Billing and Insurance
Firelands Health The Bellevue Hospital
Click here to pay online
If you do not have your billing statement, you may contact the Patient Financial Services Department at 419-483-4040, Ext. 4288
Insurances accepted
Balances remaining after insurance will be billed to you on a patient statement. You may also be billed if your insurance company denies payment or fails to respond.
The Bellevue Hospital is in a network with the following insurance plans:
In-network commercial plans
- Aetna CVS
- Anthem Blue Cross
- Beech Street
- Buckeye Ambetter - Out of network as of 6/1/25
- CareSource
- CareSource Just4Me (Marketplace plan)
- Cigna
- Coventry Health Care
- FrontPath
- HealthSmart
- Humana
- Medical Mutual of Ohio
- Meritain
- Multiplan
- Mutual Health Services
- Ohio Health Choice
- Paramount
- SummaCare
- Tricare East
- United Healthcare
In-network medicare plans
- Aetna
- Anthem
- Buckeye (Wellcare by AllWell) (Out of Network as of 1/1/26)
- Devoted Health
- Humana
- Medical Mutual of Ohio
- Paramount Elite
- SummaCare
- Traditional Medicare
- United Healthcare
In-network medicaid plans
Anthem
Buckeye (out-of-network for Marketplace plans and Urgent Care)
CareSource
Molina (out of network for Individual and Family ACA Marketplace plans)
Ohio Medicaid
United Healthcare (out of network for Individual and Family ACA Marketplace plans)
In-network other governmental plans
- Bureau of Workers Compensation
- Tricare (Champus) Military
- Veterans Administration
Surprise billing
How do you make sure you are not surprised by the amount of your bill? To help ensure a smooth billing process, we encourage you to take these steps before your visit to The Bellevue Hospital:
- Confirm your insurance is accepted, or call your insurance company to find out if it has a contract with The Bellevue Hospital.
- Check your insurance plan to find out what is and isn't covered and whether or not your service requires authorization.
- Confirm the copay amount for your visit, as well as any unmet deductible amount.
- Be aware of your coinsurance and out-of-pocket maximum.
- If you do not have insurance, review our financial assistance programs.
Click here to learn more
Provider-based billing
Bellevue Hospital uses "provider-based billing" or “hospital outpatient” when charging for services to Medicare and Medicaid-insured patients.
Provider-Based Billing FAQ
Billing FAQ
Why do I have multiple bills?
In addition to hospital bills, you may receive separate bills for medical services not provided directly by the hospital. These include charges for physicians, radiologists, anesthesiologists and pathologists. Questions about these charges should be directed to the phone number listed on the bill.
Why is this billed as an outpatient service when I spent the night in the hospital?
Your status is determined by your admitting physician. Sometimes "observations" is the appropriate status used, which is considered an outpatient visit.
Why did my insurance deny the claim?
The following may apply:
- Your plan may not cover the service you received.
- You did not provide accurate insurance information at the time of your service.
- You were not covered by your plan at the time of your request.
- Additional information was requested from the insured before payment will be processed.
Contact your insurance company to discuss your situation.
Why am I getting another bill when I already paid one?
The following may apply:
- The statement you received may have been mailed before the payment was received and posted to your account. To verify your bill was paid, please call a customer service representative and provide your name and account number. If the payment was recently mailed, please allow 7-10 days for the payment to reflect on your account.
- The statement you received may be for recurring services you receive at the hospital. Please contact a customer service representative with any questions.
Financial Assistance
Monthly payment plans
If you are unable to pay your balance in full, our staff can assist you in arranging a monthly payment plan. For those having difficulty making monthly payments, an extended payment plan may also be an option. The Bellevue Hospital does not charge interest, so the extended terms that we offer are necessarily limited.
To set up a payment plan, please contact a customer service representative by calling 1-800-708-2914 or Patient Financial Services at 419-483-4040, ext. 4288.
Apply for financial assistance
The Bellevue Hospital offers additional assistance for patients with limited resources and insufficient insurance coverage. Patients may be eligible for financial assistance through one of our programs.
The Bellevue Hospital's financial assistance policy and a financial assistance application form can be downloaded below. You can also request any of these forms by calling Patient Financial Services and choosing the appropriate option.
The Bellevue Hospital Financial Assistance Application - English
The Bellevue Hospital Financial Assistance Application - Spanish
When you receive the forms, please fill in the required information, sign and return to:
The Bellevue Hospital
Attention: Financial Counseling
PO Box 8004
Bellevue, OH 44811
Uninsured patients
For uninsured patients, we offer a discount on services. This "uninsured discount" applies only to patients who have no health insurance at the time of treatment; it does not apply to balances remaining after insurance payment or for certain excluded services.
Financial services forms and policies
The Bellevue Hospital Price Transparency
In compliance with Centers for Medicare & Medicaid Services, The Bellevue Hospital provides a comprehensive list of charges for each inpatient and outpatient service or item provided by The Bellevue Hospital, also known as a chargemaster. Learn more
Cost estimate
For an estimate of services, go to our shoppable services estimator
In compliance with state law, The Bellevue Hospital is providing this price list containing our charges for room and board, emergency department, operating room, delivery, physical therapy and other procedures. The hospital's charges are the same for all patients, but a patient's responsibility may vary, depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients should consult with our admitting and billing staff to determine whether they qualify for discounts. These prices are correct as of 01/01/25 through 12/31/2025. Your charges may vary dependent on what your physician requests.
Description of services
Room and board - per day charges
| StepDown Room |
2,536.00 |
| Routine care |
1,409.00 |
| Birthing Room |
1,706.00 |
| Nursery |
1,078.00 |
Labor and delivery charges
The following list does not include charges for anesthesia, drugs or supplies required for a particular delivery room procedure. Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician.
| Normal Delivery Mom |
14,250.00 - 18,500.00 |
| Cesarean Section Delivery Mom |
22,500.00 - 24,000.00 |
| Normal Delivery Baby |
4,400.00 - 5,000.00 |
| Cesarean Section Delivery Baby |
5,400.00 - 6,000.00 |
| Fetal Monitor Non Stress |
624.00 |
| Fetal Monitor Labor |
565.00 |
Emergency department charges
Emergency Department charges are based on the level of emergency care provided to our patients. The levels, with level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies, emergency room physician or additional ancillary procedures that may be required for a particular emergency treatment.
| Level 1 |
221.00 |
99281 |
| Level 2 |
331.00 |
99282 |
| Level 3 |
489.00 |
99283 |
| Level 4 |
686.00 |
99284 |
| Level 5 |
1,048.00 |
99285 |
| Critical care |
2,551.00 |
99291 |
Operating room charges
Operating Room charges are based on the complexity level, with level 1 being the most basic, for a particular operation. This time is charged per minute. This price does not include anesthesiologist.
|
Charge per minute |
| Special Procedure per minute |
68.00 |
| Level 2 per minute |
101.00 |
| OR time per minute |
130.00 |
| OR complex case per minute |
188.00 |
Physical therapy charges
The following charges reflect the most common services offered by our Physical Therapy department. Patients may have additional charges, depending on the services performed.
| Aquatic Therapy 15 min |
145.00 |
| E stim unattended |
142.00 |
| Exercise |
181.00 |
| Hot Cold Pack |
27.00 |
| Manual Exercise |
174.00 |
| Neuro muscular re-education |
183.00 |
| Therapuetic Activity |
150.00 |
Occupational therapy charges
The following charges reflect the most common services offered by our Occupational Therapy Department. Patients may have additional charges, depending on the services performed.
| Manual Therapy |
183.00 |
| Self Care/Home Mgt 15 min |
128.00 |
| Theraputic Activities |
150.00 |
| Theraputic Procedure |
181.00 |
| Ultrasound |
142.00 |
Pulmonary therapy charges
The following charges reflect the most common services offered by our Pulmonary Therapy Department. Patients may have additional charges, depending on the services performed.
| Blood Gas draw |
198.00 |
| Common Cannister |
494.00 |
| Hand held nebulizer |
494.00 |
| PEP therapy |
284.00 |
| PFT Diffusion |
406.00 |
X-ray and radiological charges
The following charges reflect the hospital's 30 most common x-ray and radiological procedures. There is an additional cost for contrast material that is used for certain procedures. The radiologist will bill separately for their services.
| CT Abdomen/pelvis w contrast |
3859.00 |
| CT Abdomen/pelvis wo contrast |
3694.00 |
| CT Cervical Spine wo contrast |
1985.00 |
| CT Head wo contrast |
2151.00 |
| CT Thorax w contrast |
2151.00 |
| CT thorax wo contrast |
1985.00 |
| CTA Chest wo/w contrast |
2911.00 |
| MRI Lumbar Spine wo contrast |
4410.00 |
| Nuclear medicine Stress/Resting Multi |
7033.00 |
| Radiology Abd Flat upright/PA chest |
618.00 |
| Radiology Ankle min 3 views unilateral |
431.00 |
| Radiology bilat mamm screen w tomo |
517.00 |
| Radiology Chest 1 view |
255.00 |
| Radiology Chest 2 view |
314.00 |
| Radiology Dexa Bone Density/skeletal bone density |
553.00 |
| Radiology Foot Min 3 view unilateral |
431.00 |
| Radiology Knee 4 or more views unilalteral |
528.00 |
| Radiology KUB 1 view |
255.00 |
| Radiology Lumbar spine 2 - 3 view |
431.00 |
| Radiology Lumbar spine/min 4 views |
528.00 |
| Radiology shoulder 2 or more views |
431.00 |
| Ultrasound biophysical w non stress test |
1087.00 |
| Ultrasound cervical length |
741.00 |
| Ultrasound Gallbladder |
860.00 |
| Ultrasound growth |
629.00 |
| Ultrasound Pelvis |
1094.00 |
| Ultrasound Pelvis Transvaginal |
1070.00 |
| Ultrasound Pregnancy anatomy single |
639.00 |
| Ultrasound Pregnancy transvaginal |
741.00 |
| Ultrasound thyroid |
599.00 |
Labratory charges
The following charges reflect the hospital's 30 most common laboratory procedures.
| Antibody Screen |
215.00 |
| Blood Grouping ABO |
216.00 |
| BNP |
289.00 |
| CBC auto diff |
137.00 |
| Covid antigen w optic |
138.00 |
| Culture urine |
166.00 |
| Differential |
26.00 |
| Free T3 |
226.00 |
| Free T4 |
197.00 |
| Glycohemoglobin/A1C |
262.00 |
| Influenza A & B |
292.00 |
| Iron |
119.00 |
| Lactic Acid |
101.00 |
| Lipase |
138.00 |
| Lipid Profile |
223.00 |
| Magnesium |
78.00 |
| Preg HCG quant |
263.00 |
| Profile 14 |
732.00 |
| Profile 8 |
410.00 |
| Protime |
105.00 |
| PTT |
105.00 |
| RH D Type |
215.00 |
| Sed Rate Westergren |
79.00 |
| Suscept MIC |
125.00 |
| T4 |
186.00 |
| Troponin |
197.00 |
| TSH |
229.00 |
| Urinalysis wo micro |
42.00 |
| Vitamin D 25 OH |
323.00 |
Consumers can access a number of government and private Websites, which provide additional information on hospitals' charges and quality. For a complete listing of available online resources, please visit the Consumer's Guide to Quality Health Care in Ohio at www.ohanet.org/portal.
