Billing and insurance

Here are answers to some of the most common billing questions we receive. If your question isn’t answered here, please call 503-581-1747.

Q: I went to the emergency room once, but I got three bills in the mail. Why?

A: Most of the doctors at Salem Health facilities aren’t employees of the hospital. This means that you will get one bill from the hospital for hospital services (such as equipment), one bill from the doctor who cared for you directly, and, potentially, a third bill from other service providers, such as the radiologist who looked at your x-rays.

Q: The doctor who saw me in my room is out-of-network with my insurance.  Why do I have to pay out-of-network charges for the physician when the hospital is in-network?

A: Most physicians are not hospital employees, so they are independent of the hospital in their business.  The physician and the insurance company may or may not have a business relationship with each other. 

Q: When will I get my bill?

A: Statements are sent after your insurance has processed and considered all charges on your bill. Once final processing has occurred and your share of the cost is known, a statement will be mailed to you.

If you do not have insurance, a statement will be mailed five days after the final service or discharge date.

Q: Can I pay with a credit card?

A: Yes, Salem Health accepts all major credit cards (Visa, Discover, MasterCard, and American Express).  There are several options for making payment:

  • In person at 3300 State St., Salem, or on the main hospital campus in Building A, at the Guest Services desk.
  • By phone. Call 503-581-1747.
  • At the Salem Health website, under “Patients & Visitors.”  You will need your account number and the guarantor or patient name to complete the form.

Q: Which insurances does Salem Health accept?

A: We accept all insurances.  We are in-network with Medicare, Medicaid and most major insurances.  It is recommended that you contact your insurance company for verification of network status.

Q: I’ve gotten a lot of statements. What do they mean?

A: Each statement has a number that identifies where you are in the payment process. You can click on the name of each one below to see an example PDF.

  • Statement 3031 is the first statement confirming your balance due.  If you have chosen to link accounts together so that you get one statement instead of several, the master account number will be listed at the top.  The middle of the statement shows a summary of the account(s).
  • Statement 3032 is the next statement.  If you are unable to pay your balance in full with the first statement then this statement provides information to assist in setting up a payment plan.
  • Statement 3034 confirms your payment plan and provides a payment stub for your next payment due.  This is also an opportunity to verify the payment plan information.
  • Statement 3036 is an acknowledgement of your payment and provides a payment stub for the next payment due.
  • Statement 3033: If we have not heard from you, this statement is a final account notice advising that we need to hear from you to prevent your account from becoming delinquent and going into collections.

Q: How do I get a cost estimate for the services I plan to receive?

A: You can call 503-814-2678 (503-814-COST).  It is most helpful if you ask your physician for as much specific information as possible (such as a procedure code).  This helps in providing a more accurate estimate for procedures, such as knee surgery, that can be performed using several different methods that each have a different cost.

Q: I am having financial difficulty and need assistance with my account. Who can I contact?

A: You can call our Financial Advocate team at 503-562-4357 (503-562-HELP). Salem Health wants you to be successful in managing your account(s), so we provide several options—including payment plans, low- or no-interest loans and financial assistance for those who qualify based on household financials.  The Financial Advocates are available to meet with you in person if you need additional assistance.  You can call the number above to make arrangements or stop by our offices at 3300 State St., Salem, for immediate assistance.

Salem Hospital


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