Financial Responsibilities & Billing Information
Thank you for choosing Mount Sinai Medical Center for your healthcare needs.
After your visit, you will receive a statement of services rendered which includes a summary of hospital charges for your visit. This is not a bill if you are covered under Medicare, Medicaid, or other third-party insurance, or have made prior payment arrangements. This statement will identify whether the balance is pending with third-party insurance.
The charges for your room include nursing, food, telephone, room service, linen and maintenance. The private room rate is charged if you have requested to be in a private or upgraded room. Other hospital charges that may appear on your bill are for supplies, special equipment, laboratory tests, therapeutic treatment, personal items, pharmacy, operating room time, x-rays and intravenous solutions. You may also see a facility fee which covers overhead expenses incurred by the hospital. Please remember that services performed at the hospital during the course of your care have been ordered by your physician. If you have any questions regarding these services, please contact your doctor.
As a patient, or prospective patient, you have the right to request a personalized estimate from us. To request an estimate of charges, please call 305-674-2121, x52092 between 8am to 5pm, Monday-Friday. You may also visit the Agency for Health Care Administration’s service bundle pricing website for information on health care pricing by clicking here or visiting the website at the following URL address: https://pricing.floridahealthfinder.gov/.
Please keep in mind that the service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and that actual costs will be based on services actually provided to the patient. Patients have a right to request a personalized estimate from the hospital. Patients should contact the health care providers anticipated to provide services to the patient while in the hospital to obtain a personalized estimate of their costs, their billing practices and whether they participate in the patient’s health plan.
Mount Sinai Medical Center will provide care for emergency medical conditions and medically necessary services to individuals despite their ability to pay or their eligibility for financial or government assistance regardless of age, gender, race, social, sexual orientation or religious affiliation.
Mount Sinai provides financial assistance to eligible persons who have healthcare needs and are uninsured, ineligible for a government program or are otherwise unable to pay, for medically necessary care or emergency medical conditions based on their individual financial situation. For more information about Mount Sinai’s financial assistance programs, please click here or visit /patient-info/financial-assistance-information.
While you are hospitalized, if you have any questions concerning your bill or the financial policy of the hospital, or would like to request an estimate of charges, please call 305-674-2121, x52092 between 8am to 5pm, Monday-Friday. Upon discharge, questions can be addressed by calling our customer service team at 305-674-2130 between the hours of 9am to 4pm, Monday-Friday.
Your hospital bill is for services rendered at any of the Mount Sinai Medical Center campus locations. Physician fees and any other services or physician consultations are billed separately by each party. This includes but is not limited to services in radiology, emergency department, EKG, pathology and anesthesia. These health care providers may or may not participate with the same insurers or health maintenance organizations as the hospital.
Patients may contact the below providers to determine which health insurers and health maintenance organizations the providers participate in as a network provider.
- Anesthesiology Services
Miami Beach Anesthesia Associates
P.O. Box 816759
Hollywood, FL 33081
- Emergency Room Physician Services
Schumacher Clinical Partners
200 Corporate Blvd
Lafayette, LA 70508
- Pathology – AM Rywlin and Associates
P.O. Box 3093
Boca Raton, FL 33431
- Radiology – Radiology of MSMC, LLC
P.O. Box 11550
Miami, FL 33101
- Mount Sinai Physician Practices
4300 Alton Road
Miami Beach, FL 33140
If you are covered under Medicare, Mount Sinai will file the claim. Please be aware that Medicare will not cover your total bill. You are responsible for the deductible, co-insurance, private room, differential and certain other non-covered costs. When payment is received from Medicare, we will bill your supplemental or secondary insurance. You will then begin receiving statements regarding the status of your account.
Managed Care, HMO/PPO and Insurance Patients
If you are covered under third-party insurance, we will file a claim. Most insurance companies pay within the 35 days, as required by the state of Florida. During this time, you may receive notices from Mount Sinai regarding the status of your claim. We encourage you to promptly respond to any requests for information. You also may receive a bill for any deductible or co-insurance amounts that are not covered under your policy. We ask that you promptly pay these balances upon receipt of our notice.
If you are covered under Medicaid, we will file the claim. If you have applied for Medicaid, but have not been approved at the time of your admission, you should provide the Business Office with any updated information once you receive your Medicaid eligibility information. If you do not have Medicaid, and you have not applied for assistance but you would like to find out whether you would qualify, please contact us immediately. We have staff on site ready to assist you.
Patients with pre-paid arrangements should contact International Services at 305-674-2774 if you have any financial related questions. Patients needing an interpreter should ask their nurse to contact the hospital’s translation service.
If you are a patient without insurance coverage, you may be eligible for financial assistance. There are a variety of options available, based upon your financial circumstances. We can detail these options for you to help determine which one best suits your needs. We also have programs available that can assist patients with their bills, based upon specific eligibility criteria. Please call 305-674-2130 if you have concerns about your account balance or would like to inquire about self-pay rates or financial assistance.
Mount Sinai provides financial assistance to eligible persons who have healthcare needs and are uninsured or ineligible for a government program or are otherwise unable to pay for emergency or other medically necessary care.