{"hospital":{"ccn":"330164","name":"HIGHLAND HOSPITAL","city":"ROCHESTER","state":"NY","zip":"14617","phone":"585-341-6711","ownership":"Voluntary non-profit - Private","website_domain":"rochester.edu","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":null,"discount_tiers":{"value":[{"min_fpl_exclusive":"200","max_fpl_inclusive":"250","discount_percent":80},{"min_fpl_exclusive":"250","max_fpl_inclusive":"300","discount_percent":60},{"min_fpl_exclusive":"300","max_fpl_inclusive":"350","discount_percent":40},{"min_fpl_exclusive":"350","max_fpl_inclusive":"400","discount_percent":20}],"layer":"documented","quote":"Discount Gross Income as % of Federal Poverty Level\n100% UP TO 200%\n80% BETWEEN 201 - 250%\n60% BETWEEN 251 - 300%\n40% BETWEEN 301 - 350%\n20% BETWEEN 351 - 400%","source_id":"fap-b520bb87d75caabb","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"asset_test":null,"residency":null,"insured_patients_covered":null,"min_balance":null,"services_excluded":null},"programs":{"presumptive":{"value":["Medicaid"],"layer":"documented","quote":"Patients may also be considered presumptively eligible for 100% financial assistance if they have current eligibility under a Medicaid type program and have outstanding balances prior to that coverage.","source_id":"fap-b520bb87d75caabb","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","social_security_letter","pay_stubs"],"layer":"documented","quote":"Applications must be completed and submitted with four consecutive paystubs, Social Security Income or Other documentation that explains the current household gross income.","source_id":"fap-1fc0938b466f5c57","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Send the completed form to University of Rochester, 601 Elmwood Ave., Box 888, Rochester, New York 14642 attention: Financial Assistance Officer"},{"kind":"in_person","detail":"bring it to the Care Management Office Room Med 1-2315"}],"layer":"documented","quote":"You have to fill out the application form. As soon as we have proof of your income, determined that you are not eligible for insurance and have received a completed Financial Assistance application, we can process your application for a discount according to your income level. You may submit the application before, during or after services are rendered. Send the completed form to University of Rochester, 601 Elmwood Ave., Box 888, Rochester, New York 14642 attention: Financial Assistance Officer or bring it to the Care Management Office Room Med 1-2315.","source_id":"summary-f7da8c21166abacd","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Fully completed Financial Assistance applications are processed timely and determinations are communicated to the patients within thirty (30) days after the hospital Financial Assistance Officer receives them.","source_id":"fap-b520bb87d75caabb","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":{"value":180,"layer":"documented","quote":"Hospitals cannot send unpaid bills to a collection agency for at least 180 days after your first bill.","source_id":"application-3533a09862ab60b5","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"(585) 784-8889","layer":"documented","quote":"Call the Financial Assistance Department at (585) 784-8889.","source_id":"summary-f7da8c21166abacd","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"hours":{"value":"Monday through Friday from 9 a.m. until 3:00 p.m.","layer":"documented","quote":"Our Financial Assistance Officer is available Monday through Friday from 9 a.m. until 3:00 p.m. for any assistance with this program.","source_id":"fap-b520bb87d75caabb","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"languages":{"value":["top ten languages as defined by our Interpreter Service Program based on the usage of the interpreter services program"],"layer":"documented","quote":"• Materials regarding the Financial Assistance Program are available in the top ten languages as defined by our Interpreter Service Program based on the usage of the interpreter services program. This includes the Financial Assistance Policy, plain language summary, brochures and application.","source_id":"fap-b520bb87d75caabb","checked_on":"2026-10-13","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["Highland Hospital"],"layer":"documented","quote":"Highland Hospital Financial Assistance","source_id":"fap-1fc0938b466f5c57","checked_on":"2026-10-13","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-b520bb87d75caabb","kind":"hospital_web","url":"https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/hh/patients-visitors/documents/Financial-Assistance-2-78-hh.pdf","title":"Financial Assistance, 2.78","fetched_on":"2026-10-13","sha256":"b520bb87d75caabbae388b9602e2f04a2015f276116d0629a1667de3eae54922","effective_date":null},{"id":"application-3533a09862ab60b5","kind":"hospital_web","url":"https://www.urmc.rochester.edu/getmedia/2a1e123d-3598-4a8b-b4f3-cfb3cb133088/pay-bill-financial-assistance-application.pdf","title":"[PDF] NYS Uniform Hospital Financial Assistance Application - UR Medicine","fetched_on":"2026-10-13","sha256":"3533a09862ab60b5c3895ad634f177818eb1ccc33eb73a3c016a276c5409c316","effective_date":null},{"id":"summary-f7da8c21166abacd","kind":"hospital_web","url":"https://www.urmc.rochester.edu/MediaLibraries/URMCMedia/hh/patients-visitors/documents/HH-Financial-Assistance-Summary.pdf","title":"FINANCIAL ASSISTANCE SUMMARY","fetched_on":"2026-10-13","sha256":"f7da8c21166abacd2043f9ee425ef42ae56c8bd4fa25dd7a4789749d41ad6cc1","effective_date":null},{"id":"fap-1fc0938b466f5c57","kind":"hospital_web","url":"https://www.urmc.rochester.edu/pay-a-bill/financial-assistance/highland-hospital-financial-assistance","title":"Highland Hospital Financial Assistance | Financial Assistance | Pay a Bill | URochester Medicine","fetched_on":"2026-10-13","sha256":"1fc0938b466f5c57159c30dac6c4b4ca8171d077f5585767fb6f03f0db693780","effective_date":null}],"accuracy":null}