologists
  • Radiologists

Financial Assistance and Discounts

We will work with you to establish a payment plan or to see if you qualify for:

  • Medicare, Medicaid or other public programs
  • Prompt pay discount
  • Specific charity programs

Charity Care and Financial Assistance Program

As part of its mission to improve the health of the community, University Health provides care to any person seeking treatment of an emergency condition, regardless of their ability to pay. Patients who are unable to pay for all or a portion of their inpatient hospital services can apply for financial assistance with their hospital charges, and eligibility will be determined in accordance with the University Health Charity Care and Financial Assistance Policy. 

Eligible patients are those who have received inpatient hospital services, are uninsured, underinsured, ineligible for any government or other programs, or are otherwise unable to pay for their health care due to their individual circumstances. Third party funding and all other possible payment sources such as auto insurance funds, must be exhausted before a patient can be considered for charity care and assistance. Patients with household income at or below 200% of current federal poverty guidelines are generally eligible for financial assistance. To determine eligibility, patients are required to complete a financial assistance application and provide supporting documentation to verify household income. Applications for assistance in English and Spanish are available on this website and at the Registration Desk in the University Hospital Emergency Department.

To verify income, applicants should provide the most current federal income tax return. Instead of a tax return, other supporting documentation includes at least three of the most recent paycheck stubs, or copies of the three most recent bank statements or written documentation from income sources. Proof of participation in government assistance programs such as Medicaid or TANF need to be submitted, if applicable. A copy of a government issued identification is required, as well as proof of address, such as a phone bill, water or electric bill.

Once eligibility is determined, applications and supporting documentation will be reviewed in a fair and objective manner to determine if all or a portion of the patient’s hospital bill will be forgiven. Assistance is based on a sliding scale that considers annual household income and family size. Patients will never be charged more for emergency or medically necessary care than amounts generally billed to insured patients. Financial assistance is not applicable to the separate bills for physician services, pharmacy charges or outpatient clinic services.

Questions about financial assistance can be sent by email to or call 210-743-3064.

Completed financial assistance applications and supporting documentation can be sent via email to or by fax directed to 210-358-0523. Hand deliveries can be made to the Financial Assistance Office, 7th Floor, Rio Tower, University Hospital.

If sending via US Mail, the address is:

University Health Financial Assistance
University Health Mail Stop 53-1
4502 Medical Drive
San Antonio, Texas 78229

Learn more about our Charity and Financial Assistance Policy.

Billing Services

For your convenience, we offer free, easy online bill pay through the myUHS Patient Portal.