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 Pocket          Pay Discount
$500- $2,500                 2%
$2,500 and over             5%

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 Care Center 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 Care Center.

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 Care Center Standard Charges

Below please find a full list of standard charges used by Butler County Health Care Center. This list is updated at least annually and may not reflect the current charges. Butler County Health Care Center 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 Care Center at 402-367-1200.

Good Faith Estimate Notice

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

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care cover an estimate of the bill for health care items and services before those items or services are provided.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling.  If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service.  If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
  • If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit, email, or call 1-800-985-3059.

PRIVACY ACT STATEMENT:  CMS is authorized to collect the information on this form and any supporting documentation under section 2799B-7 of the Public Health Service Act, as added by section 112 of the No Surprises Act, title I of Division BB of the Consolidated Appropriations Act, 2021 (Pub. L. 116-260). We need the information on the form to process your request to initiate a payment dispute, verify the eligibility of your dispute for the PPDR process, and to determine whether any conflict of interest exists with the independent dispute resolution entity selected to decide your dispute. The information may also be used to: (1) support a decision on your dispute; (2) support the ongoing operation and oversight of the PPDR program; (3) evaluate selected IDR entity’s compliance with program rules. Providing the requested information is voluntary. But failing to provide it may delay or prevent processing of your dispute, or it could cause your dispute to be decided in favor of the provider or facility.

Your Rights and 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” means 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 types of 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're only responsible for paying your share of the cost (like the copayments, coinsurance, and deductible 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 think you’ve been wrongly billed, contact the United States Department of Health and Human Services at 200 Independent Avenue, S.W., Washing, D.C. 20201, 1-800-985-3059, 

 Visit for more information about your rights under federal law. 

 Visit for more information about your rights under state law.