Hospital financial assistance: who may qualify at 38 large health systems

Nonprofit hospitals must offer free or discounted care to some patients and publish the rules. We read the policies of 38 large health systems and put the income limits side by side. Type your household size and income to see where you may fall. It runs on your device, and nothing you type is sent.

What the policies say

  • 34 of the 36 systems with a stated limit give free care to households earning up to at least 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
  • The highest free care limit is 600% (NYU Langone Health). The lowest is 150% (Mass General Brigham).
  • 35 of the 38 say in plain words that patients with insurance may get help with what they still owe after insurance. What each policy says about patients with insurance.
  • 35 of the 38 may approve some patients without a full application.
  • 33 of the 38 have a rule for bills that are large compared with income, which can help above the income limits.

Income limits, system by system

Limits in percent of the 2026 federal poverty guidelines, with the yearly income that means for a family of four. Read in each system’s own policy, most recently on November 6, 2026. Some systems give more in some states: see each page.
Health systemFree care up toDiscounts up to
CommonSpirit Health200%about $66,000 for a family of four400%about $132,000 for a family of four
Ascension250%about $82,500 for a family of four400%about $132,000 for a family of four
Trinity Health200%about $66,000 for a family of four400%about $132,000 for a family of four
Providence300%about $99,000 for a family of four400%about $132,000 for a family of four
Advocate Health300%about $99,000 for a family of four400%about $132,000 for a family of four
Kaiser Permanente200%about $66,000 for a family of four400%about $132,000 for a family of four
Mass General Brigham150%about $49,500 for a family of four300%about $99,000 for a family of four
Northwell Health200%about $66,000 for a family of four500%about $165,000 for a family of four
UPMC300%about $99,000 for a family of four400%about $132,000 for a family of four
Cleveland Clinic250%about $82,500 for a family of four400%about $132,000 for a family of four
Baylor Scott & White Health200%about $66,000 for a family of four500%about $165,000 for a family of four
Mayo Clinic200%about $66,000 for a family of four400%about $132,000 for a family of four
Banner HealthUnder 200%about $66,000 for a family of four400%about $132,000 for a family of four
Bon Secours Mercy Health200%about $66,000 for a family of four400%about $132,000 for a family of four
SSM Health200%about $66,000 for a family of four400%about $132,000 for a family of four
Corewell Health250%about $82,500 for a family of fourNo discount listed above free care
Sanford Health225%about $74,250 for a family of four375%about $123,750 for a family of four
Ochsner Health200%about $66,000 for a family of fourNo discount listed above free care
CHRISTUS Health300%about $99,000 for a family of four400%about $132,000 for a family of four
Mercy (St. Louis)200%about $66,000 for a family of four300%about $99,000 for a family of four
UF Health200%about $66,000 for a family of fourNo discount listed above free care
Northwestern Medicine250%about $82,500 for a family of four600%about $198,000 for a family of four
Sentara Health300%about $99,000 for a family of four400%about $132,000 for a family of four
Stanford Health Care400%about $132,000 for a family of four400%about $132,000 for a family of four
Cedars-Sinai400%about $132,000 for a family of four600%about $198,000 for a family of four
Scripps Health200%about $66,000 for a family of four400%about $132,000 for a family of four
Sharp HealthCare400%about $132,000 for a family of four400%about $132,000 for a family of four
Henry Ford Health250%about $82,500 for a family of four400%about $132,000 for a family of four
Mount Sinai Health SystemNot stated400%about $132,000 for a family of four
Duke Health200%about $66,000 for a family of four300%about $99,000 for a family of four
Emory Healthcare350%about $115,500 for a family of four350%about $115,500 for a family of four
UCHealth250%about $82,500 for a family of four400%about $132,000 for a family of four
OhioHealth200%about $66,000 for a family of four400%about $132,000 for a family of four
Memorial Hermann200%about $66,000 for a family of four400%about $132,000 for a family of four
Texas Health Resources250%about $82,500 for a family of four500%about $165,000 for a family of four
Houston Methodist200%about $66,000 for a family of four500%about $165,000 for a family of four
NYU Langone Health600%about $198,000 for a family of four800%about $264,000 for a family of four
NewYork-PresbyterianNot stated600%about $198,000 for a family of four

How we read them

Each figure comes from the system’s own Financial Assistance Policy, which federal rules for nonprofit hospitals require them to publish. We used AI reading tools: one took each figure from the policy, and a second checked it against the same document. A figure neither could confirm is left out. Every page links to the policy it was read from, so you can check it yourself.

We are not part of any of these health systems. Policies change, and the hospital decides from its own form and counts income its own way. Systems we could not read or check yet are not listed, including 8 large systems whose sites blocked our reading tools: Novant Health, Intermountain Health, Sutter Health, AdventHealth, Geisinger, Prisma Health, Johns Hopkins Medicine and Penn Medicine.

Ask for the forms

Whatever the table says, ask the hospital for its financial assistance policy, the application and the plain language summary. The free financial assistance letter asks for all three. For your state’s own rules, try the charity care check.

Check the bill itself

Financial assistance may lower what you owe, but it does not look at the charges. Open your bill in MedBillCheckup: it is read on your device, never uploaded, and the free check shows how many things are worth asking the billing office about. The full list, with the exact questions to ask, is $6.99 for one bill, or included with Pro at $9.99 a month.

Help people who can’t pay a hospital bill?

MedBillCheckup provides informational assistance only. It does not determine whether a charge is medically necessary, fraudulent, illegal, or definitively incorrect, and it is not a substitute for advice from a lawyer, doctor, insurer, or certified medical billing specialist.