At Prairie Lakes Healthcare System, we're here to serve you before, during, and after your hospitalization or outpatient procedure. We are committed to providing you with the best possible healthcare, including convenient and reliable billing services.
As an independent organization, Prairie Lakes Healthcare System accepts most insurances. When you receive your hospital bill, please keep in mind that you may receive separate bills from the hospital, the Specialty Clinic, and other healthcare professionals involved in your care who are partners, but not staff members, of Prairie Lakes. Common partners that bill separately include surgeons from other facilities, anesthesiologists, pathologists, and radiologists.
We submit the charges to your insurance company and/or Medicare. A notification of pending charges is sent to you from your insurance company shortly after your discharge. When we receive payment or denial of coverage from your insurance company, we will send you a statement reflecting your balance due.
Time of Service Payments
Co-pay, deductible, and co-insurance are due at time of service.
- The co-pay for your clinic visit (Specialty Clinic, Cancer Center, ENT Clinic) is based on your insurance plan.
- The private pay co-pay for your clinic visit (Specialty Clinic, Cancer Center, ENT Clinic) is $200.
- For Hospital services, deductible and co-insurance are based on your insurance plan, or a percentage of your estimate is required for Private Pay.
- Patients who present for emergency medical care are subject to Emergency Medical Treatment and Labor Act (EMTALA) regulations.
Please contact your insurance company to find out how your office visit and medical services will be covered.
Patients may be expected to pay a portion of their bill at time of service. If you have questions regarding time-of-service payments, please call a Prairie Lakes Patient Account Specialist at 605-882-7887.
Frequently Asked Questions
Should I bring my insurance card with me to the hospital?
Yes. Insurance information is collected during the registration process. Prairie Lakes Healthcare System accepts most insurance plans.
Will you bill my insurance company?
Yes, Prairie Lakes Healthcare System will bill your insurance company or companies for you. It is your responsibility, however, to provide any requested information the insurance company needs in regard to your hospitalization. Prairie Lakes Healthcare System will also file Worker's Compensation claims.
How do I know if my insurance company will cover the charges?
It is best to check with your insurance representative prior to your hospitalization/outpatient procedure. Coverage varies with each insurance company. Coverage also varies on specific services, including those performed by anesthesiologists, radiologists, and pathologists.
How will I know if my insurance company has covered the charges?
Depending on your insurance company, you may receive an explanation of benefits in the mail. Prairie Lakes Healthcare System will also send you a statement if there is a balance due.
I have Medicare. I am confused about how prescriptions are paid for.
Generally, prescription and over-the-counter drugs you get in an observation or outpatient setting (like an emergency department), are not covered by Medicare Part B. If you have Medicare prescription drug coverage (Part D), these prescriptions may be covered under certain circumstances. You’ll likely need to pay out-of-pocket for these prescriptions and submit a claim to your prescription drug plan for a refund. Call your prescription drug plan for more information.
How can I pay my account balance?
Prairie Lakes accepts cash, checks, money orders, and credit card payments. Online Bill Pay is available through the Patient Portal. Click here to learn more about the Patient Portal.
Who can I talk to at Prairie Lakes about my bill?
For additional information or questions regarding billing and insurance, please call 882-7887 or 1-800-298-6638, 8:00 am - 4:30 pm Monday - Friday.