Billing and Insurance - Paying for Care

Family Financial Responsibility Your Financial Responsibility

Thank you for choosing Children’s Hospital Los Angeles for the care of your child. We want you to have the information you need to make the best choices about your child’s care, as well as have information about your financial responsibility.

Download our Financial Responsibility Guide to find answers for your child's health care.

About Your Bill

Your insurance provider or health plan will receive two claims for payment. If your health provider does not cover the entire amount of the services rendered for your child's care, you will receive a bill. These bills are described below.

Hospital Bill

The bill you receive from Children's Hospital Los Angeles will cover charges for clinic visits, tests, procedures and room charges (for overnight stays). It also includes charges for services provided by clinical staff like nurses, therapists, psychologists, etc. For questions or to pay your hospital bill, call 323-361-2515 or pay your bill online here.

Pay Your Hospital Bill Online

To pay your Hospital Bill online, please visit this page.

Physician Bill

Children's Hospital Los Angeles Medical Group will send you a separate bill for physician services. This will include Pathologists, Radiologists, Attendings, Fellows and other physicians involved in your child's care. For questions or to pay your physician bill, call 323-361-2336.

Pay Your Physician Bill Online

To pay your Physician Bill online, please visit this page.

Insurance Health Plans and Medical Groups

Children's Hospital Los Angeles is proud to be the pediatric provider for many major insurance health plans and medical groups. Our hospital contracts with more than 250 health plans/medical groups. Below is a list of the top health plans/medical groups with whom we work with most often.

If your health plan or medical group is not listed below, please contact the customer service phone number listed on your health insurance card to verify if our hospital is part of their provider network.

If you have an insurance benefit plan that allows you to access healthcare services from providers that are not contracted (“out-of-network”) with your health plan or medical group or, if you are not using or do not have healthcare insurance and will be paying for our services directly, you may speak with a hospital financial counselor regarding coverage and a rate quote for your child's visit, procedure, or hospital stay at 323-361-2325.

 

  • View Health Plans and Medical Groups
  • Medi-Cal Managed Care
  • California Children Services (CCS)
  • Healthy Families Program
  • Frequently Asked Questions about Billing and Insurance

Below is a list of the top health plans/medical groups with whom we work with most often.

Health Plans

Medical Groups

  • Accountable Health Care IPA
  • Allied Pacific
  • AltaMed
  • Angeles IPA
  • Bella Vista Medical Group
  • Cal Care IPA
  • El Proyecto Del Barrio
  • Employee Health Systems Medical Group
  • Facey Medical Group
  • Global Care Medical Group
  • Health Care IPA
  • Healthy New Life Medical Corp
  • Los Angeles Medical Center IPA
  • Omnicare Medical Group
  • Preferred IPA
  • Regent Medical Group
  • San Miguel IPA
  • Screen Actors Guild
  • Southland San Gabriel Medical Group
  • Superior Choice Medical Group

The hospital is a provider for the Medi-Cal Managed Care health plans. If you have questions, please call our Admitting Department at 323-361-2325.

Our services are covered if you have Medi-Cal coverage and have signed up with one of the following health plans:

  • Blue Cross
  • Care 1st
  • Gold Coast Health Plan
  • Health Net
  • Heritage Provider Network
  • Inland Empire Health Plan
  • Kaiser
  • Kern Family Health Plan
  • LA Care
  • Molina Healthcare

Los Angeles County's California Children's Services assists with payment for medical services for children or young adults with specified medical conditions. For questions regarding gaining assistance from California Children's Services, please call us at 323-361-2511, ext. 5141.

Medical services covered by CCS must be pre-authorized and provided by CCS-approved doctors and hospitals. The program is open to anyone who meets the following requirements:

  • Under 21 years of age
  • Has physical limitations or disease covered by CCS
  • Meets the residential requirement
  • Is financially eligible

The Healthy Families Program is a government-funded health coverage program which offers low-cost health insurance to the children of families whose incomes make them ineligible for Medi-Cal but still fall below certain levels. It provides health, dental, and vision insurance to eligible children not covered by insurance.

Qualifying for the Healthy Families Program is easy. Children under the age of 19 may be eligible if they do not have health insurance and if their parents fall within specified income levels. If you have questions, please call 1-888-747-1222 (toll-free).

Healthy Families Program benefits:

  • Doctor and specialist visits
  • Hospital care
  • Prescription drugs
  • Emergency care
  • Mental health
  • Immunizations

Hospital contracts with Health Plans that incorporate Healthy Families services:

  • Blue Cross Medi-Cal
  • Care1st Health Plan
  • Health Net
  • L.A. Care Health Plan

How do I update my insurance or address information?

Please contact both customer service numbers above with your new information.

May I apply for Medi-Cal at your facility?

Yes, please call 323-660-2450 and ask for the Admitting Financial Counselor.

Do you establish payment plans with families?

Yes, please call appropriate Customer Service Department based on the bill for which you wish to work out a payment plan, and we will work with you.

Why am I being charged a deductible instead of a co-pay for a office visit?

A visit to a clinic at our hospital provides you with access to a multitude of specialists, all on-site.  At a doctor's office, you would only be able to access the doctor with whom you had scheduled an appointment. As a result, insurance providers treat these types of visits differently and reflect that in their billing practices.

I provided my insurance or Medi-Cal information when I arrived for my child's visit. Why am I receiving a bill?

If you are responsible for a co-pay, co-insurance or a deductible payment and you have not paid this, you will receive a bill.

Why hasn't my insurance paid my claim?

It can take up to 45 days for health plans to process claims.  If the health plan requests additional information such as medical records, it can then take up to 60-90 days for them to process our claim.

How can I provide feedback about my child's care?

Feedback is very important to us.  We use feedback from parents and guardians to modify our policies and procedures.  Please visit our Feedback Page to share your thoughts with us about something we did well or ways in which we can improve.

What will my bill look like?

View a sample of a Hospital Bill and a sample of a Physician Bill.


I haven’t received a bill. Who should I call?

If you do not receive both of your bills within 30 days of your child's visit to our hospital for care, please contact us at the appropriate customer service number listed above.

I overpaid. Who do I call for a refund?

If you have overpaid and are due a refund, please contact the Customer Service Department for the bill on which you have made the overpayment.  Our staff will verify that an overpayment was indeed made and will request a check to be sent to you.  Please allow a minimum of four weeks for this investigation and reversal process to be completed.

My statement is incorrect. Who do I speak with?

You are welcome to contact either of our Customer Service Departments (based on the bill) listed at the top of this page.

May I apply for charity care or discounted care?

If you do not have health insurance or you have high health care bills, we may be able to help. Our staff works with patients and families to find programs that cover health care costs for certain care and services from Children’s Hospital. We can even help you fill out forms for these programs. We can also help families with our charity care and discounted care program. This type of help is open for those with a family income less than or equal to 350 percent of the federal poverty level, and who do not have insurance or have insurance that does not cover your health care costs. To talk to someone or get help finding a program that may help pay the hospital or health care services bill, please call Patient Business Services at (323) 361-2515.