Thank you for choosing OHSU for your care. OHSU Patient Billing Services is here to help you with your questions about billing and insurance.
You may be able to get a discount if you pay your bill in one payment. Call 503-494-8047 for more information.
Insurance plans that include OHSU
Questions to ask your insurer
Is OHSU in network for my plan? Is my OHSU provider in network for my plan?
- In network: Your insurer has a contract with OHSU and/or your provider. Your costs will be limited.
- Out of network: Your insurer does not have a contract with OHSU and/or your provider. You will pay more.
What does my plan cover?
Your insurer will have the best information about what services, treatments, medications, medical equipment and fees it covers.
Do I need prior authorization?
Prior authorization is also called preauthorization or precertification. It means your insurer agrees before you receive care that it is medically necessary for you to have a service, treatment, medication or medical equipment.
This list may change without notice.
- Aetna (learn about agreement on a new contract)
- AgeRight Advantage
- Atrio Health Plans
- Eastern Oregon CCO
- Emerging Therapy Solutions (LifeTrac)
- First Choice Health
- Health Net
- InterCommunity Health Network
- InterLink Transplant Network
- Kaiser Permanente National Transplant Services
- Kaiser Oregon/SW Washington
- Kaiser Washington
- Molina Healthcare
- OHSU Health Services
- Optum/UnitedHealthcare/United Behavioral Health
- Providence Health Plan
- Regence BlueCross BlueShield
- Samaritan Health Plans
- Trillium Community Health Plan
- TriWest HealthCare Alliance
- Yamhill Community Care
Learn more about billing and insurance at OHSU
No surprise billing
Federal law protects you from surprise billing:
- For emergency care from an out-of-network provider or facility.
- From out-of-network providers who provide these services at in-network facilities:
- Assistant surgeon
- Emergency care
- Neonatology (newborn care)
- Radiology (imaging)
OHSU price lists
Get a cost estimate for your care
If you have health insurance:
- Contact your insurer and ask for an estimate.
- Call our Patient Estimate Team at 503-494-3508 to ask for an estimate.
- Use our online price estimate tool.
If you don’t have or are not using health insurance: You have a right to a written good-faith estimate at least one business day before care. If your bill is $400 or more above the estimate, you can dispute your bill. The estimate will cover the total expected cost of nonemergency care. This includes:
- Medical tests
- Prescription medications
- Medical equipment
- Hospital fees
Medicaid/Oregon Health Plan coverage for 2023-24
On April 1, 2023, the Oregon Health Authority began asking Oregon Health Plan members for income information to review who qualifies for Medicaid. The Oregon Health Plan is Oregon’s Medicaid program.
This income review is called redetermination. The federal government paused the annual reviews during the COVID-19 pandemic. The pause ended March 31, 2023. Oregon now has until June 2024 to finish reviews.
If you are an Oregon Health Plan member:
- Make sure the state has your mailing address. To check or update your address:
- Go to one.oregon.gov and click on “Manage Account.”
- Call the Oregon Health Authority’s Customer Service Center at 800-699-9075 weekdays between 7 a.m. and 6 p.m. Interpreters are available.
- If you are an OHSU patient, call Health Services Customer Service at 844-827-6572 (for TTY users, 711) weekdays between 7:30 a.m. and 5:30 p.m.
- Watch your mail. All 1.4 million Oregon Health Plan members should get a review notice by January 2024.
- Follow steps in the notice within 90 days to keep Medicaid coverage. If you don’t respond within 90 days, you will have coverage for 60 more days.
- Change is coming to the Oregon Health Plan (video), Oregon Health Authority
- Habrá cambios en el Plan de Salud de Oregón (video) , Oregon Health Authority
- Redetermination FAQ, Health Share of Oregon
Billing for MyChart messages
We may bill you or your insurance if you send us a medical message in MyChart that:
- Involves a medical decision.
- Takes your provider more than five minutes to answer.
As virtual care becomes common, we spend more time answering MyChart messages. Billing for in-depth answers lets your provider:
- Take the time to look at your medical history.
- Give you the best advice.
Please message your provider through MyChart only if you are willing to possibly be billed.
If you have Medicaid (Oregon Health Plan): MyChart messages are free.
If you have Medicare or other health insurance: We will charge a co-pay as if you had an in-person visit. If you don’t have a co-pay, the most you’ll pay is $77. Your deductible applies.
To see how much you’ll pay under your insurance plan:
- Go to our price estimate tool. Use CPT code 99423.
- OHSU patients:
If you don’t have insurance: The most you’ll pay is $77.
Pay your bill
OHSU Patient Billing Services
P.O. Box 575
Portland, OR 97207-5975
(Please include payment coupon.)
Fifth Avenue Building
1400 S.W. Fifth Ave., Suite 500
Portland, OR 97201