Paying for Your Care

Sliding Fee Program

Mercy welcomes all patients regardless of insurance status. We offer financial assistance through a discounted fee program. By Federal Law, qualification is based on household size and income. You will be asked to complete an application and provide proof of income for all adult members in your household. The completion of those documents will determine if you are eligible for the program, the category your household size and income place you in, and the fee(s) required at time of service.

Admittance into the sliding fee program is valid for a period of one year. Your fees could change if your income or household size increase or decrease during that time. Please inform us if this occurs. Mercy trusts that the information you provide is true and accurate. We reserve the right to disqualify you from the sliding fee program if you have misrepresented information.

No one will be denied access to services due to inability to pay. A discounted/sliding fee schedule available based on family size and income.

Financial Policy

All copays, sliding fees or cash payment options are due at check-in. Mercy accepts all Medicaid, Medicare and most commercial insurance. Mercy offers self-pay options including a SLIDING FEE PROGRAM (see below for more information) or a cash payment option. Mercy has an agreement to provide discounts based on income and household size for our uninsured and underinsured patients based on family size and income.

Mercy understands that sometimes financial circumstances make it difficult to pay for your visit at the time of service. If you are experiencing hardship, you may contact our Patient and Family Support Department at 615.790.0567. who will work with you to set up alternative payment arrangements. No one will be denied access to services due to inability to pay.

View our sliding scale here: (English | Spanish)

View our Privacy Statement: (Right to Privacy | Opt-in Consent) (Terms of Service)

View our Patient Rights and Responsibilities: (Patient Rights and Responsibilities)

View our Payment Options: (Payment Options)

Mercy utilizes a third-party lab for outside laboratory services and has an agreement to provide discounts based on income and household size for our uninsured and underinsured patients. Any lab fees will be billed directly from the lab.

Effective January 1, 2022
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and medical visit charges.

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, contact the billing department below.

Billing and Insurance Information

If you have billing and/or insurance questions, please call our office at 615.790.0567. and select option 5 for the Billing Department. Mercy provides excellent care for everyone regardless of their insurance status. We welcome TennCare (Medicaid), CoverKids, Medicare and most commercial insurance plans in addition to a self-pay program for uninsured patients.

Mercy also has Certified Application Counselors who are able to help with enrollment in the Health Insurance Marketplace. We are not responsible for knowing what your medical and behavioral health insurance benefits are and recommend you call your insurance company to find out if Mercy is included in your plan benefits.
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