Billing Methods
New Patient Statements
We are proud to announce a redesigned look and easier-to-read format for our hospital and physician billing statements. View samples of the new statements:- English version (PDF)
- Spanish version (PDF)
Please select one of the following patient billing statements:
- Hospital Account Statement (PDF)
A statement for an individual account based on the type of hospital service you received (i.e. inpatient stay, emergency room visit, outpatient surgery, monthly outpatient services) - Hospital Monthly Statement (PDF)
A consolidated monthly statement summarizing the activity on all your outstanding individual hospital account(s). - Physician Statement (PDF)
A statement for physician services provided to you at Lucile Packard Children's Hospital.