Staff Login
Print    Email
Decrease (-) Restore Default Increase (+)
Patients & Visitors Services Find a Doctor Quality & Safety Community Health Careers
Request an Appointment

Financial Assistance

Financial Assistance

Financial Assistance for Families in Need:

Qualified individuals who cannot afford to pay for all or part of the care they receive at St. Mary Medical Center may benefit from a consultation with one of our financial counselors.  The counselors help patients apply for Medical Assistance, the Children's Health Insurance Program (CHIP), or the St. Mary Financial Assistance Program.  The St. Mary Financial Assistance Program is intended for families who do not qualify for Medical Assistance or CHIP.

To qualify for free medical care through the St. Mary Financial Assistance Program, family income must be at or below 250 percent of the federal poverty level.  Family income must be below 400 percent of the federal poverty level to quality for partial assistance. 

For more information, please call 215.710.6546.

We support price transparency.  For our patients to understand their  potential financial liability for hospital services, we are making our  hospital charges available to patients.  Hospital charges vary based on the type of care provided.  The price can differ from patient to patient for the same services.  The price will be different for complications or different treatment for the patient's personal health condition. Patients also may qualify for financial assistance.  Please contact 215-710-6500 for a price estimate or to find out if you qualify for financial assistance.

Print Brochure

 

Print Brochure Espanol

 

 Family Size

 Free Services 
(250 percent)

75 Percent Discount
(300 percent)

 50 Percent Discount
(350 percent)

25 Percent Discount
(400 percent)

 1  $28,725  $34,470  $40,215  $45,960
 2  $38,775  $46,560  $54,285  $62,040
 3  $48,825  $58,590  $68,355  $78,120
 4  $58,875  $70,650  $82,425  $94,200
 5  $68,925  $82,710  $96,492  $110,280
 6  $78,975  $94,770  $110,565  $126,360
 7  $89,025  $106,830  $124,635  $142,440
 8  $90,095  $118,914  $138,733  $158,552

To apply for financial assistance or if you have any questions about your eligibility, please call the Financial Assistance Office at 215-710-6546

Print Financial Condition Form English

Print Financial Condition Form Espanol

Fax completed form to 215-710-5734  

.

 

St. Mary Medical Center is here to help you if you cannot afford your bill or if you need access to medical care.