Cass Health partners with Avadyne Health as an extension of our business office; you will see the name Avadyne Health on your bill for our services.

  • Payment in full is expected upon receipt unless other acceptable arrangements are made (see credit policy below).
  • Any payments received will be posted to the oldest date of service.
  • An itemization of charges is available upon your request.

If you have questions about your bill, please contact Avadyne Health at 1-800-788-5874 during business hours:

  • Monday-Thursday 8 am to 6 pm CST

If you would like to speak with the Business Office at Cass Health please call us at 712-250-8041. The Business Office hours are Monday-Friday from 8 am to 4:30 pm.

Iowa Medicaid Continuous Coverage Unwind

Medicaid’s continuous coverage will come to an end on April 1, 2023. This means that most Medicaid members will undergo a redetermination process during the 12-month period to determine if they are still eligible for any Medicaid programs. This process is also referred to as “Unwinding.”
Because of this, it is critical that Iowa Medicaid members:
  • Have up-to-date contact information.
  • Watch for mail from Iowa Medicaid.
  • Respond to requests for information.

If members do not respond to renewal letters or requests for information, they may lose coverage. This is why it's important that clients verify their contact information is up to date, as this is how the Iowa Department of Health and Human Services will contact individuals who are impacted by this change. Click here to read more about the Medicaid unwinding process and timeline.

No Surprises Act- Right to Receive a Good Faith Estimate and Balance Billing Protections

The No Surprises Act protects patients from large and unexpected surprise bills.

Patients that are self pay have a right to receive a good faith estimate for the cost of care that we can reasonably expect at the time a service is scheduled*. (*for services scheduled greater than 3 business days in advance.)

For those seeking care at an out-of-network facility or from an out-of-network provider for emergencies and certain non-emergency services provided in in-network health care facilities the No Surprise Act offers protections against balance billing. Click here for more information about your rights under federal law.

Right to Receive a Good Faith Estimate of Expected Charges Notice PDF
Right to Receive a Good Faith Estimate of Expected Charges Notice (Spanish)
Model Disclosure Notice Regarding Patient Protections Against Surprise Billing PDF
Model Disclosure Notice Regarding Patient Protections Against Surprise Billing (Spanish)

The American Hospital Association in conjunction with HFMA and AHIP put together a helpful guide about avoiding surprises in medical bills. Click here to read "Avoiding Surprises in Your Medical Bills."


Adding two little feet to your family? Check out our What to Expect for Billing Before and After Delivery frequently asked questions.

Eye Associates

If you have questions about your statement from Eye Associates, please contact them directly at 712-243-7540.

COVID-19 Testing

Please call the Cass Health Business Office at 712-250-8041 for information.

Contracted Insurance Companies or Networks

(As of 1/1/2023)

Iowa Medicaid
Iowa Total Care
Molina Healthcare (Beginning 7/1/2023)

Medicare Advantage Companies:*
Amerigroup Dual Advantage
Aetna Medicare Plans
Medica Prime Solution
United Healthcare Dual Complete
AARP Medicare Plans
Wellmark Blue Medicare Advantage Plans
* Please call for other unlisted plans.

Commercial Insurance Companies:*
United Healthcare
Midlands Choice Network
Wellmark (Blue Cross Blue Shield of Iowa)
* Please call for other unlisted plans.

Discounts & Credit Policy

We offer a 10% prompt payment discount, and payment plans are available.  Please read our Credit Policy below for details.

Cass Health Credit Policy

  1. Bills for hospital services will be mailed to the account guarantor (person responsible for payment) after any insurance payments have been received.
  2. A 10% discount is available for any bill paid in full within 30 days of the first statement date. Please contact Avadyne Health at 800-788-5874 in advance to arrange your prompt payment discount.
  3. Accepted forms of payment include cash, check, debit cards or credit cards (MasterCard, VISA, American Express, and Discover).
  4. If you are unable to pay your bill in full, payment plans are available. Payment plans require a minimum monthly payment of $50 for bills of $1200 or less. For bills over $1200, payment plans can extend for up to 24 months. (Example: $3600 balance will be 24 payments of $150 each.) If you need to arrange a payment plan, please contact the billing office at 800-788-5874.
  5. If you have a low income or no income, you may be eligible for assistance with your bill. Please call our Patient Financial Advisors at 712-250-8041, or click here for our Financial Assistance Packet or Financial Assistance Packet (SPANISH).

Itemized bills are available upon request from the Cass Health Business Office.


Understanding Hospital "Charges"

Iowa Hospital Charges Compare allows health care consumers to access basic information about services and charges at Iowa hospitals. Information provided on the Web site is based on hospital "charges."

A hospital "charge" is not the same as "expected payment." "Charge" is the amount billed for a service. In the vast majority of cases, hospitals are paid considerably less than the billed amount. Because each person's case is different based on that patient's medical condition, a given patient's charge will not necessarily be the same as the average or median charge. Furthermore, the actual amount paid by a patient will depend on that patient's insurance coverage.

Iowa Hospital Charges Compare should be considered a starting point for comparing costs of care between Iowa hospitals. Patients should contact individual hospitals to get further details about the possible cost of their care. Patients should also talk with their insurance provider to understand which costs will be covered, and which will be the patient's responsibility.

Visit for more information. To view the Cass Health listing of services and fees, please visit the Helpful Documents page.


Information from the Iowa Hospital Association

Iowa Hospital Charges

Across the state, Iowa hospitals offer an excellent value in health care. The quality of care in Iowa hospitals has been documented in nationwide studies. In addition, Iowa hospitals' charges for care are among the lowest in the nation. Such high-value health care is the result of a statewide health care system that is uniformly patient-centered and actively coordinated by highly skilled professionals at all levels. Iowa Hospital Charges Compare allows you to further explore and compare the value offered by Iowa hospitals.