Marshalltown Medical and Surgical Center
Marshaltown Medical and Surgical Center
Marshalltown Medical and Surgical Center

Billing Policies

We continually strive to contain costs, while maintaining our commitment to excellence in medical care, by ensuring that every appropriate effort is made to collect money owed to the hospital for services provided.

Central Iowa Healthcare will provide care without discrimination for emergency medical conditions regardless of a patient's ability to pay.

Preparing for Your Visit

Please bring these items with you to the hospital for each visit:
  • insurance cards;
  • orders, referrals or pre-certification numbers/information from your physician;
  • valid driver's license or state identification card;
  • payment for your co-pay, deductible, and any services that are not covered by your health insurance plan

Health Insurance Benefit Plans and Coverage

There is no doubt that health insurance benefit plans are confusing. Most plans do not provide 100% coverage for a hospital bill. Each plan has its own set of rules, exclusions and services that are not covered.
It is your responsibility to be familiar with your specific benefit plan. If you are unsure of your coverage for a particular medical procedure or test, you should call the customer service telephone number on your insurance card before scheduling the procedure.
Your health insurance policy is a contract between you and your insurance company. As a service to you, Central Iowa Healthcare will send a claim to your health insurance company. By working together, we can minimize misunderstandings, payment delays and billing costs. However, you are responsible for any charges not covered by your health insurance benefit plan.

Prior Certification and Notification

Depending on your plan, you may be required to get approval (pre-certification) before you receive hospital services. Even in a life-threatening situation, your benefit plan may require you to contact them within 24 hours of receiving hospital care. We will assist you in doing that, but if you don't obtain approval from your insurance company, you are responsible for paying for your hospital care. Also, obtaining approval does not guarantee that the cost of the service is completely covered by your benefit plan. You will still be responsible for any charges not covered by your benefit plan.
If Central Iowa Healthcare does not participate in your insurance plan, you can still receive services here. However, your insurance company will consider our services as "out of network" and you may be responsible for all or a higher portion of the bill than if you obtained services from an in network or participating provider.

Physician Bills

You will receive separate bills from the physicians (hospitalists, radiologists, anesthesiologists, pathologists, surgeons, etc.) involved in your care. If you have questions or concerns about those bills, call the physician office or the customer service telephone number on your insurance card.

Keeping Records

It's your responsibility to ensure that your health benefit plan meets its obligations to you and pays everything it should. An important step in doing that is to keep every hospital (and physician) bill you receive.

Refund Policy

We will follow all federal and state guidelines when processing a refund request.


Central Iowa Healthcare
3 South 4th Avenue
Marshalltown, IA 50158
(641) 754-5151
About Us
Central Iowa Healthcare CIH is a not-for-profit, 501(c) (3), community hospital in Marshall County, Iowa. CIH is a 125 bed acute care facility, with a state-of-the-art Diagnostic Imaging Department, Cardiac Catheterization Lab and Rehabilitation Center. CIH employs 700 health care professionals. The hospital also owns and operates four primary care medical clinics in Marshalltown, Conrad, State Center and Toledo.
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