About Your Bill

Understanding Your Bill

We want to make your experience at Scripps a positive one. With that in mind, we have developed a billing statement that is easier to read and understand.

See the sample statements below for more information.

Hospital statements

The following sample statement is for Scripps hospital facilities:

Patient friendly bill - hospitals - page 1
Billing circle 1
Important messages for you (may be blank)
Billing circle 2
Your name and address
billing circle 3
Your account summary
billing circle 4
If you have multiple Medical Record Numbers (MRNs), please contact us
billing circle 5
How to pay your bill electronically
billing circle 6
Your insurance information (please call the provided number to update if needed)
billing circle 7
Billing contact information
billing circle 8
Perforated section to remit for payment
billing circle 9
Enter your account number
billing circle 10
Check your method of payment
billing circle 11
Enter amount you will be paying
billing circle 12
Area to fill out if paying by credit card
Patient friendly bill - hospitals - page 2
billing circle 13
Breakdown of charges
billing circle 14
Area to fill out any changes to your account information

Statement for Scripps Clinic and Scripps Coastal

The following sample statement is for Scripps Clinic, Scripps Coastal Medical Center, and Scripps Cardiovascular and Thoracic Surgery Center locations.

Patient friendly bill - clinics - page 1
Billing circle 1
Your name and medical record number (MRN). Please let us know if you have more than one MRN.
Billing circle 2
Your account summary
billing circle 3
How to contact us, if you have questions about your bill
billing circle 4
How to pay your bill electronically
billing circle 5
Portion of the bill to tear off and mail in with your payment
billing circle 6
If paying by credit card, please fill out this section. The CVC code is the three digit number on the back of your credit card, to the right of the signature strip.
billing circle 7
Amount you are paying
billing circle 8
Please check this box if you want to change your address or insurance information. Write the new information on the back of the payment slip.
Patient friendly bill - clinics - page 2
billing circle 9
Breakdown of charges, payments and adjustments for each service provided
billing circle 10
Total amount you owe, as of the statement date