Financial Services

Click here to Pay Your Bill

What you need to know about paying for your health care services.

Johnston Health Patient Financial Services
Whatever the service Johnston Health provides for you, as a courtesy, our helpful Patient Financial Services bills all of your insurances provided you submit the necessary information.

Healthcare insurance billing
You are responsible for any portion of your charges remaining unpaid by your insurance company. This includes non-covered, co-payments and deductibles. Payment is expected at the time of service. It is your responsibility to be aware of any exclusions, benefits, co-payments and deductibles outlined in your insurance plan. Co-payments and deductibles are due before leaving the hospital. You may also be responsible for services rendered by other providers. These include emergency room physicians, anesthesiologists, radiologists, pathologists and your attending physician. We will share your billing information with those providers so that they can file with your insurance company directly.

Patient responsibility
You will need to present your insurance card(s) at the time of service. The information on the card is important for correct identification of your insurance and in receiving the proper payment for your services. Your card(s) will be scanned to ensure that the correct information is available for insurance processing.

If you are scheduled for services, we encourage you to pre-register. Pre-registration will allow us to verify your insurance coverage, identify your liability and allow us to assist you in meeting your financial obligations. In addition, pre-registering will minimize your check-in time on the day of service. If you do not receive a call from our pre-registration team before your date of service, please call 919-938-7749.

 Accepted methods of payment

  • Cash
  • Check
  • Flex Cards
  • Credit Cards: Master Card, Visa, Discover and American Express

Worker’s compensation
If services you are requesting are the result of a work-related injury, Johnston Medical Center will bill your employer or your employer’s liability carrier.

If you were recently covered by insurance under a group health plan, you may be eligible to pick up those benefits to assist you with your medical bills.  Our financial advocate can assist you in determining if you qualify for COBRA benefits.

Out of network
If you are covered by an HMO managed care plan, your insurance restricts where you may receive your care. If you have services outside of your network, you will be responsible for your hospital charges.  Check with your insurance company to ensure your provider is in-network.

Medical Insurance Assistance Program (Medicaid)
Our financial advocates can assist you in determining if you are eligible for Medicaid or other state or federal programs. These programs provide comprehensive coverage including prevention, primary care, hospitalization, prescription and other services for individuals, families and children. You will need to complete an application and provide supporting documentation to determine if you qualify. We can assist you with completing an application or refer you to someone who can.

Medicare benefits
Medicare requires that all tests have supporting diagnosis to demonstrate the test is medically necessary. If your physician orders a procedure or service that is not medically necessary, you will be asked to sign an Advanced Beneficiary Notice (ABN). The ABN informs you in advance that Medicare is not likely to pay for the procedure or service, and that you will be responsible for payment.  By signing the ABN, you are indicating that you understand and are willing to proceed with the procedure. You will then receive a hospital bill for payment of the service provided.

What if I can’t pay my hospital bill?
Medical bills are often unplanned and can be difficult to understand or pay. Johnston Health has financial advocates who can help. Our financial advocates are trained to answer your financial questions and are available to meet with you while you are in the hospital. Or if you prefer, you can call 919-938-7159.

Financial assistance
Funds may be available to assist you with your medical bills. Patients earning up to 400 percent of the Federal Poverty Income Guidelines may be eligible for financial assistance. You will need to complete a financial assistance application and provide supporting documentation. A financial advocate can assist you with completing the form.

How does the process work?
Return your completed application and necessary documents to the financial advocate while you are here. You may also drop them off at the Johnston Health Business Office or mail them to the business office at:

Johnston Health Business Office
PO Box 1376
Smithfield, NC 27577

Your application will be reviewed and you’ll be notified of one of the following outcomes:

  • More information is needed
  • Assistance is approved and how much you still owe
  • Assistance is denied

If you are denied assistance, you can appeal. To request an appeal, submit a letter to the business office director explaining why the determination should be reconsidered. Please include any other supporting documents.

Uninsured patients
Patients who do not have insurance and do not qualify for alternative funding programs will receive a 40 percent discount on their bill.

Learn about your new options for insurance through the Health Insurance Marketplace.

Past due accounts
If your account becomes past due, Johnston Health will take appropriate action to recover the amount due. If there is a problem with your account, it is your responsibility to contact the business office at 919-938-7159 to discuss a workable solution.

It is important for our patients to know that federal and state laws require all hospitals to seek full payment of what we bill patients. That is why, if, after all reasonable efforts have been made to establish financial assistance, other funding sources or a manageable payment plan, and the patient fails to follow through with his or her financial responsibilities, Johnston Health may refer the account to a collection agency.

If you have any address changes, billing or registration issues please contact Patient Financial Services at 919-938-7159 or via email at

8:30 a.m. till 4:30 p.m.
Monday through Friday.

Johnston Medical Mall
514 N. Bright Leaf Blvd
Smithfield, NC. 27577