Financial Assistance
We provide emergency, urgent and medically necessary health care regardless of ability to pay. Learn more about emergency and urgent care under the EMTALA act.
- Financial Assistance - UF Health Shands
- Application, Policies and Forms
- Turn in applications
- Uninsured patients
- We are here to help
- Price transparency and patient billing
- Personalized estimates
- Hospital performance data
Financial Assistance - UF Health Shands
If you are unable to pay, you may qualify for financial assistance. Assistance is based upon income. If your family adjusted income is less than 200% of federal poverty guidelines, you may be eligible for up to a 100% discount.
Applications, Policies and Forms
- Financial assistance applications and information are available in English, Spanish and Mandarin.
- In order to be considered for full assistance, you must complete, sign and provide all supporting documentation required on our Financial Assistance Application.
- Financial Assistance polices apply to United States residents.
- Non-United States residents may be reviewed on an exception basis (emergent, urgent or traumatic care, but may not apply to aftercare / follow-up services).
- Please allow 7 business days for our review process. We will notify you of our determination of qualification by letter.
Financial assistance application
- Financial Assistance Application - English
- Solicitud de asistencia economica (Espanol)
- Financial Assistance Application (Mandarin)
- Pick up an application in person
Plain language summary
Financial assistance policy
- Financial Assistance Policy
- Política de asistencia economica (Espanol)
- Financial assistance policy (Chinese)
Billing and collection policy
- Billing and Collections
- Política de facturaciones y cobranzas (Espanol)
- Billing and collections policy (Chinese)
Physicians who bill independently
Uninsured Patients
Uninsured patients may be eligible for a self-pay discount. This discount is up to 45% of your total charges. Please note, any self-pay or financial assistance discount applied is reversed if:
- Insurance is applied
- A Third Party Liability (TPL) is identified
- A settlement is identified
- A miscellaneous source of payment is identified
Pick up an application in person
Pick up an application at one of the following locations:
-
UF Health Shands Hospital and UF Health Shands Children’s HospitalAdmissions Department, Room 1331, or Room 1335-11600 SW Archer RoadGainesville, FL 32610
- UF Health Shands Cancer Hospital
Admissions Department, Room 1319
1515 SW Archer Road
Gainesville, FL 32608
- UF Health Heart & Vascular and Neuromedicine Hospitals
Cashier’s Office, Room 1522
1505 SW Archer Road
Gainesville, FL 32608
- UF Health Shands Psychiatric Hospital
Admissions Department, Room 1105.5
4101 NW 89th Boulevard
Gainesville, FL 32606
- UF Health Shands Patient Financial Services
3300 SW Williston Road
Gainesville, FL 32608
- UF Health Leesburg Hospital
600 E Dixie Avenue
Leesburg, FL 34748
- UF Health the Villages Hospital
1451 El Camino Real
The Villages, FL 32612
Turn in an application
You can send us your completed application:
- By email to ptreldept@shands.ufl.edu
- By fax to 352.627.4648
By Mail:
- UF Health Financial Assistance
PO BOX 100334
Gainesville, FL 32610
In Person:
- Patient Financial Services Customer Service
3300 SW Williston Road
Gainesville, FL 32608
- UF Health Admissions Department
1600 SW Archer Rd, Room 1335-1
Gainesville, FL 32608
- UF Health Leesburg Hospital
600 E Dixie Avenue
Leesburg, FL 34748
- UF Health the Villages Hospital
1451 El Camino Real
The Villages, FL 32612
We Are Here to Help
Our Customer Service team is ready to assist you.
- Call us at (352) 265-7906 (select option 2)
- Email us at ptreldept@shands.ufl.edu
Price Transparency and Patient Billing
The Florida Health Price Finder provides you data on health care costs for national, state, and county prices. This information helps you in making informed decisions when choosing a healthcare provider.
Cost estimates are based on a compilation of charges for the average patient. Every person's care is different; you may have additional services. Your actual costs will be based on services provided for your care.
Personalized estimates
You can receive a personalized estimate for your services. Please contact us to:
- Receive a personalized estimate for your hospital stay
- Receive information on our billing practices
- Receive information on who contracts with your insurance provider or HMO. Some providers might not contract with the same insurers as the hospital. These providers bill independently and may not be covered by your insurance.
Hospital performance data
- FloridaHealthFinder.gov provides information on the performance of Florida healthcare providers.
How we calculate our averages
UF Health Shands uses the "look-back" method to determine "amounts generally billed" (AGB) to individuals who have insurance covering emergency or other medically necessary care. The AGB is determined utilizing the look-back method as described in Code of Federal Regulations, Title 26, Internal Revenue Service 1.501(r)-5(b)(3). The AGB percentage applicable as of 07/01/2021 is 21.86%, resulting in a minimum discount of 78.14% applied to gross charges.
The percentage was calculated using all claims allowed by Medicare fee-for-service for both inpatient and outpatient services having discharge dates from 07/01/19 to 06/30/20. Total expected payment from allowed claims was divided by total billed charges for such claims.