We have not yet read Iowa’s own laws on hospital bills; this page covers each hospital’s own policy and the federal rules for nonprofit hospitals.
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115 Iowa hospitals, by town.
Nonprofit and government hospitals
Monroe County Hospital & Clinics
Albia, Monroe County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Kossuth Regional Health Center
Algona, Kossuth County · Government, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“100% discount for households earning less than 200% of the Federal Poverty Level (FPL)”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
The policy says
“73% discount for households earning between 200% and 400% of the FPL”
Read on this document, 2026-11-09.
Mary Greeley Medical Center
Ames, Story County · Government, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
UnityPoint Health - Jones Regional Medical Center
Anamosa, Jones County · Nonprofit, critical access · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“If this income is below 200% of the Federal Poverty Level (FPL), you will not have to pay your hospital bill.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Cass Health
Atlantic, Cass County · Government, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“Patients whose family income is at or below 200% of the FPG are eligible to receive free care.”
Read on this document, 2026-11-09.
- Discounts
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.
The policy says
“Patients whose family income is above 200% but not more than 300% of the FPG are eligible to receive services at a discounted amount.”
Read on this document, 2026-11-09.
- Timing
- 30 days to return the application (instruction on the information sheet)
The policy says
“Please complete the following application within 30 days and return it along with the required documents to Cass Health, attention Patient Financial Advisor, 1501 East 10th St., Atlantic, Iowa 50022.”
Read on this document, 2026-11-09.
Audubon County Memorial Hospital
Audubon, Audubon County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Iowa Specialty Hospital - Belmond
Belmond, Wright County · Government, critical access
- Free care
- Up to 150% of the federal poverty guidelines: about $49,500 a year for a family of four in 2026.
- Discounts
- Up to 249% of the federal poverty guidelines: about $82,170 a year for a family of four in 2026.
- Timing
- 240 days after discharge
The policy says
“Financial Assistance may be applied for at the time of admission, before discharge or up to two hundred and forty (240) days after discharge.”
Read on this document, 2026-11-09.
UnityPoint Health - Trinity Bettendorf
Bettendorf, Scott County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Davis County Hospital & Clinics
Bloomfield, Davis County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Boone County Hospital
Boone, Boone County · Nonprofit, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“Patients whose family income is at or below 200% of the FPL are eligible to receive free care;”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
The policy says
“Patients whose family income is above 200% but not more than 400% of the FPL are eligible to receive discounts per the table located in the Federal Poverty Guidelines, attached to this policy.”
Read on this document, 2026-11-09.
- Timing
- 240 days after the first post-discharge billing statement
The policy says
“In the event Boone County Hospital receives a complete financial assistance application within the 240 days after Boone County Hospital provides the patient or their Guarantor with the first post-discharge billing statement for care, Boone County Hospital shall:”
Read on this document, 2026-11-09.
Hancock County Health System
Britt, Hancock County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
St. Anthony Regional Hospital
Carroll, Carroll County · Nonprofit, critical access
- Timing
- accounts older than 8 months not eligible
The policy says
“Once accounts go to collection or are older than 8 months they are no longer eligible for assistance.”
Read on this document, 2026-11-09.
Financial assistance policyHospital’s financial assistance page
Sartori Memorial Hospital
Cedar Falls, Black Hawk County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Mercy Medical Center - Cedar Rapids
Cedar Rapids, Linn County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
UnityPoint Health - St. Luke's Hospital
Cedar Rapids, Linn County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
MercyOne Centerville Medical Center
Centerville, Appanoose County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Lucas County Health Center
Chariton, Lucas County · Nonprofit, critical access
- Free care
- Up to 100% of the federal poverty guidelines: about $33,000 a year for a family of four in 2026.
The policy says
“An individual will be eligible for financial assistance of 100 percent of qualifying charges under this program, or 100 percent Sliding Fee Schedule if the family household: a. Has limited financial resources which can be used for its care and treatment. b. Has income that does not exceed 100 percent of the most current federal HHS poverty guidelines.”
Read on this document, 2026-11-09.
- Discounts
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“An individual will be eligible for financial assistance of 25 percent of qualifying charges under this program, or 25 percent Sliding Fee Schedule if the family household: a. Has limited financial resources which can be used for its care and treatment. b. Has income that is greater than 170 percent but does not exceed 200 percent of the most current federal HHS poverty guidelines.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Floyd County Medical Center
Charles City, Floyd County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Cherokee Mental Health Institute
Cherokee, Cherokee County · Government, psychiatric
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Cherokee Regional Medical Center
Cherokee, Cherokee County · Nonprofit, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Full charity care shall be provided to underinsured and uninsured patients earning 200% or less of the Federal Poverty Income Guideline (FPIG).”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Clarinda Regional Health Center
Clarinda, Page County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Iowa Specialty Hospital - Clarion
Clarion, Wright County · Government, critical access
- Free care
- Up to 150% of the federal poverty guidelines: about $49,500 a year for a family of four in 2026.
- Discounts
- Up to 249% of the federal poverty guidelines: about $82,170 a year for a family of four in 2026.
- Timing
- 240 days after discharge
The policy says
“Financial Assistance may be applied for at the time of admission, before discharge or up to two hundred and forty (240) days after discharge.”
Read on this document, 2026-11-09.
MercyOne Clinton Medical Center
Clinton, Clinton County · Nonprofit, general acute care · MercyOne (Trinity Health)
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is at or below 200% of the Federal Poverty Level (FPL) will be eligible for a 100% discount on the charges for services received.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is above 200% of the FPL and does not exceed 400% of the FPL (or the higher % required by state law, if applicable) will be eligible for a discount on the charges for services received.”
Read on this document, 2026-11-09.
- Timing
- 240 days
The policy says
“Application Period begins the day that care is provided and ends the later of 240 days after that date”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
CHI Health Mercy Corning
Corning, Adams County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Wayne County Hospital
Corydon, Wayne County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
CHI Health Mercy Council Bluffs
Council Bluffs, Pottawattamie County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Methodist Jennie Edmundson Hospital
Council Bluffs, Pottawattamie County · Nonprofit, general acute care · Methodist Health System
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Free Care: A 100% waiver of patient financial obligation resulting from eligible medical services provided by MHS for eligible patients, or their guarantors, with annualized family incomes at or below 200% of the Federal Poverty Level, provided, however, that patients who satisfy the FPL threshold but have Family Assets in excess of 600% of the FPL do not qualify for Full Free Care.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
The policy says
“Family income above 350% FPL but equal to or less than 400% FPL are eligible to receive 20% discount on the patient balance due.”
Read on this document, 2026-11-09.
- Timing
- Later of 240 days after first post-discharge statement or 30 days after final notice
The policy says
“Application Period: The application period is the later of 240 days after the date of the first post-discharge statement or not less than 30 days after the date MHS provides the patient the requisite final notice to commence extraordinary collection actions ("ECAs") under the Billing and Collection Policy.”
Read on this document, 2026-11-09.
Regional Health Services of Howard County
Cresco, Howard County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Greater Regional Health
Creston, Union County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
MercyOne Genesis Medical Center
Davenport, Scott County · Nonprofit, general acute care · MercyOne (Trinity Health)
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is at or below 200% of the Federal Poverty Level (FPL) will be eligible for a 100% discount on the charges for services received.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is above 200% of the FPL and does not exceed 400% of the FPL (or the higher % required by state law, if applicable) will be eligible for a discount on the charges for services received.”
Read on this document, 2026-11-09.
- Timing
- 240 days
The policy says
“Application Period begins the day that care is provided and ends the later of 240 days after that date”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Winnmed
Decorah, Winneshiek County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Crawford County Memorial Hospital
Denison, Crawford County · Government, critical access
Broadlawns Medical Center
Des Moines, Polk County · Government, general acute care
- Free care
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Full Charity Care shall be provided to eligible underinsured and uninsured patients earning 300% or less of the Federal Poverty Income Guidelines.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“For eligible uninsured or underinsured patients earning between 301% and 400% of the Federal Poverty Income Guidelines, discounts shall be provided to limit the patient’s payment obligation to the amount of the patient account balance after subtracting the percentage discount applicable to the patient’s income provided in the table below:”
Read on this document, 2026-11-09.
MercyOne Des Moines Medical Center
Des Moines, Polk County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
UnityPoint Health - Des Moines, Iowa Methodist Medical Center
Des Moines, Polk County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Mercyone Genesis Dewitt Medical Center
Dewitt, Clinton County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
MercyOne Dubuque Medical Center
Dubuque, Dubuque County · Nonprofit, general acute care · MercyOne (Trinity Health)
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is at or below 200% of the Federal Poverty Level (FPL) will be eligible for a 100% discount on the charges for services received.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is above 200% of the FPL and does not exceed 400% of the FPL (or the higher % required by state law, if applicable) will be eligible for a discount on the charges for services received.”
Read on this document, 2026-11-09.
- Timing
- 240 days
The policy says
“Application Period begins the day that care is provided and ends the later of 240 days after that date”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
UnityPoint Health - Finley Hospital
Dubuque, Dubuque County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
MercyOne Dyersville Medical Center
Dyersville, Dubuque County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
MercyOne Elkader Medical Center
Elkader, Clayton County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Palo Alto County Hospital
Emmetsburg, Palo Alto County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Avera Holy Family Hospital
Estherville, Emmet County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Jefferson County Health Center
Fairfield, Jefferson County · Government, critical access
UnityPoint Health - Fort Dodge, Trinity Regional Medical Center
Fort Dodge, Webster County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Adair County Health System
Greenfield, Adair County · Government, critical access
UnityPoint Health - Grinnell Regional Medical Center
Grinnell, Poweshiek County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Grundy County Memorial Hospital
Grundy Center, Grundy County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Guthrie County Hospital & Clinics
Guthrie Center, Guthrie County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Guttenberg Municipal Hospital
Guttenberg, Clayton County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
George C Grape Community Hospital
Hamburg, Fremont County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Franklin General Hospital
Hampton, Franklin County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Myrtue Medical Center
Harlan, Shelby County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Hawarden Regional Healthcare
Hawarden, Sioux County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Humboldt County Memorial Hospital
Humboldt, Humboldt County · Nonprofit, critical access
- Timing
- Application due within 30 days of the packet; accounts over 120 days old are not considered.
The policy says
“Accounts over 120 days old will not be considered for Charity Care”
Read on this document, 2026-11-09.
Horn Memorial Hospital
Ida Grove, Ida County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Buchanan County Health Center
Independence, Buchanan County · Nonprofit, critical access
- Free care
- Up to 100% of the federal poverty guidelines: about $33,000 a year for a family of four in 2026.
- Discounts
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.
- Timing
- 240 days from the first post-discharge statement
The policy says
“However, to qualify for financial assistance an individual application must be received within 240 days from the date of the first statement post-discharge.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Independence Mental Health Institute
Independence, Buchanan County · Government, psychiatric
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
University of Iowa Health Care Medical Center Downtown
Iowa City, Johnson County · Nonprofit, general acute care · University of Iowa Health Care
University of Iowa Hospitals & Clinics
Iowa City, Johnson County · Government, general acute care · University of Iowa Health Care
Hansen Family Hospital
Iowa Falls, Hardin County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Greene County Medical Center
Jefferson, Greene County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Van Buren County Hospital
Keosauqua, Van Buren County · Government, critical access
- Discounts
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“Patients whose family income is at or below 200% of the FPG are eligible to receive discounts.”
Read on this document, 2026-11-09.
- Timing
- 240 days after date of service
The policy says
“However, the determination may be done up to 240 days after date of rendered services.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Knoxville Hospital & Clinics
Knoxville, Marion County · Nonprofit, critical access
- Discounts
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.
- Timing
- 2 weeks from the initial request
The policy says
“Completed applications must be received within two weeks of the initial request”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Stewart Memorial Community Hospital
Lake City, Calhoun County · Nonprofit, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Full charity care shall be provided to underinsured and uninsured patients earning 200% or less of the Federal Poverty Income Guideline (FPIG).”
Read on this document, 2026-11-09.
- Discounts
- Up to 500% of the federal poverty guidelines: about $165,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“a 25% charity care discount shall be provided to underinsured and uninsured patients earning between 451%-500% of the FPIG.”
Read on this document, 2026-11-09.
- Timing
- 240-day application period
The policy says
“SMCH will not initiate an extraordinary collection action (ECA) before 120 days after the first post-discharge billing statement and will accept and process FAP applications during the 240-day application period.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Floyd Valley Healthcare
Le Mars, Plymouth County · Government, critical access
- Free care
- Up to 150% of the federal poverty guidelines: about $49,500 a year for a family of four in 2026.
- Discounts
- Up to 250% of the federal poverty guidelines: about $82,500 a year for a family of four in 2026.
- Timing
- 240 days after the first billing statement
The policy says
“An application for financial assistance will be considered up to 240 days after the 1st billing statement is sent (application period), at which time collection efforts will cease until a determination is made.”
Read on this document, 2026-11-09.
Decatur County Hospital
Leon, Decatur County · Government, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“Patients whose family income is at or below 200% of the FPL are eligible to receive free care;”
Read on this document, 2026-11-09.
- Discounts
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.
The policy says
“Patients whose family income is above 200% but not more than 300% of the FPL are eligible to receive discounts per the table located in Schedule B attached to this policy.”
Read on this document, 2026-11-09.
- Timing
- 240 days after the first post-discharge billing statement
The policy says
“In the event DCH receives a complete financial assistance application within the 240 days after Hospital provides the patient or their Guarantor with the first post-discharge billing statement for care, Hospital shall:”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Regional Medical Center
Manchester, Delaware County · Nonprofit, critical access
- Free care
- Up to 150% of the federal poverty guidelines: about $49,500 a year for a family of four in 2026.
The policy says
“If household income is ≤ 150% of the Federal Poverty Income Guideline (FPIG), you will not have to pay your hospital bill.”
Read on this document, 2026-11-09.
- Discounts
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.
The policy says
“If household income is between 150-300% of the FPIG will not pay more than the amounts generally billed to individuals who have insurance, and may be eligible for additional discounts.”
Read on this document, 2026-11-09.
- Timing
- Six months from application, on accounts up to 240 days from first billing after discharge
The policy says
“Assistance will be granted for future services for a six (6) month period from the date of application and will only be granted on accounts up to 240 days of the first billing post discharge.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Manning Regional Healthcare Center
Manning, Carroll County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Jackson County Regional Health Center
Maquoketa, Jackson County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Compass Memorial Healthcare
Marengo, Iowa County · Nonprofit, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
The policy says
“Household incomes at or below 200% of the Federal Poverty guidelines will qualify for a 100% discount for medically necessary services provided”
Read on this document, 2026-11-09.
- Discounts
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.
The policy says
“Household incomes between 201-300% of the Federal Poverty guidelines will qualify for a 50% discount for medically necessary services provided”
Read on this document, 2026-11-09.
- Timing
- 240 days after the first billing statement
The policy says
“CMH will accept and consider Financial Assistance Applications submitted at any time up until the date that is 240 days after the date of the first billing statement issued by CMH to the guarantor for the services.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
UnityPoint Health - Marshalltown
Marshalltown, Marshall County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
MercyOne North Iowa Medical Center
Mason City, Cerro Gordo County · Nonprofit, general acute care · MercyOne (Trinity Health)
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is at or below 200% of the Federal Poverty Level (FPL) will be eligible for a 100% discount on the charges for services received.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is above 200% of the FPL and does not exceed 400% of the FPL (or the higher % required by state law, if applicable) will be eligible for a discount on the charges for services received.”
Read on this document, 2026-11-09.
- Timing
- 240 days
The policy says
“Application Period begins the day that care is provided and ends the later of 240 days after that date”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
CHI Health Missouri Valley
Missouri Valley, Harrison County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Ringgold County Hospital
Mount Ayr, Ringgold County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
UnityPoint Health - Trinity Muscatine
Muscatine, Muscatine County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Story County Hospital
Nevada, Story County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
MercyOne New Hampton
New Hampton, Chickasaw County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
MercyOne Newton Medical Center
Newton, Jasper County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
MercyOne Oelwein Medical Center
Oelwein, Fayette County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Burgess Health Center
Onawa, Monona County · Nonprofit, critical access
Financial assistance policyPlain language summaryApplication
Orange City Area Health System
Orange City, Sioux County · Nonprofit, critical access
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient with a household income of 225% or less of the federal poverty level is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient with a household income between 226% and 375% of FPL is eligible for partial financial assistance on a sliding scale, as follows:”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Clarke County Hospital
Osceola, Clarke County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Mahaska Health
Oskaloosa, Mahaska County · Government, critical access
Pella Regional Health Center
Pella, Marion County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Dallas County Hospital
Perry, Dallas County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Pocahontas Community Hospital
Pocahontas, Pocahontas County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Montgomery County Memorial Hospital and Clinics
Red Oak, Montgomery County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Avera Merrill Pioneer Hospital
Rock Rapids, Lyon County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Hegg Memorial Health Center
Rock Valley, Sioux County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Loring Hospital
Sac City, Sac County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Sanford Sheldon Medical Center
Sheldon, Obrien County · Nonprofit, critical access · Sanford Health
- Free care
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income of 225% or less of the Federal Poverty Level (FPL) is eligible for full financial assistance.”
Read on this document, 2026-11-09.
- Discounts
- Up to 375% of the federal poverty guidelines: about $123,750 a year for a family of four in 2026.
The policy says
“A patient (or patient guarantor) with a household income between 226% and 375% of the FPL is eligible for partial financial assistance on a sliding scale.”
Read on this document, 2026-11-09.
- Timing
- Up to 90 days before service through the 240th day after the first billing statement; exceptions beyond 240 days for health conditions or extenuating circumstances.
The policy says
“The patient may apply for financial assistance consideration beginning anytime up to 90 days pre-service and extending through the 240th day after the first billing statement is sent to the patient or guarantor.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
Shenandoah Medical Center
Shenandoah, Page County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Osceola Community Hospital
Sibley, Osceola County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Keokuk County Health Center
Sigourney, Keokuk County · Government, critical access
- Timing
- 30 days from issue of application
The policy says
“A completed application must be returned to the hospital for consideration within 30 days of issue.”
Read on this document, 2026-11-09.
Sioux Center Health
Sioux Center, Sioux County · Nonprofit, critical access
- Free care
- Up to 150% of the federal poverty guidelines: about $49,500 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Patients who are Uninsured or Underinsured for a medically necessary service who are ineligible for governmental or other coverage, and who have family incomes not in excess of 150% of the Federal Poverty Guidelines may be eligible to receive up to 100% Charity care based on their financial assistance application.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
The policy says
“Sioux Center Health shall BILL 100% patients who apply and qualify for charity care or financial assistance under this policy (incomes at or less than 400% of the Federal Poverty Guidelines) not more than the lowest IP & OP combined Medicare & commercial payment rate.”
Read on this document, 2026-11-09.
- Timing
- 240 days from the first post-discharge billing statement
The policy says
“Sioux Center Health will allow 240 days from the first post discharge billing statement for individuals to apply for financial assistance.”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
MercyOne Siouxland Medical Center
Sioux City, Woodbury County · Nonprofit, general acute care · MercyOne (Trinity Health)
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is at or below 200% of the Federal Poverty Level (FPL) will be eligible for a 100% discount on the charges for services received.”
Read on this document, 2026-11-09.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Uninsured Patients whose Family Income is above 200% of the FPL and does not exceed 400% of the FPL (or the higher % required by state law, if applicable) will be eligible for a discount on the charges for services received.”
Read on this document, 2026-11-09.
- Timing
- 240 days
The policy says
“Application Period begins the day that care is provided and ends the later of 240 days after that date”
Read on this document, 2026-11-09.
Financial assistance policyPlain language summaryApplication
UnityPoint Health - St. Luke's Regional Medical Center
Sioux City, Woodbury County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Spencer Hospital
Spencer, Clay County · Government, general acute care
- Timing
- Can be applied for at admission, before discharge or after discharge
The policy says
“Financial Assistance may be applied for at the time of admission, before discharge, or after discharge.”
Read on this document, 2026-11-09.
Lakes Regional Healthcare
Spirit Lake, Dickinson County · Government, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Buena Vista Regional Medical Center
Storm Lake, Buena Vista County · Government, critical access
- Timing
- 30 days from receipt of the application form
The policy says
“Application for Financial Assistance must be returned within 30 days of receipt.”
Read on this document, 2026-11-09.
Community Memorial Hospital
Sumner, Bremer County · Nonprofit, critical access · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Virginia Gay Hospital
Vinton, Benton County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
Washington County Hospital and Clinics
Washington, Washington County · Nonprofit, critical access
- Free care
- Up to 100% of the federal poverty guidelines: about $33,000 a year for a family of four in 2026.
The policy says
“Family Size ≤100% FPL (Discount 100%) 101–200% FPL (Discount 75%) 201–250% FPL (Discount 50%) 251–300% FPL (Discount 25%) 301–350% FPL (Discount 10%)”
Read on this document, 2026-11-09.
- Discounts
- Up to 350% of the federal poverty guidelines: about $115,500 a year for a family of four in 2026.
The policy says
“Family Size ≤100% FPL (Discount 100%) 101–200% FPL (Discount 75%) 201–250% FPL (Discount 50%) 251–300% FPL (Discount 25%) 301–350% FPL (Discount 10%)”
Read on this document, 2026-11-09.
Financial assistance policyHospital’s financial assistance page
MercyOne Waterloo Medical Center
Waterloo, Black Hawk County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
UnityPoint Health - Allen Hospital
Waterloo, Black Hawk County · Nonprofit, general acute care · UnityPoint Health
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.
- Discounts
- Up to 400% of the federal poverty guidelines: about $132,000 a year for a family of four in 2026.
Financial assistance policyPlain language summaryApplication
Veterans Memorial Hospital
Waukon, Allamakee County · Government, critical access
- Free care
- Up to 200% of the federal poverty guidelines: about $66,000 a year for a family of four in 2026.Only for some patients, for example by insurance, residence or savings: the policy’s words below say which.
The policy says
“Free Care: A 100% waiver of patient financial obligation for eligible medical services provided by VMH for eligible patients, or their guarantors, with annualized family incomes at or below 200% of the FPL with assets below the equivalent of 300% of the FPL.”
Read on this document, 2026-11-09.
- Discounts
- Up to 300% of the federal poverty guidelines: about $99,000 a year for a family of four in 2026.
The policy says
“Family income above 275% FPL but equal to or less than 300% FPL are eligible to receive a 15% discount on the patient balance due”
Read on this document, 2026-11-09.
- Timing
- 240 days after the date of the first post-discharge statement
The policy says
“Applications for financial assistance may be submitted up to 240 days after the date of the first post-discharge statement.”
Read on this document, 2026-11-09.
Waverly Health Center
Waverly, Bremer County · Government, critical access
Financial assistance policyHospital’s financial assistance pageApplication
Van Diest Medical Center
Webster City, Hamilton County · Nonprofit, critical access
- Free care
- Up to 125% of the federal poverty guidelines: about $41,250 a year for a family of four in 2026.
The policy says
“The patient’s income is determined to less than 125% of the poverty guidelines. Referring to Table 1, the patient qualifies for a Financial Assistance write off 100%.”
Read on this document, 2026-11-09.
- Discounts
- Up to 225% of the federal poverty guidelines: about $74,250 a year for a family of four in 2026.
The policy says
“Poverty Level 125% or Below 126-150% 151-175% 176-200% 201-225% Above 225% Minimum Fee 0% Pay 20% Pay 40% Pay 60% Pay 80% Pay 100% Pay”
Read on this document, 2026-11-09.
- Timing
- Can be applied for at admission, before discharge or after discharge; new application each fiscal year (July 1 to June 30).
The policy says
“Financial Assistance may be applied for at the time of admission, before discharge, or after discharge.”
Read on this document, 2026-11-09.
Southeast Iowa Regional Medical Center
West Burlington, Des Moines County · Nonprofit, general acute care
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Gundersen Palmer Lutheran Hospital and Clinics
West Union, Fayette County · Nonprofit, critical access
We could not read its financial assistance policy on 2026-11-09 (its website did not open for us). Ask the billing office for the policy and the application.
Madison County Health Care System
Winterset, Madison County · Government, critical access
We could not read its financial assistance policy on 2026-11-09 (we found no policy). Ask the billing office for the policy and the application.
For-profit hospitals
The federal rules for nonprofit hospitals do not apply to a for-profit hospital. Ask whether it has a financial assistance or charity care policy.
Eagle View Behavioral Health
Bettendorf, Scott County · For-profit, psychiatric
Ask whether it has a financial assistance or charity care policy.
Clive Behavioral Health
Clive, Polk County · For-profit, psychiatric
Ask whether it has a financial assistance or charity care policy.
Henry County Health Center
Mount Pleasant, Henry County · For-profit, critical access
Ask whether it has a financial assistance or charity care policy.
Ottumwa Regional Health Center
Ottumwa, Wapello County · For-profit, general acute care
Ask whether it has a financial assistance or charity care policy.
Federal rules for nonprofit hospitals
- A nonprofit hospital must have a written financial assistance policy. There is no federal income level: the policy sets its own criteria.
- It must accept applications for at least 240 days after the first bill sent after you leave.
- For patients it finds eligible, charges for emergency and other medically necessary care are limited to the amounts generally billed to people with insurance.
- These rules apply to hospitals recognized as tax-exempt under section 501(c)(3), including government hospitals with that status.
More in the hospital charity care guide.
What to ask the billing office
- Ask for the financial assistance policy, the application and the plain language summary.
- Ask which income limit applies to your household and what counts as income.
- Ask whether the doctors who treated you are covered by the policy or bill separately.
- Ask until when you can still apply for the bill you have, and ask for the answer in writing.
The free financial assistance letter asks for all three papers. Denied? How to appeal or reapply. Already paid? How applying after you have paid works. Compare large health systems on the hospital list.
Helping people with hospital bills in Iowa?
Send them this page. With a client link from your organization they also get Pro at no cost to them: the full list for every bill, the questions to ask and a letter. A free pilot is available on request.
Sources
The list of hospitals, their towns, counties and ownership come from Hospital General Information (CMS Provider Data Catalog), modified 2026-07-22. Ownership is CMS’s label, not a tax ruling. We left out the 3 hospitals the CMS file lists under federal ownership, such as VA and military hospitals.
Each figure comes from the hospital’s own policy, which every figure links to, with the policy’s words and the day we read it (2026-11-09). We used AI reading tools, and a second independent check compared each quote and figure with the policy text. A figure that was not confirmed is left out. Dollar amounts use the 2026 federal poverty guidelines for the 48 states and Washington, DC (91 FR 1797).
We are not part of any of these hospitals. Policies change, and the hospital decides from its own form, with conditions such as assets or residency that the policy sets. If what you read here differs from the current policy, the policy counts. A correction? Tell us on the Support page.
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.