Frequently Asked Questions

Billing and Financial Services at Great River Health System

You can find answers to some common questions about billing and financial services at Great River Health System Below. For more information, contact us directly at (319) 768-3625.

How can I make a payment?

Forms of payment accepted include cash, check, electronic check, cashier’s check, money order, or a Visa, Mastercard, American Express, or Discover credit card.

Payment options include:

  • Click here to pay your bill online through our secure website using your debit or credit card or by electronic check
  • Send your payment in the mail to the address indicated on your billing statement with the appropriate postage
  • Pay your bill in person at a Patient Financial Services-Patient Billing Office in the Great River Health System Center lobby or on the lower level of Eastman Plaza.
  • Make a payment over the telephone.

Why did I receive a bill if I have insurance coverage?

You will receive a statement after your insurance processes your bill. The amount you are billed for is based on what your insurance communicates to us on an Explanation of Benefits (EOB). Your insurance also mails you an EOB, which details how your insurance processed our charges and calculated your responsibility based on your insurance plan. If you believe your responsibility is not correct, please contact your insurance carrier directly (check your insurance card or EOB for the phone number).

I can't pay my bill in full. What should I do?

Great River Health System offers many payment options, including monthly payment installments. Please call one of our helpful financial counselors to discuss your bill and payment options. Ignoring the bill or paying less than the full amount without contacting us may cause your bill to progress through collections process, including transfer to a collection agency where it may appear on your credit report.

I still have a question/concern about my bill.

If you have a question or concern about your bill or payment options, please call Patient Financial Services-Patient Billing at (319) 768-3625 or you can email us. Our team will be happy to help you.

I have a question about self-administered drugs and my Medicare Part D coverage with my bill.

Medicare regulations require hospitals to bill patients for drugs that patients can take by themselves at home even when they are hospitalized. Although medication is provided by the hospital (for safety reasons), Medicare doesn't pay for the same ones that you take at home. Items that fall into this category could include lozenges, pills and self-injected insulin. This is a Medicare cost-savings policy that we are required to follow.

You may be able to submit a claim to Medicare Part D for a refund or you can call our Patient Financial Services-Patient Billing department at (319) 768-3625 or (877) 404-4763 for an itemized bill if these charges are covered. For more information regarding self-administered drugs please visit or call Medicare at (800) 633-4227.

If Medicare denies the charge because it is subject to the self-administered drug exclusion, you may appeal the denial. If you have Medicare Part D coverage, you may wish to determine whether it covers such charges.