Pay My Bill

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.

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

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 off your medical bill(s).

• We offer financial assistance to patients who qualify. You can apply online in Avera MyChart or call 888-370-6525 for further details.
• Customized payment plans are interest-free and available.
• For bills prior to May 30, 2026: Call our partner Ensource.
  • For hospital and clinic bills, call 888-467-4814.
  • For pharmacy bills, call 888-467-4407.
• For bills after May 30, 2026, you can request assistance in Avera MyChart or call 888-370-6525 for billing questions.

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.

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.

After the upgrade to a new system on May 30, 2026, your patient portal, Avera MyChart, includes new features and better support for services. Bills on or before May 29, 2026, 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.

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

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. Find a different number to call.

Yes, even if you have not opened a MyChart account yet, you have the option to pay as a guest.

1. Log into Avera MyChart.
2. Select the Billing tile on your home screen, or in the menu, search for or navigate to Billing.
3. On the Billing Summary page, review your billing statements, which may include options to see balance details, manage payment methods, contact customer service, and manage financial assistance.
4. To pay your bill, choose Make a payment. Select one option to either Pay amount due or Enter other amount, and enter that dollar amount.

• On this page, you can also navigate to other payment options including payment plans and financial assistance, if you wish.

5. Select payment method. Enter your payment information and complete the on-screen steps to submit your payment.

You can manage payment cards and bank accounts on file with Avera right inside MyChart.

1. Log into Avera MyChart.
2. Select the Billing tile on your home screen, or in the menu, search for or navigate to Billing.
3. On the Billing Summary page, review your billing statements. On each statement, you can select an option to Manage payment methods.
4. On the Manage Payment Methods page, remove or edit any existing payment methods on record, such as payment cards and/or bank accounts.

• Choose Add a new payment method to connect a new payment account to Avera MyChart. Complete the on-screen steps to add the account.

5. Save changes.
6. If you have an active payment plan, select Manage payment plan to review or change the payment method tied to automatic payments.

In Avera MyChart, you can manage your preferences for paper or paperless statement delivery. Most patients are already opted in to paperless billing for participating locations.

1. Log into Avera MyChart.
2. Select the Billing tile on your home screen, or in the menu, search for or navigate to Billing.
3. On the Billing Summary page, look for the leaf icon next to information about paperless billing. Select Paperless preferences.
4. Toggle the setting to either activate paperless delivery or opt back in to receive mailed paper statements.
5. Click Save changes.

In Avera MyChart, some communication preferences to receive messages via email and/or text alerts are set by default for all users to be on or off for a specific category, such as billing. For most billing topics, email is the default communication method. If you’d like to add text (SMS) or adjust any communication channels, you can do that in MyChart.

1. Log into Avera MyChart.
2. In the menu, search for or navigate to Communications Preferences under the Account Settings section.
3. On the Communications Preferences page, review your Contact Information. Toggle your settings as you wish.
4. In the Details section, select the Billing dropdown to see the options for updates about billing information. Toggle the communication channels on or off as you wish: email, text message, push notification, phone and mail.
5. Click Save changes.

We offer two types of zero-interest payment plan options:

• Extended payment plans ranging from 24-60 months, with our partner Commerce Bank
• In-house payment plans for up to 24 months, which you can set up online in Avera MyChart.
  • For bills prior to May 30, in-house payment plans are for up to 18 months. 

To set up a payment plan in MyChart:

1. Log into Avera MyChart.
2. Select the Billing tile on your home screen, or in the menu, search for or navigate to Billing.
3. On the Billing Summary page, review your billing statements. On each statement, you can select an option to Set up payment plan.
4. Enter the dollar amount and number of months you would like to pay. Then, choose the option to Select payment method.
5. Enter your payment information and complete the on-screen steps to submit your payment.

If you need assistance, please contact us.

When you’re logged into MyChart — or from a public MyChart page, you can find out how much a procedure will cost using our price estimates tool. Learn what’s included in price estimates plus what other costs may occur.
Get an Estimate

You can apply online in Avera MyChart for financial assistance with your medical bills or you can request financial aid through paper forms you submit to the business office of your clinic or hospital.

To make an online request for financial assistance:

1. Log into Avera MyChart.
2. You can get to the Financial Assistance section in one of these two ways:

• In the menu, search for or navigate to Financial Assistance.
• Select the Billing tile on your home screen. On the Billing Summary page, under a billing statement, select Manage financial assistance.

3. On the Financial Assistance page, you will see any past request history, if relevant. Select the option to + Request financial assistance.
4. Follow the on-screen steps to add your Personal Info, Income, Expenses, Assets and Documents.

• Attach documents along the way in the steps.
• If you don’t have all your documents ready, you can save your progress and upload them later. Just select Finish Later if you’d like to come back.

5. Sign and submit the request.

As your application is processed, you’ll get status updates through your MyChart account.

No. Proxy access allows someone else to view your chart, but the guarantor (person responsible for paying the bill) remains unchanged.