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Medical bill helpMedical bills

Pay less on your medical bill.

Find out if you qualify for the hospital's financial help, spot common billing errors, and get ready-to-send letters that ask for a lower bill.

Nothing you enter leaves your device Free, no account About 5 minutes
Itemized statementExample. Outpatient visit, one day
Acct 0048-2213
ItemCodeCharge
Emergency visit, level 499284$1,840.00
CT scan, head70450$2,310.00
CT scan, head70450$2,310.00
Lab panel80053$214.00
Medication you broughtJ3490$96.00
Amount due$6,770.00$4,364 after fixes
CT scan charged twice. Dispute it. You may qualify for free care. Apply first.

Build your plan.

Answer what you can. Your plan and letters update as you go. Skip anything you don't know.

About the bill

Who sent the bill?

Your coverage on the date of care

Your household

Count yourself, a spouse and anyone you claim as a dependent. Hospitals use your income to decide how much help you get.

Check the bill for problems

Details for your letters (optional)

These only fill in the letters on this page. They aren't saved or sent anywhere.

0%of the poverty guideline
0%200%300%400%500%+

Your next steps

    Your letters

    
                
    Send it by email or certified mail, and keep a copy.
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    Want a professional to handle it? Medical billing advocates review bills and negotiate for you, often for a share of what they save you.

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    Everything here is worked out on your device. We never see your bill, your income or your letters.

    Rules that are on your side.

    Most people never hear about these. Billing offices know them well.

    Nonprofit hospitals must offer financial help

    Nonprofit hospitals are required to have a written financial assistance policy, make the application easy to find, and accept applications for at least 240 days after the first bill. They also have to try to tell you about it before taking serious collection steps like lawsuits.

    Federal tax rules for nonprofit hospitals (IRS section 501(r))

    Surprise bills are limited by law

    For most emergency care, and for out-of-network doctors at an in-network hospital, you generally only owe your normal in-network share. Uninsured? If your bill is at least $400 over your good faith estimate, you can dispute it within 120 days.

    No Surprises Act. Help desk: 1-800-985-3059

    Collectors have to prove the debt

    If a collection agency contacts you, you can ask them to validate the debt in writing. If you ask within 30 days of their first notice, they have to pause collecting until they answer.

    Fair Debt Collection Practices Act

    Other bills piling up too?

    Medical bills rarely come alone. These free programs can free up money for everything else.

    Check what you qualify for

    SNAP food benefits, Medicaid, CHIP, WIC and more, in about two minutes. Medicaid can sometimes cover medical bills from before you applied.

    Open the benefits checker

    Help with heating and power bills

    The Low Income Home Energy Assistance Program helps pay utility bills and can stop a shutoff. Your state runs it.

    Find LIHEAP in your state

    One call for local help

    Call or text 211 to reach a local specialist who knows the rent, food and bill programs near you. It's free and confidential.

    Visit 211.org

    Rather call? Here's what to say.

    Pick the call you're about to make. Keep your bill in front of you and write down who you spoke to and when.

    Questions people ask.

    Will asking for help hurt my credit?

    No. Asking for an itemized bill, financial assistance or a payment plan doesn't affect your credit. Asking early, before a bill goes to collections, gives you the most options.

    I already paid part of it. Can I still apply?

    Usually yes. Many hospitals apply assistance to bills you've already paid in part, and some refund what you paid if you qualify. Ask in your application.

    What if my income is too high?

    Many hospitals also help when a bill is large compared to your income, even above the usual limits. You can still ask for a discount for paying yourself, a lump-sum settlement or an interest-free payment plan.

    Should I put the bill on a credit card?

    Usually not before you've tried the steps here. Once a bill is on a credit card, it's a credit card debt with interest, and you lose the hospital's assistance and payment plan options.

    Is this legal or medical advice?

    No. This tool explains common billing rights and gives you letters to start the conversation. Rules vary by state and by hospital. For a large or complicated bill, consider a billing advocate, a legal aid office or your state's insurance department.

    Get help with the next bill, too.

    Short emails on cutting medical costs: what to ask, what to sign, what to skip. About two a month, unsubscribe anytime.

    This tool gives general information about medical billing rights and sample letters. It isn't legal, medical, tax or financial advice, and we can't guarantee any hospital will lower your bill. Poverty guideline figures are the 2026 federal guidelines; each hospital sets its own income limits. Some links are partner links; we may earn a commission at no cost to you.