Financial Assistance
The Financial Assistance Policy describes that individuals are cared for at St. Jude Children’s Research Hospital regardless of ability to pay. All St. Jude patients are eligible to participate in the hospital’s financial assistance program. Individuals are accepted as patients at St. Jude under the New Patient Acceptance Policy (Policy 20.129).
Concern about an inability to pay a hospital bill should never get in the way of receiving essential health services.
Price Transparency Information
Hospital Location: 262 Danny Thomas Pl, Memphis, TN 38105
St. Jude Children’s Research Hospital offers information on hospital and professional negotiated rates which complies with federal regulations regarding price transparency below. Please note that these files are intended to be machine readable.
St. Jude will not bill you for items or services it has provided or authorized.
Please contact us at 901-595-5466 or 901-595-0347 with any questions related to insurance or financial assistance.
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. This does not change St. Jude’s policy to cover all treatment, copays, deductibles, coinsurance, and any other cost sharing obligations of its patients. Because St. Jude does not bill its patients, St. Jude will provide you with an “Abbreviated Good Faith Estimate.” This Abbreviated Good Faith Estimate includes information on who to contact if you have any billing questions regarding care provided at St. Jude or care provided by an outside provider.
If you mistakenly receive a bill for services authorized by St. Jude, you have the right to dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
You may also contact Pat Keel at 901-595-0848 or email Pat.Keel@stjude.org with any questions related to insurance, pricing or financial assistance.
Your Rights and Protections Against Surprise Medical Bills
St. Jude Children’s Research Hospital will not bill you for items or services it has provided or authorized.
Under the law, when you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgery center, you are protected from surprise billing or balance billing.
What are balance billing and surprise billing?
When you see a doctor or health care provider, you may owe certain out-of-pocket costs. These may include copayment, coinsurance, or deductible.
You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that is not in your health plan’s network. St. Jude covers these costs for services it has provided or authorized.
“Out-of-network” providers and facilities have not signed a contract with your health plan to provide services. Out-of-network providers may bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called balance billing.
Surprise billing is an unexpected balance bill. This can happen when you cannot control who is involved in your care. Examples would be you have an emergency or you schedule a visit at an in-network facility but are treated by an out-of-network provider.
Your protection from balance billing:
You cannot be balance-billed for emergency services and certain services at an in-network hospital or ambulatory surgery center.
If you get services from an in-network hospital or ambulatory surgery center, certain providers there may be out-of-network. In these cases, the most they can bill you is your plan’s in-network cost-sharing amount. This applies to:
- Emergency medicine
- Anesthesia
- Pathology
- Radiology
- Lab tests
- Neonatology
- Assistant surgeon services
- Hospitalist services
- Intensivist services
These providers cannot balance-bill you. They cannot ask you to give up your protections not to be balance-billed.
If you get other types of services at these in-network facilities, out-of-network providers cannot balance bill you, unless you give them written consent and give up your protections.
You never have to give up your protection from balance billing. You also do not have to get out-of-network care. You can choose a provider or facility in your plan’s network.
When balance billing is not allowed, you also have these protections:
- You are only responsible for paying your share of the cost. St. Jude covers your share of the costs for services it has provided or authorized. Your health plan pays any other costs to out-of-network providers and facilities directly.
- Generally, your health plan must:
- Cover emergency services without requiring you to get approval for them in advance (also known as prior authorization)
- Cover emergency services by out-of-network providers
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits
- Count any amount you pay for emergency services or out-of-network services toward your in-network deductible and out-of-pocket limit
If you get a bill from St. Jude or if you have any billing questions about care provided at St. Jude, please call the Interim Revenue Integrity Officer at 901-595-2186.
If you believe you have been wrongly billed, call either:
- Tennessee Department of Commerce & Insurance at 615-741-2241
- Tennessee Department of Health at 615-741-7221
- Centers for Medicare & Medicaid Services at 1-800-985-3059
Learn more about your rights under federal law.
Visit https://www.tn.gov/health.html and/or https://www.tn.gov/commerce/insurance-division.html to learn more about your rights under Tennessee law.