Billing & Insurance

Before sending a bill, we submit a claim to your child's health insurance provider and secondary insurance, if applicable. If your child's insurance company doesn't cover the full cost of our services, we mail you a statement for the remainder. If your child doesn't have health insurance or the insurance company doesn't pay for our services, we bill you for the full amount. All self-pay patients are eligible for a discount.

UCSF Benioff Children's Hospital San Francisco provides consolidated statements that include fees for both hospital and professional services:

• Hospital service fees may include charges for room and board during a hospital stay, medications given and diagnostic tests performed.
• Professional service fees cover the cost of care provided by your child's doctor. If multiple doctors were involved in your child's care, you'll see charges for each. For example, if your child had X-rays and surgery, you'll see separate fees for the surgeon, anesthesiologist and radiologist.

If your child is a patient of UCSF Benioff Children's Hospital Oakland, you may receive separate statements for hospital and professional services.

Please note that some doctors who practice at our Oakland hospital may be considered out of network by your insurance, even if the hospital is in network. To be certain that care from a particular provider is covered, please check with your insurance company.

If you have questions about your bill, contact Patient Financial Services.

The No Surprises Billing Act: patient rights and protections

As of January 1, 2022, when patients get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, the No Surprises Billing Act protects them against surprise billing or balance billing. Find out more about your rights under the new act and protections against surprise medical bills.

Notice: Open Payments database

The Open Payments database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. For informational purposes only, a link to the federal Centers for Medicare & Medicaid Services (CMS) Open Payments webpage is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over 10 dollars ($10) from manufacturers of drugs, medical devices and biologics to physicians and teaching hospitals be made available to the public.