Pay My Bill

Your financial health is important. That’s why we’ve made it simple to pay your bill, get answers to payment questions and access helpful resources all in one place. Avera offers convenient options to pay your hospital, clinic or other medical bills online. Depending on where you received care, we offer an online secure portal to submit a payment.

Bill Example Is This Your Bill?

If your statement is green and looks like this, you can log in and pay it online.

Pay My Bill

Features to Manage Your Account

  • Text to Pay
    Make a fast, secure payment with one tap.
  • Paperless Billing
    Save time and trees – no postage necessary.
  • Interest-Free Payment Plans
    Set up and manage a payment plan online.

If Your Billing Statement Differs...

This just means you’ll use a different online portal to pay your statement. For example, if your statement is purple or orange, and not green, please select your state/city below.

Or skip ahead to pay:

In what state/city did you receive care?

Protect Your Privacy

For your security, do not share your account number, password, or personal information with others. Sharing may allow unauthorized access to your account and put your privacy at risk.

Payment Help When You Need It

Payment Plans Available

Avera offers short-term and extended payment plan options. Monthly payments are interest-free, simple to make and give you an affordable way to pay out-of-pocket medical bills over time. Self-enrolling is available.

View Payment Plans

Patient Financial Assistance Programs

Avera’s mission is to care for all patients regardless of ability to pay. If you are experiencing financial hardship, our billing staff is here to discuss payment options to decrease the burden. Avera will treat you with dignity and respect, regardless of your ability to pay.

Learn More

Language Interpreter Assistance

Avera works with virtual and in-person interpreters and contracts with agencies such as Lutheran Social Services and the Multi-Cultural Center. Spoken language interpretation is available through various ways, including virtual services that provide interpretation in numerous languages.

Avera Patient Refunds

When you have a patient refund, receiving your funds is smooth and simple. Avera refunds sent to patients will be issued through a secure portal with Commerce Bank, allowing you to choose the payment method you prefer most: direct to debit card, direct deposit or mailed check.

View Details

Frequently Asked Questions

Why do I owe a balance?

Your balance due is required for one of the following reasons:

  • Insurance deductible has not been met.
  • Co-payment is required by insurance.
  • Coinsurance is required for a percentage of covered services.
  • Service received is not covered under your insurance plan.

When is my statement balance due?

Please follow the instructions on your billing statement for payment due dates.

I cannot pay my bill. What can I do?

Avera provides superior health care for all patients — regardless of ability to pay. If you are uninsured or underinsured, there may be help available to pay your medical bill(s).

  • We offer financial assistance to patients who qualify. Please call 888-370-6525 for further details.
  • Customized payment plans are interest-free and available.
  • Call our partner Ensource for assistance for bills prior to May 30, 2026.
    • For hospital and clinic bills, call 888-467-4814.
    • For pharmacy bills, call 888-467-4407

I received a bill for my physical from my primary care physician. Why did I have additional charges?

If you and your primary care provider discuss anything outside of wellness services at your annual appointment, you may be responsible for a co-payment. Any additional charges will depend on your insurance plan coverage.

I already paid my hospital bill. Why did I receive a second bill?

Other medical specialists, such as radiologists or emergency physicians, may have also provided services to you during your hospital stay. If this is the case, you will be billed separately for these services.

What can I do if I have billing questions?

Please call the phone number on your statement or reach out to the business office at the Avera hospital or clinic where services took place.

If you have a billing statement for services prior to May 30, 2026, call our partner Ensource for assistance.

  • For hospital and clinic bills, call 888-467-4814.
  • For pharmacy bills, call 888-467-4407.

Why do I have multiple bills?

After an upgrade to a new system on May 30, 2026, your patient portal will include new features and better support for services. Bills on or before May 29, 2026, will remain in our legacy system. Because of this transition, you may receive separate bills, and they must be paid separately rather than combined due to the system changes.

We are here to help you. If you have questions, please call the Avera billing department at 888-370-6525. Or you may call the phone number listed in your billing statement for assistance.

What is Ensource?

Ensource, an Avera partner, supports the management of legacy accounts prior to May 30, 2026.

Other Medical Billing and Insurance Resources

Review these resources to find your way and understand the billing process.

customer service agent talking with man

Still Need Help?

For assistance, please call the phone number listed on your billing statement.
Patients with hospital and clinic bills: call 888-467-4814.
Patients with pharmacy bills: call 888-467-4407.