If you have health insurance, our billing office will first bill your insurance carrier. If your insurance plan doesn't cover a service or procedure or doesn't cover the entire cost, you will be responsible for the fees that are not covered.
If you have insurance coverage and want to update your insurance information for billing, please call Patient Financial Services immediately at (866) 433-4035. Most insurance companies have timely filing requirements.
During the coronavirus outbreak, UCSF Health remains committed to improving lives. Our hearts go out to everyone directly affected by COVID-19 and the measures taken to contain it.
If you need help paying your medical bill, we’re here for you. Payment plans and financial assistance are still in place for people who can’t pay their balance in full. You have 24-hour access to your account on UCSF Health MyChart or the MyChart mobile app. We recommend using those online tools to view and pay bills.
To help ensure the health and safety of our workforce, most of our team will be working remotely as much as possible for as long as needed. You can reach us at (866) 433-4035 (Monday to Friday, 8 a.m. to 4 p.m.), by email, or by sending a message to the billing team from MyChart. Thanks for your patience with minor service delays as we adapt to this challenge we face as a community.
You may be eligible for these COVID-19 laboratory tests* and prices pursuant to UCSF Health's self-pay discount policy:
COVID-19 ANTIBODY (CPT 86769) - $42
COVID-19 Qualitative Probe (CPT 87635) - $64
* Your doctor will determine the test that best meets your medical need. Consultation with a doctor may incur additional charges beyond the self-pay price for the lab tests.
MyChart Paperless Statements
UCSF and our affiliate practices are now sending paperless statements.
If you have a MyChart account, you don't have to do a thing: You're already receiving paperless statements. If you have a MyChart account, and you'd like to continue to receive a paper statement, log in to MyChart and choose "cancel paperless billing" on the Billing Summary page. Note: Transplant and Reproductive Health guarantors are not eligible for MyChart at UCSF and will continue to receive paper statements in the mail.
Before billing you, UCSF Health will submit a claim to your health insurance provider, including Medicare and Medi-Cal if applicable, and any secondary insurance. If you owe a balance that was not covered by your insurance, or if you are a self-pay patient, you will receive a statement by mail.
UCSF Health provides patients with a consolidated statement (per guarantor) that includes fees for both hospital and professional services. Hospital services include costs for room and board, ancillary services such as diagnostic tests (for example, X-rays, EKGs and laboratory tests) and medications. Professional services include care from the physicians who treated you during an outpatient visit or hospital stay, as well as physicians who read and interpreted your test results (such as a radiologist).
If you have any questions about your statement, please call Patient Financial Services at (866) 433-4035. A sample statement is available here to help you understand your bill.
Payment Options
Payment is due within 30 days of billing. We accept personal checks and major credit cards (Visa, MasterCard, American Express, and Discover).
You may use any of the following options to pay your balance:
Mail: Complete and return the payment coupon attached to your statement
Phone: Call (866) 433-4035 (automated payment system available 24/7)
Medicare
If you are covered by Medicare, we will submit your claims to Medicare on your behalf. After Medicare makes its payment, we will bill your supplemental or secondary insurance carrier for the remaining balance, as determined by Medicare. If you don't have supplemental or secondary insurance, you will be responsible for the remaining balance. Please refer to your EOMB (Explanation of Medicare Benefits) or your EOB (Explanation of Benefits) from your supplemental or secondary insurance for additional information.
Medi-Cal
Medi-Cal is California's Medicaid program, a medical assistance program for low-income residents funded by the state and federal government. If you are covered under this program, please provide an eligibility card or other proof of eligibility for your month of service. Medi-Cal eligibility is determined on a month-to-month basis.
Estimate Your Out-of-Pocket Costs
At UCSF Health, we're committed to helping patients and their families make informed decisions about every aspect of their care, including out-of-pocket costs. Costs will be impacted by insurance plan coverage, co-pays and deductibles, if any, as well as by the wide range of services provided and other variables that affect costs. Use our online tool to help calculate out-of-pocket costs for our most common services.
Need Assistance
Financial counselors are available to discuss your options and offer guidance in the financial planning of your medical care or services. Contact a Financial Counselor at the Patient Estimate Program at (844) 678-6831 or [email protected].
Self-Pay Patients
If you don't have health insurance or are seeking care that is not covered by your insurance plan, you are considered a self-pay patient. All self-pay patients at UCSF are eligible for a discount. For additional information about our discount policy, please call the Financial Counseling office at (415) 353-1966.
To request an estimate for the out-of-pocket cost for an upcoming service, please call Financial Counseling's Patient Estimate Program at (844) 678-6831. Financial counselors are available to discuss your options and offer guidance in the financial planning of your medical care or services.
Financial Assistance
If you’re having financial hardship, we encourage you to apply to Medi-Cal and other government programs that may be of assistance. Patients who have substantial financial liabilities after insurance, or who may not qualify for government programs may qualify for UCSF’s charity care assistance.
If UCSF Patient Financial Services have advised you to apply for financial assistance, please complete a financial assistance application using the UCSF Health Patient Financial Assistance Portal. Those with a family income at or below 400 percent of federal poverty guidelines generally qualify for 100 percent assistance. An Application for Charity Assistance should be completed after services are rendered and is not a substitute for insurance or a guarantee of future services
Family Size
100% Charity Assistance
Income Level
1
$51,040
2
$68,960
3
$86,880
4
$104,800
5
$122,720
6
$140,640
Elective procedures require a deposit prior to service, unless the patient is eligible for financial assistance. If you need to make a deposit or arrange a payment before an elective procedure, please call Financial Counseling at (415) 353-1966. If you wish to make payment arrangements, or apply for financial assistance for an outstanding statement balance, please call Patient Financial Services at (866) 433-4035.