Contact Information

If you have any questions about the information contained on this page or require assistance, please contact our Business Office.

Hospital Charges

Knoxville Hospital & Clinics (KHC) believes it is important to share information about the cost of its medical services with the public. Information about the fees charged for our services can be found on a website maintained by the Iowa Hospital Association (IHA) called Iowa Hospital Charges Compare. This website allows users to easily access pricing information for many types of inpatient and outpatient hospital services at any Iowa hospital, plus allows side by side comparisons between them.

Please keep in mind the information provided on IHA website serves primarily as a point of reference as the fee data may not always be current at any given date and time. It is also important to remember that while KHC charges are uniformly applied to all patients, an individual patient’s financial responsibility may vary depending on the payment terms (discounts) negotiated between KHC and the individual health insurance companies. Professional fees for outside physician services, such as surgeons, radiologists, pathologists, anesthesia administration and others, may not be reflected on KHC’s bill, but rather may be billed separately by your physician in some cases.

Financial Assistance

It is the policy of KHC to offer financial assistance or insurance premium support to customers that are residents of Iowa who meet our financial need criteria. These include, but are not limited to, customers that have:

  • no insurance.
  • inadequate insurance coverage (high deductible health plan).
  • exhausted all other payment sources (e.g. state assistance, county relief, Medicaid, etc.).

Financial assistance discounts may be applied to all outstanding patient liability amounts, except for insurance copayments due between the amounts of $15 and $100 dollars.

Financial assistance applies to these providers

Our financial assistance program applies to medical services rendered by those providers who are affiliated with KHC; whereby, KHC is responsible for billing various sources on behalf of the ancillary department or professional provider who performed the services and subsequently issues statements to customers directly under KHC letterhead. It includes all medical services provided in the ancillary departments of the hospital; whereby, a facility charge is generated along with the medical services rendered by the following professional providers;

  • Brandi Booth, ARNP (Family Medicine)
  • Eman Boulis, MD (Rheumatology)
  • Brian Clarke, (Nuclear Medicine, Cardiac Stress Lab)
  • Rachel Davis, RN (Wound Care Clinic)
  • Laci Dykstra, ARNP (Family Medicine)
  • Martha Errthum, DO (Family Medicine)
  • Mark D. Fish, DO  (Orthopaedics)
  • Jill Frerichs, DPM, FACFAS (Orthopaedics)
  • Nick Ford, PA  (Acute Care)
  • Teresa Glesener, RN (Allergy Services)
  • Tomas Gonzales, PhD (Psychology)
  • Brent Hoehns, MD (Family Medicine)
  • Cynthia Hoque, DO (Family Medicine)
  • Bhama Jayaveerapandian, MD (Family Medicine)
  • Steven Johnson, MD, Wolfe Eye Clinic (Applies to facility charges only.)
  • David Kermode, DO (Surgery)
  • Ryan Laughlin, DO (Family Medicine)
  • James Law, DO (Family Medicine)
  • Earl McKeever, MD (Family Medicine)
  • Todd Peterson, DO (Orthopaedics)
  • Justin Plum, PT, DPT, OCS, Cert MDT  (Physical and Occupational Therapy)
  • Shannon Remington, DO (Family Medicine)
  • Terry Rose, RN (Anticoagulation Clinic)
  • Natalie Rowley, PA (Family Medicine)
  • Michael Van Natta, DO (Family Medicine and Allergy Services)
  • Jennifer Wilkin, ARNP (Acute Care)
  • Mack Worthington, DO (Family Medicine, Acute Care, Hospital, Emergency)

Financial assistance excludes these providers

Our financial assistance program excludes visiting specialty service providers who are not affiliated with KHC, perform their own billing activities and issue their own separate statements to customers. Services rendered by these providers may be covered under a separate financial assistance policy administered by their businesses. Providers that are excluded include:

  • Kevin Birusingh, MD, The Iowa Clinic
  • Tamara Dassanayake, MD, FACOG, Obstetrical & Gynecological Associates P.L.C.
  • Brian Folkers, DO, Bergman Folkers Plastic Surgery
  • Megan Gerjets, MS, CCC-SLP, Central Rehabilitation
  • Michael Hatfield, C.Ped., L.C. Ped, American Prosthetics & Orthotics
  • Steven Johnson, MD, Wolfe Eye Clinic (professional charges)
  • Dean Kayser, Aud, FAAA, Kayser Hearing Aid and Audiology Centers
  • Ian Linn, MD, Des Moines Orthopaedic Surgeons
  • Cyndi Lister, HAS, Woodard Hearing Centers
  • Douglas Massop, MD, The Iowa Clinic
  • Adam McFarlane, CPO, LPO, American Prosthetics & Orthotics
  • Roscoe Morton, MD, Medical Oncology and Hematology Associates
  • Anne Nelson, ARNP, Bergman Folkers Plastic Surgery
  • Jeffrey Pederson, DO, Mercy Medical Center
  • Jolene Runkel, ARNP, Iowa Heart Center
  • Kyle Saddoris, Central Rehabilitation
  • Linda Schilling, ARNP, Skiff Medical Center
  • William Wickemeyer, MD, Iowa Heart Center


2017 KHC Financial Assistance Discount Scale

Federal Poverty Level Percent Discount
140 to 150% 70%
151 to 170% 65%
171 to 190% 60%
191 to 210% 55%
211 to 230% 50%
231 to 250% 45%
251 to 270% 40%
271 to 300% 35%

Financial assistance applications are widely available throughout the hospital and clinics or can be completed on line at The application for financial assistance is good for one year and must be completed and refiled annually. Completed applications must be received within two weeks of the initial request and KHC staff will respond within two weeks of receiving the completed application to let you know if you qualify along with the discount percentage.

Once a financial assistance discount determination has been made for those who qualify and the discount has been applied, the patient is responsible to work with KHC to make arrangements to pay the remaining balance on the bill(s). In the event that a remaining balance due after a financial assistance discount has been applied does not remain in good standing, KHC reserves the right to suspend or revoke the financial assistance discount. In addition, an outside collection agency may be engaged to deal with the matter.

Payment Plans

KHC offers interest free payment plans that are flexible in nature thus allowing our customers to pay an amount they can afford on a monthly basis. In this regard, we make every attempt to work directly in partnership with our customers when dealing with patient balances, which not only helps us to better understand their needs, but allows us to identify and deal with financial hardship situations more effectively. KHC maintains that a customer-friendly approach is more productive than involving an outside collections agency, which is something we prefer to avoid whenever possible.

The failure to adhere to an established payment plan will result in the engagement of an outside collections agency, unless a contact is made with the hospital staff to allow KHC to work with you to review and revise the payment plan.

Patient Financial Responsibilities

  • Thank you for choosing KHC for your health care needs. There are several important things that you should know about your financial responsibilities.
  • At the time of registration, each patient is asked to provide a photo ID along with either a current insurance card or information about their current insurance carrier, as well as any specific forms or original documentation (claim forms, authorizations, referrals, etc.) required by the carrier. As a courtesy, KHC will file insurance claims on behalf of our patients, but they are ultimately financially responsible for the services provided.

This responsibility entails working directly with the insurance carrier(s) to provide any and all information/support necessary for them to make a payment to KHC. In addition, the patient is responsible for contacting their insurance carrier(s) directly regarding any concerns about the amount(s) they deem to be a patient liability.

If you are uncertain about your current health insurance policy benefits you should contact your plan to learn the details about your benefits, out-of-pocket fees and coverage limits prior to receiving medical services.

  • You are responsible to notify us of all changes to your insurance coverage. If you fail to notify us of changes to your insurance coverage, we cannot guarantee an insurance payment will occur. If your claim is denied because we were not notified of any change(s) to your insurance, you may be billed directly for all of the charges incurred.
  • Given that KHC’s primary focus is on achieving the best possible clinical outcomes, our doctors and staff will perform any and all services that are deemed medically necessary, regardless of a patient’s ability to pay. Therefore, we recommend that our patients have a familiarity with their covered insurance benefits and actively participate with their doctor in making health care decisions to keep their health costs manageable.

If you are uncertain about your current health insurance policy benefits you should contact your plan to learn the details about your benefits, out-of-pocket fees and coverage limits prior to receiving medical services.

  • Health insurance copayments are due at the time of service and can be paid by cash, check or credit card.
  • All balances due must be paid in full within 30 days of receiving a bill, unless suitable arrangements are made with the hospital’s account resolution staff at (641) 842-7052, within 30 days to establish a mutually agreed upon payment plan.
  • If your account results in a credit (negative) balance, we will issue a prompt refund if there are no other outstanding debts on other accounts with the same guarantor or financially responsible party.
  • Any patient over the age of 18, or an emancipated minor, will be held financially responsible for all charges incurred. If another party is responsible for payment of the account, the patient must pay the balance in full and negotiate repayment with the other party without KHC involvement. This policy includes individuals negotiating divorce agreements.
  • If it reaches a point where KHC is given no choice but to engage an outside collection agency to resolve an outstanding balance(s), once the balance(s) is assigned to collections it will generally not be returned from considering the effort expended to work with our customers to avoid such an event along with the associated cost to remove an item from the agency. However, if circumstances should result in the need to return a balance from collections, a $25.00 service fee will be added to the balance of your bill.