Financial Assistance and Hospital Discounted Care (2024)

Financial assistance & payment plans

We believe medically necessary health care services should be accessible to all, regardless of age, gender, geographic location, cultural background, physical mobility or ability to pay. We are committed to providing health care services and acknowledge that, in some cases, the patient will not be financially able to pay for the services received. Whenever possible, we will determine eligibility for financial assistance before or at the time of admission.

The CommonSpirit Health Mountain Region Financial Assistance Program is in accordance with the requirements set forth in the Patient Protection and Affordable Care Act (PPACA) and the Internal Revenue Code Section 501(r), effective July 1, 2016. This financial assistance program is also in accordance with Colorado Senate Bill 14-50, Hospital Financial Assistance, which was passed by the Colorado General Assembly and became effective Dec. 31, 2014. The legislation requires hospitals to provide financial assistance to patients in emergent situations and whose incomes are less than 250 percent of the current year’s federal poverty level. When possible, each uninsured patient is eligible to be screened for financial assistance.

If an insured patient is not eligible for assistance,CommonSpirit Health Mountain Region is committed to offering reasonable payment plan options to its patients, and will allow for at least 30 days past the payment due date before pursuing collections.

Individual payment plans

Payment plans for partial financial assistance accounts will be individually developed with the individual patient. All collection activities will be conducted in conformance with the federal and state laws governing debt collection practices. No interest will accrue to account balances while payments are being made unless the individual has voluntarily chosen to participate in a long term payment arrangement that bears interest applied by a third-party financing agent.

All payment plans will follow the CommonSpirit Health Mountain Region payment plan guidelines.
Account balance plan duration

$500 No more than 12 months
$500 - $1499 No more than 18 months
$1500 - $4999 No more than 24 months
$5000 No more than 36 months

All payment plans should be at least $25 per month. If the patient requests payments less than $25 or a longer payment plan than outlined above, the proposed payment plan must be approved by one of the following:

Facility Patient Access Director
Facility CFO or Controller

If an individual complies with the terms of his or her individually developed payment plan, no collection action will be taken.

To take the first step in applying for CommonSpirit Health Mountain Region Financial Assistance, please contact the Financial Counselor at the hospital where you received your medical care.

Contact a Financial Counselor

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Patient responsibility overview

Colorado Facilities Covered Providers

Patients with Insurance - Federal Poverty Level	Inpatient Care, Observation Visit, Same Day Surgery, Flight for Life	Outpatient Recurring Care	CommonSpirit Health Mountain Region Provider Fees
0-250%	$650 copay per visit	$50 copay per visit	15% of charges
251-299%	10% of charges	10% of charges	25% of charges
300-399%	20% of charges	20% of charges	35% of charges

*Insured patient's copayments cannot be lower than the 0-250% copay amounts.

ColoradoFacilities Covered Providers

Uninsured - Federal Poverty Level	Inpatient Care, Observation Visit, Same Day Surgery, Flight for Life	Outpatient Recurring Care	CommonSpirt Provider Fees
0-250%	$0 copay per visit	$0 copay per visit	0% copay per visit
251-299%	10% of charges	10% of charges	25% of charges
300-399%	20% of charges	20% of charges	35% of charges

*Uninsured patient's copayments cannot be lower than the 0-250% insured copay amounts.

Utah Facilities Covered Providers

Patients with Insurance - Federal Poverty Level	Inpatient Care, Observation Visit, Same Day Surgery, Flight for Life	Outpatient Recurring Care	Holy Cross Hospitals Provider Fees
0-250%	$650 copay per visit	$50 copay per visit	15% of charges
251-299%	10% of charges	10% of charges	25% of charges
300-399%	20% of charges	20% of charges	35% of charges

*Patient's copayments cannot be lower than the 0-250% insured copay amounts.

Kansas Facilities Covered Providers

Federal Poverty Level	Inpatient Care, Observation Visit, Same Day Surgery, Flight for Life	Outpatient Recurring Care	CommonSpirit Health Mountain Region Provider Fees
0-150%	$650 copay per visit	$50 copay per visit	15% of charges
151-200%	10% of charges	10% of charges	25% of charges
201-250%	20% of charges	20% of charges	35% of charges

*Patient's copayments cannot be lower than the 0-150% copay amounts.

2024 Federal Poverty Guidelines

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Financial Assistance and Hospital Discounted Care (2024)

Spanish versions

Patient responsibility overview

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