Columbus Community Hospital

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Home > For Patients & Visitors > Patient Financial Information > Financial / Charity Assistance Program
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Financial / Charity Assistance Program

It is the policy of Columbus Community Hospital to provide financial assistance to qualifying patients for medically necessary and emergency care provided at CCH. 

To receive financial assistance under CCH’s Financial Assistance Policy, patients must be uninsured or underinsured and have a household income equal to or less than 200 percent of Federal Poverty Level, and/or patients must have medical bills from CCH that exceed 30 percent of their annual household income. 

How to Apply

If you would like to apply for financial assistance to cover your medical bills, please click on the Charity-Financial Assistance Application link below, print and complete the application. 
  • Charity-Financial Assistance Application - English/Spanish.pdf
Then return the completed form to: 

Patient Accounts Department 
Columbus Community Hospital 
4600 38th St. 
Columbus, NE 68601 

If patients are eligible for financial assistance, they will not be charged more than amounts generally billed to patients who have health insurance. This policy is explained in the following documents:


  • Calculation of Amounts Generally Billed (AGB) - English.pdf
  • Calculations of Amounts Generally Billed (AGB) - Spanish.pdf 
For more information on CCH’s financial assistance policy, please read CCH’s Financial Assistance Policy Summary and Financial Aid/Charity Program Policy which are provided below:
  • CCH Financial Assistance Policy Summary - English.pdf
  • CCH Financial Assistance Policy Summary - Spanish.pdf
  • Financial Aid/Charity Program Policy - English.pdf 
  • Financial Aid/Charity Program Policy - Spanish.pdf 
The Financial Assistance Program applies to Columbus Community Hospital and its affiliates. For a list of these providers, see these documents:
  • Columbus Community Hospital (CCH) & CCH-Employed Physicians, Practitioners & Clinics - English.pdf
  • Columbus Community Hospital (CCH) & CCH-Employed Physicians, Practitioners, & Clinics - Spanish.pdf
CCH’s Financial Assistance Program does not apply to care provided by independent community physicians and other independent service providers. For a breakdown of these providers, see the documents below:
  • Independent Community Physicians & Other Independents - English.pdf
  • Independent Community Physicians & Other Independents - Spanish.pdf

Contact Us 

If you have any questions regarding the Financial Assistance Program, please contact CCH’s Patient Accounts Department at 402-562-3159. 

For additional information on CCH’s Patient Accounts Department, please visit the Patient Financial Information page of our website or email patientaccounts@columbushosp.org.

Patient Accounts Department 
Columbus Community Hospital 
4600 38th Street 
Columbus, Nebraska 68602-1800 
402-562-3159 
patientaccounts@columbushosp.org

© 2022 Columbus Community Hospital, Inc.
4600 38th Street
P.O. Box 1800
Columbus, Nebraska 68602-1800
T: 402-564-7118
E: info@columbushosp.org

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