Pay My Bill

If you have insurance (including Medicare and Medicaid) the billing office will bill your insurance carrier shortly after your visit. If you have more than one insurance carrier, such as a supplement to Medicare, we will submit your bill to the additional carrier after notification from your primary insurance carrier. If you receive a bill from us before we have heard from your insurance company, the amount submitted to your insurance company will be in the Insurance Pending column. Your insurance carrier should pay on your bill within 60-days. However, the hospital may ask for your help in contacting them should payment be delayed.

If you do not have insurance your bill will be sent directly to you (or the guarantor) for payment of the bill.

If you owe a balance the hospital will send you a bill. The amount not covered by your insurance carrier will be listed in the Patient Pay column and in the Amount Due Now box. Payment in full is expected as indicated on the statements.

If your bill is paid within 7 days of the first statement after insurance pays a discount applies as follows:

Out of PocketPay Discount
$500 - $2,5002%
$2,500 and over5%

Financial Assistance

If payment in full cannot be made please call the billing department at 402-367-1352.

Payment arrangements can be made to pay your bill in full within 6 to 10 months. If you are unable to pay the balance in full within 10 months, you will be referred to the bank loan program. Butler County Health will assist you in completing the loan application form and submitting it to the bank.

You may be eligible for financial assistance to reduce the cost of service. This is determined based on your household income level. For determination of eligibility and applications for community benefit financial assistance please contact the billing department at Butler County Health.


Collections Policy
Accounts will be reviewed after 60 days of discharge. If the account balance is self-pay (insurance has paid) the billing department will follow up with the following process:

  • After 60 days without payment the 1st past due reminder letter is mailed.
  • After 90 days without payment the 2nd past due reminder letter is mailed.
  • Collection notices are mailed after 120 days without payment.
  • Accounts are transferred to a collection agency or attorney after 150 days without payment.

Please note that exceptions can be made or approved by the CEO or CFO where appropriate.

Privacy Policy
We respect and are committed to protecting your privacy. We may collect personally identifiable information when you visit our site. We also automatically receive and record information on our server logs from your browser including your IP address, cookie information and the page(s) you visited.  We will not sell your personally identifiable information to anyone.

Security Policy
Your payment and personal information is always safe.  Our Secure Sockets Layer (SSL) software is the industry standard and among the best software available today for secure commerce transactions. It encrypts all of your personal information, including credit card number, name, and address, so that it cannot be read over the internet.

Refund Policy
All refunds will be provided as a credit to the credit card used.

Shipping Policy/Delivery Policy
Nothing to ship.

Butler County Health Standard Charges

Below please find a full list of standard charges used by Butler County Health. This list is updated at least annually and may not reflect the current charges. Butler County Health retains the right to update prices without notice.

Total costs will differ from patient to patient, depending on actual services performed, length of time at the hospital and/or complications. The hospital estimates do not include costs charged by other medical professionals outside the hospital but who are involved in a patient's care such as physicians, radiologists or pathologists. Please note that these charges are generally not what is paid by patients due to insurance contracts. The patient's responsibility will also vary depending on the coverage benefits of their health insurance.

We are happy to provide an out-of-pocket estimate based on historical charges incurred by other patients and your health insurance coverage. Please call us at 402-367-1200 with information regarding the service to be provided as well as your health insurance, and we will produce a written estimate of your individualized, anticipated out-of-pocket costs.

For questions regarding standard charges please call Butler County Health at 402-367-1200.

2024 List of 300 Shoppable Services

Good Faith Estimate Notice

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
  • Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit or call 1-877-696-6775.

Your Rights & Protections Against Surprise Medical Bills

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is "Balance Billing" (Sometimes called "Surprise Billing)?  

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services  
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Nebraska Revised Statute 44-6834 et al, known as the “Out-of-Network Emergency Medical Care Act,” provides balance billing protections to patients receiving out-of-network emergency care from providers at particular facilities. Butler County Health is not covered by the Out-of-Network Emergency Medical Care Act, however, your provider may be.  You may contact the Nebraska Department of Health and Human Services Health Facility Investigations Licensure Unit at 402-471-0316 for more information.

Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.

If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.  

You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.  

When Balance Billing isn't allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network).  Your health plan will pay out-of-network providers and facilities directly.
  • Your health plan generally must:
  • Cover emergency services without requiring you to get approval for services in advance (prior authorization). 
  • Cover emergency services by out-of-network providers.
  • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits. 
  • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact the United States Department of Health and Human Services at 200 Avenue, S.W., Washing, D.C. 20201, 1-877-696-6775,

Visit for more information about your rights under federal law.

Visit for more information about your rights under state law.

The Parkinson's Empowerment Group at Butler County Health targets so many aspects and symptoms of Parkinson’s. It improves a person’s posture, mobility, balance, and coordination, as well as cognition and ability to multi-task. I also like the flexibility of the program and being able to adjust exercises from each position to fit the need of each individual patient.  

Andy Valenti, Physical Therapist Assistant

My strategy in nutrition coaching is to focus on the positive – what things could we add to increase the variety of healthy foods in your routine?  By focusing on adding more healthy choices, you will not feel deprived as you gradually leave out less nutritious choices.  My goal is to help you get a personalized approach to wellness that you can achieve and maintain with your current lifestyle.

Sandra Burwell, Registered Dietitian

Butler County Health has felt like home to me from the beginning of my employment.  I have spent more than 5 years working in an environment that has challenged me to pursue my nursing skills in many different areas such as the Emergency Department, Obstetrics, Inpatient Care, Outpatient Care and as Quality Improvement and Patient Safety Coordinator.

Tara Palensky, RN

BCH Roots to Shoots Pediatric Therapy Clinic eliminates the need for long commutes to distant facilities like Madonna, allowing Aria to maximize her therapy sessions and educational opportunities.  It is significant for Aria’s overall well-being as it reduces the stress and agitation she had from extended travel.  The staff is like our family to us.

Jennifer Prothman

The communication between us and Leia’s Roots to Shoots therapists is excellent.  We are given the tools and resources to practice techniques at home for ongoing progress and development so she can continue to thrive.  The entire staff at Roots to Shoots goes above and beyond what needs to be done; from teaching her to wear something as simple as a mask, to helping her feel comfortable riding in another vehicle like a school bus.  They are our angels.

Stacey Bykerk

I feel having a 3D mammogram was a blessing for me since it detected my Stage 1 cancer.  The technicians were very helpful as they explained how the machine worked compared to the 2D method.  A big difference is that the 3D machines moves above your head from one size to another and gives a more complete image of the breast.  The testing time also seemed shorter than the standard mammogram.

Judy Dubs

I had a bunion on my foot and I wanted it removed,  but I really didn't want to travel too far to have the procedure done.  So when Butler County Health started providing Podiatry Services, I made an appointment right away.  Dr. Carlston is professional and personable.  He took the time to explain what happens during the procedure and afterwards.

Jill Pokorny

Being able to have my blood drawn at Butler County Health saves me a weekly trip to Omaha.  It is simple to schedule an appointment that works with my schedule and the staff is quick and efficient at drawing my blood samples.

Tanner Zeilinger