Billing and Health Insurance

University Hospital and our Healthcare Providers

Please direct your inquiries regarding these additional bills to the appropriate offices:

  • Upstate University Hospital Billing Office: 315 464-4320
  • Critical Care: 315 464-2254
  • MedBest Medical Management : 315 464-2000
  • University Anesthesia : 315 469-1130
  • University Pathology: 315 464-6860
  • University Radiology : 315 464-5660

Our Community Mission

As part of our mission to the community, we will serve your needs regardless of your ability to pay for the care you receive.

Many of our patients have some form of insurance provided through Federal or State programs or a private insurance company. However, should you not have coverage through one of these programs, our Financial Resource Center is available to discuss community resources for which you may be eligible.

Private Insurances

SUNY Upstate University Hospital and its health care providers participate with a number of commercial and HMO insurance plans. Participation status may change with these plans, so please contact your carrier to verify your coverage, determine our participation status and to determine if authorization is required.

Managed care programs may dictate where their members receive care and they often require preauthorization for specialized services. If the plan does not authorize treatment at University Hospital, you will be billed for the care you receive.

It is also important for you to know that the professional services you receive in the hospital are not included in the hospital's charges. Providers (physicians and other practitioners) who provide services at the hospital may be independent voluntary physicians or they may be employed by the hospital. Providers bill for their services separately and may or may not participate in the same health plans as the hospital. You should check with the provider arranging your hospital services to determine if they participate in your specific insurance product. University Hospital has affiliations or contracts with a number of provider groups, such as anesthesiologists, radiologists and pathologists, to provide services at the hospital. You should contact these groups directly to find out if they participate with your specific insurance product.

Check with the provider arranging for your hospital services to determine if other providers will be required for your care. Your provider can give you the name, practice name, mailing address and telephone number of any provider whose services may be needed, such as anesthesiologists, radiologists and pathologists. You should contact these groups directly to find out if they participate with your specific insurance product.

If you do not have health insurance, you may be eligible for assistance in paying your hospital bills. Information about financial assistance is available online or you may contact our Financial Assistance Office at 315-464-5026.

Important information about Paying For Your Care at SUNY Upstate University Hospital PDF document.

SUNY Upstate Medical University Participating Insurance List

The following insurance carriers participate with University Hospital. It is the responsibility of the patient to know their specific plan benefit. Some health plans use smaller networks for certain products they offer so it is important to check whether your plan includes University Hospital in their network.

We will happily submit your claim to your insurance, but please be advised that in the event your insurance does not participate with University Hospital the balance for which you will be responsible may be greater.

If you do not have health insurance, you may be eligible for assistance in paying your hospital bills. Information about financial assistance is available at
  • Aetna
  • Cancer Services Program (Onondaga and Oswego County)
  • CDPHP
  • Champva
  • CIGNA (Not all plans, up to patient to verify benefits with CIGNA)
  • CPSE
  • DentaQuest (Medicaid Managed Care Only)
  • Early Intervention Program
  • Emblem Health (GHI)
  • Empire Plan
  • Excellus
  • Fidelis Care (Medicare & Medicaid Managed Care Plans Only, We Do Not Par with Exchange Products)
  • First Health (Coventry)
  • GHI (Emblem Health)
  • Health Republic Insurance of NY (HRINY) (Healthcare Exchange)
  • HealthNet Federal Services (Tricare)
  • HealthNow
  • HealthPlex (Medicaid Managed Care)
  • Hospice of CNY
  • Humana (Medicare Advantage Products only)
  • Independent Living Services
  • Indian Health Services
  • Magnacare
  • Martins Point Us Family Health
  • Medicaid (NYSDOH)
  • Medicare
  • Meritain
  • MultiPlan
  • MVP
  • Nations Health
  • NYSDOH Refugee Program
  • OPTUM Behavioral Health
  • POMCO
  • PHCS (Private Healthcare Systems)
  • Resolve St. Lawrence
  • RMSCO
  • St. Lawrence Lewis Schools
  • Today's Options
  • Total Care
  • Tricare (HealthNet Federal Services)
  • United Health Care(UHC)
  • United Behavioral Health
  • Univera
  • Value Options
  • VNA
  • Wellcare

*We also accept patients covered under NYS Workers' Comp and No-Fault.

Health Insurances and Affordable Care Act

New York State of Health, NY's Official Health Plan Marketplace External link makes it easier and more affordable to get health insurance coverage. NY State of Health is where individuals and families shop for, compare and buy health insurance coverage. It's the only place to get financial assistance to reduce the cost of coverage. Everyone should come to the Marketplace to see what is has to offer.

Understanding Healthcare Pricing: A New York State Consumer Guide PDF document by Healthcare Association of New York State.

Health Data NY - Hospital Inpatient Costs External link

Medicare Provider Utilization and Payment Data: Inpatient External link

Upstate 2015 Pricing for Select Services PDF document

Co-payments

We make every effort to collect co-payments or the patient's out-of-pocket responsibility prior to or at the time of your visit. If you are unable to make payment, you will be given an opportunity to make financial arrangements or seek financial assistance.