Patient Billing and Financial Assistance
Information for Patients and Families
McLean Hospital is dedicated to providing high-quality, compassionate mental health care and to improving the lives of patients and families affected by psychiatric illness.
We understand that patient billing can sometimes be confusing and difficult to understand. We will work with you and your family prior to admission or start of services and throughout the course of treatment to determine the most cost-effective care that meets clinical needs.
Please direct questions about insurance benefits or billing to a patient accounts representative in Patient Financial Services at 617.855.3304.
McLean’s insurance-based programs accept many major health insurance plans, including Medicare and Massachusetts Medicaid. Most health insurance policies provide benefits for psychiatric services. However, access to these benefits is often restricted or limited, particularly for certain types of comprehensive care.
In general, short-term inpatient, partial hospitalization (day treatment), and outpatient services are often covered by insurance, while benefits for residential and long-term care may be limited. Most insurance companies also require precertification for inpatient and partial hospitalization (day treatment) services.
To learn more about insurance at McLean, visit our health insurance page.
Some of McLean’s programs are self-pay and therefore do not accept insurance or assist with insurance reimbursement efforts. However, some service fees at these programs may be recoverable through insurance.
McLean’s policy outlines that the individual accepting financial responsibility for a patient’s treatment is responsible for payment and is expected to keep the account current for out of pocket balances.
McLean Hospital recognizes that some patients have limited means and may not have access to insurance coverage for all services. We therefore have a financial assistance program for uninsured patients and underinsured patients with limited financial resources.
Visit the Mass General Brigham website to learn more.
Patient Cost Estimator
McLean Hospital, a member of Mass General Brigham, is committed to price transparency. Patients can contact Patient Billing Solutions or use our online tool to view a cost estimate of common health care services (“shoppable items”).
Request Cost Estimates
Patients can request a cost estimate for health care services at McLean Hospital, a member of Mass General Brigham. Contact Patient Billing Solutions at 617.726.3884.
You also can generate a self-service estimate for select upcoming or potential services in real-time by using Patient Gateway and navigating to the Billing menu.
If you do not have a Patient Gateway account, you can use our online price estimator tool of your out-of-pocket costs for “shoppable” items*, such as surgeries, procedures, labs, etc.
Please be prepared to answer the following information:
- Date of birth
- Medical record number (if applicable)
- Phone number
- Procedure information, such as CPT or DRG code
- Date of procedure (if scheduled)
- Expected location of procedure
- Insurance information and member ID
- Physician’s name
- Physician’s phone number
- Recipient’s address
You will then receive an estimate from Patient Access/Financial Counseling.
Please do not contact Patient Billing Solutions with this sensitive information via email.
*The Centers for Medicare and Medicaid Services Price Transparency rule requires that hospitals provide cost information on 300 “shoppable” items per hospital. We provide access to this information through a cost estimator tool.
CMS-Required Hospital Charge Data
As required by the federal government, we publish information (a machine-readable file) about the rates negotiated with insurance companies for all services and items offered by our hospital. The information is NOT an estimate of the costs that you are responsible for paying.
CMS-Required Hospital Charge Data
As required by the federal government (Centers for Medicare and Medicaid Services), we publish information (a comprehensive machine-readable file) about the rates negotiated with insurance companies for all services and items offered by our hospital. This file is listed below and available for download. Please note: Because of the size of the file, you may need special computer software/speed to open the file.
The price information contained in this large file is NOT an estimate of the costs that you are responsible for paying. This file is not intended for patients and does not reflect your out of-pocket costs. If you are a patient, you can request a cost estimate by contacting Patient Billing Solutions or using our online tool to view a cost estimate of common health care services (“shoppable items”).
Read more about patient cost estimates:
This file is updated once a year, but prices and contracted rates are updated during the year and these updates may not be reflected in this file.
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
Effective 1/1/2022. Read more about your rights and protections against surprise medical bills.