Price Transparency

Hospital Bill

You and/or your insurance company will receive one or more bills for the services you received during your stay at Barlow Respiratory Hospital. Your hospital bill includes charges for your room and board, medical supplies, laboratory testing, pharmaceuticals, radiology services, nursing and therapy care, and other medical services as ordered by your physician.

Barlow Respiratory Hospital Charges
Hospital charges are complex and do not necessarily provide information that helps patients estimate the amount of money they will ultimately owe. Actual charges are based on the specific care provided to each patient and can differ from any estimate provided. Total charges for an episode of care can vary from one patient to another depending on complications or different treatments required based on the patient’s condition.

The Centers for Medicare & Medicaid Services (CMS) issued price transparency requirements (45 CFR § 180.50) for hospitals to provide a comprehensive machine‑readable file of all items and services provided by the hospital to a patient, and a consumer‑friendly display of “shoppable” services. Please see below for comprehensive files:

Machine Readable File
Consumer Friendly Shoppable Services

Since many patients who seek hospital charge information are interested in knowing what their out‑of‑pocket financial responsibility will be, Barlow Respiratory Hospital has provided further information on patient financial responsibility as indicated below.

Help Paying Your Bill

Barlow Respiratory Hospital offers a financial assistance program to patients who are uninsured (self pay) or insured patients with high medical costs.

Financial assistance is available for eligible patients who cannot pay for part or all of the care that they receive from the Hospital. This summary briefly describes when financial assistance is available and how to apply for it. For comprehensive information, please review the Hospital’s full Financial Assistance-Discount and Charity Care Policy (Financial Assistance Policy).

Eligibility Requirements

Charity Care: Patients who earn less than 200% of the federal poverty level and do not have sufficient assets to pay their bill may be eligible for free care.

Low Income Financial Assistance: Patients who earn less than 350% of the federal poverty level and do not have insurance or have high medical bills may be eligible for a discounted rate. Individuals who are eligible for discounted care may negotiate a payment plan with the Hospital and will be charged at no more than the Medicare rate (or the Medi-Cal rate, if there is no rate established by Medicare).

How to Apply

An individual can apply for financial assistance by completing the Financial Assistance Application (Application) and submitting it to the Patient Financial Services Department. An applicant may be asked to provide recent pay stubs or income tax returns to document family income. An applicant for charity care may also be asked to provide information about his or her assets and to authorize the Hospital to obtain account information from financial or commercial institutions to verify that information.

Copies of Full Policy and Application Available

You can obtain copies of the Financial Assistance Policy and Application on our website at www.barlowhospital.org or from staff at the Hospital’s admissions areas. If you would like us to mail you a free copy of the Financial Assistance Policy and Application, please make a request to the Patient Financial Services Department.

Contact the Financial Services Department for Questions or Help

For more information about the Hospital’s financial assistance program, please visit our Financial Services Department at our Main Campus on Stadium Way (213-250-4200 ext.3329) or contact our remote Patient Financial Services Provider at 844-288-2025. for assistance with completing the financial assistance application process.

Translations Available

Translations of the Policy, Application, and this summary are available in Spanish and Armenian.