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Sample Bills

Click on the image below to view a larger more detailed version of each bill type.
**Please note: If you have a blue bill that is dated before July 7th, 2006 or has an "A"
preceding the account number, please click here.


Physician Bill _ Thumbnail
Initial Hospital Bill _ Thumbnail Hospital Bill 2 _Thumbnail
Physician's Bill
Initial Hospital Bill
Second Hospital Bill



Physician's Bill
- This is a bill that shows the physician's charges for which you are responsible. These charges are completely separate from the hospital bill you will receive. Please note the locations of the Guarantor Number, Amount Owed and Patient Name.

Detailed Physician Bill

 


Initial Hospital Bill -
This is the first hospital bill you will receive. The charges indicate the services you have received at Children's. Please pay the amount circled in the bill below. If you have a question about the charges, please contact customer service at 301-572-3542 or toll free at 1-800-787-0021. The hours of operation are Monday through Friday, 9:00 am to 4:00 pm.

 


Second Hospital Bill -
This is the second hospital bill you will receive. It indicates the charges for which you are responsible. Please note the locations of the Account Number, Amount Owed and Patient Name. Please pay special attention to the message on the bill as it may indicate that your account is past due, and may require immediate attention.


Second Hospital Bill -
This is the second hospital bill you will receive. It indicates the charges for which you are responsible. Please note the locations of the Account Number, Amount Owed and Patient Name. Please pay special attention to the message on the bill as it may indicate that your account is past due, and may require immediate attention.

 


 
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