Insurance and billing
Patient Financial Services at Fred Hutchinson Cancer Center can help you manage the financial side of your cancer treatment.
We have information on insurance, understanding your bills, and organizations that can help with the costs of cancer treatment.
UW Medicine and Premera Contract Negotiations
UW Medicine is working to renegotiate their contracts with Premera Blue Cross for commercial and Medicare Advantage plans that are scheduled to end on July 1, 2023. If the contracts expire without new ones in place, patients with Premera insurance who receive care from a physician employed by UW Medicine may not be covered at current levels by Premera. Since most Fred Hutchinson Cancer Center physicians are employed by UW Medicine, patients may be responsible for a larger share, up to the full cost, of services provided by Fred Hutch physicians beginning July 1.
Read Full Overview and Patient FAQs (PDF)
Paperless Statements
As of July 16, 2023, Fred Hutch and UW Medicine will enroll all MyChart users in paperless statements and will no longer mail paper statements.
Fred Hutch Paperless Billing Statements (PDF)
Don’t have a MyChart account?
You will continue to receive paper statements in the mail. To take advantage of paperless statements, sign up by visiting MyChart.
Insurance coverage
The types of insurance Fred Hutch accepts, options to consider if you are uninsured, and how to handle insurer requirements for pre-authorizations. Everyone’s insurance is different, so ask your insurance company about your specific plan.
Fred Hutch participates in most national private health insurance plans and Medicare, the federal health insurance program for people who are age 65 and older or who are disabled. We also participate in Medicaid insurance for patients from Washington, Alaska, Montana, and Idaho.
Federal No Surprise Act (NSA)
Effective January 1, 2022, the federal No Surprises Act is designed to protect patients from surprise bills (also known as balance billing) for emergency services at out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only for in-network cost-sharing amounts. The federal No Surprises Act also enables uninsured patients to receive a Good Faith Estimate of the cost of care.
Washington State Balanced Bill Protection Act (BBPA) (HB 1065) and Federal No Surprise Act (NSA)
Effective January 1, 2020, Washington State law protects you from Surprise or Balance Billing if you receive emergency care at any medical facility or when you're treated at an in-network hospital or outpatient surgical facility by an out-of-network provider. Health care facilities and providers are required to post a list of the commercial health insurer provider networks in which they participate. Effective January 1, 2022, the federal No Surprises Act (NSA), applies a broader scope of plans and services than Washington's BBPA.
Good Faith Estimate
You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, healthcare 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.
Important facts about your rights under the “Good Faith Estimate” provision:
- 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 hospital fees.
- Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare 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
The Affordable Care Act
Fred Hutch supports the goals of the Affordable Care Act (ACA) to improve insurance coverage for those who have insurance, to extend affordable coverage to the uninsured, and to improve health care quality and patient safety. In this State, thousands of individuals who do not have health insurance will be able to obtain it through the Washington Health Benefit Exchange. And for most cancer patients, the ACA eliminates the challenge of lifetime maximums, ensures coverage for pre-existing conditions, and improves access to clinical trials.
Unfortunately, when it comes to accessing quality cancer care, some Plans offered on the Washington Healthplanfinder will not provide coverage for cancer treatment at Fred Hutch. Because this may affect you and your family, we wanted to provide you with some information to help you navigate your care options.
Below is a summary of frequently asked questions regarding the Washington Health Benefit Exchange. If you have any personal questions regarding your treatment options, we encourage you to contact your insurance company directly. Our Patient Financial Services team is also available Monday through Friday from 7:30 am to 4 pm at (800) 304-1763, to discuss options for receiving your care with us.
Hospital-Based Billing
Fred Hutchinson Cancer Center and our clinics are hospital-based facilities. Hospital-based facilities bill services in two parts. Depending on the services you receive, you may receive two or more separate bills for the same date of service.
- Facility fees - One bill will come from Fred Hutch for facility fees that include charges for clinic visits, infusion, equipment and supplies.
- Physician fees - You may also receive a bill from University of Washington Physicians (UWP) for the professional or physician fees, pathologist and radiologist fees.
Based on your insurance plan benefits, your insurance company will process separate claims with co-pays, coinsurance, and deductible amounts.
Help with billing questions
If you have questions, contact the specific billing office listed below for answers.
Fred Hutch South Lake Union, Fred Hutch at EvergreenHealth, Fred Hutch Issaquah, Fred Hutch Peninsula, Fred Hutch at Overlake Medical Center or Fred Hutch at UW Medical Center - Northwest
- You will receive a clinic “facility” bill when you receive services from the Fred Hutch South Lake Union, Fred Hutch at EvergreenHealth, Fred Hutch Issaquah, Fred Hutch Peninsula, Fred Hutch at Overlake Medical Center or Fred Hutch at UW Medical Center - Northwest.
- For questions about your Fred Hutch clinic bill, call the Fred Hutch Billing Office at (206) 606-6226 or toll-free at (800) 304-1763, or e-mail us at ptacct@seattlecca.org.
UW Medical Center and UW Physicians Single Billing Office
When you visit a Fred Hutch outpatient clinic at UW Medical Center, you will receive a bill from UW Medicine. If you are hospitalized overnight at UW Medical Center, you will receive a bill from either UW Medicine or Fred Hutch. After a visit to any Fred Hutch clinic or hospital, you will receive a bill from UW Physicians for the professional services provided to you by the attending doctor or under their supervision.
Contact information for Harborview Medical Center, UW Medical Center, UW Physicians and UW Neighborhood Clinics
Pay your bill online or message us through MyChart. Patient Accounts and Support Services (206) 520-0400 or +1 (855) 520-0400
- Hours: Monday - Friday: 8 am - 5 pm
- Address: P.O. Box 35013, Seattle, WA 98124-3413
- UW Medicine Billing and Insurance website
Patient Pricing Info/Estimator
Fred Hutch is committed to being transparent about our charges. We provide both outpatient and inpatient services. The provided information represents our current standard charges for all patients.
Paying your bill
We appreciate your prompt payment.
PLEASE DO NOT MAIL CASH.
The forms of payment that each facility accepts are described below, along with contact information if you have billing questions.
Paying your Fred Hutch bill
- Pay with Fred Hutch's Online Bill Pay using using Visa, MasterCard, debit card or e-check.
- Pay by mail using check, money order, Visa or Mastercard.
- Send payments to: P.O. Box 34005, Seattle, WA 98124-1511.
- Billing inquiries: Call (206) 606-6226 or toll-free (800) 304-1763, or e-mail ptacct@seattlecca.org.
Patient portal
Patients may also pay their bill using Fred Hutch's patient portal, MyChart.
View More or Activate Your Account
Fred Hutch Collections Policy
Financial assistance
Financial Assistance is available if your income qualifies. Fred Hutch assists Washington state residents in some cases. Many other organizations can help pay for treatment, medication, housing and other needs.