How do hospitals collect on unpaid bills?

Asked by: Tressa Spencer  |  Last update: December 27, 2025
Score: 4.7/5 (1 votes)

If a hospital's internal team is unable to collect a patient's debt, the hospital commonly assigns the account to a third-party collection agency, often leading to a derogatory mark on the patient's credit report. Sometimes, hospitals instead opt to sue their patients in court for unpaid bills.

Do unpaid hospital bills go to collections?

Medical debt is unique because consumers have less ability to shop around for medical services. Medical billing and collections practices can also be confusing and difficult to navigate. After billing, providers often send unpaid accounts to third-party collections.

Can a hospital turn you away for unpaid bills?

Even if you owe a hospital for past-due bills, that hospital cannot turn you away from its emergency room. This is your right under a federal law called the Emergency Medical Treatment and Active Labor Act (EMTALA).

How do hospitals write off unpaid medical bills?

Many factors go into how and if, a hospital writes off an individual's bill. Most hospitals categorize unpaid bills into two categories. Charity care is when hospitals write off bills for patients who cannot afford to pay. When patients who are expected to pay do not, their debts are known as bad debt.

What is the law on unpaid medical bills in South Carolina?

South Carolina has a statute of limitations that limits the amount of time a debt collector can legally sue you for a medical debt. In South Carolina, the statute of limitations for most debts is three years. Once this time period has passed, the debt is considered time-barred, providing you a defense to such lawsuits.

Former Collectors Advise What to Say When Medical Debt Collectors Call

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Can a hospital take your house for unpaid medical bills after?

Most states require creditors to get a court order before placing a lien on a home. Foreclosure or forced sale: A creditor can repossess and sell a patient's home to pay off their medical debt. Often, creditors are required to obtain a court order to do so.

What happens if you don't pay medical bills under $500?

Waiting to pay can be beneficial

That means if the card becomes delinquent, even debts under $500 can appear on your credit report and hurt your score. Despite the potential consequences of ignoring a medical debt, there are some advantages to letting the bill go unpaid.

How often do hospitals sue for unpaid bills?

A smaller number (about 25%) sell patients' debts to debt collectors and about 20% deny nonemergency care to people with outstanding debt. More than two-thirds of hospitals in the sample sue patients or take other legal action against them.

Do hospitals have to forgive medical bills?

Are hospitals legally required to offer medical bill forgiveness? Internal Revenue Service code 501(r) requires nonprofit hospitals to: Have a medical bill forgiveness policy that tells who qualifies and how to apply. Post the hospital relief policy information on their website, signs in the hospital, and bills.

How can I get out of unpaid medical bills?

7 Tips for Paying Off Medical Debt and Avoiding Collections
  1. Review your bills. ...
  2. Negotiate your medical costs. ...
  3. See if you qualify for an income-driven hardship plan. ...
  4. Look for financial assistance or charity care programs. ...
  5. Consider a payment plan. ...
  6. Use medical credit cards. ...
  7. Consider a medical bill advocate.

What happens if you ignore hospital bills?

If you do nothing and don't pay, you could be facing late fees and interest, debt collection, lawsuits, garnishments, and lower credit scores.

Can a hospital force you to stay if you can't pay?

In short, you have the right to leave the hospital without paying your bill. Whether you have paid or not has no impact on your right to make a medical decision. Additionally, you may leave without signing the discharge form. The healthcare provider would still consider this as leaving against medical advice.

Will the hospital still treat you if you owe money?

If medical debt goes unpaid for a period of time, a hospital or other health care provider may decide to stop providing you services. In some areas, you may have few other options for medical care, but in other locations you should be able to find other health care providers to take care of your family.

What is the new law about medical bills on credit reports?

On January 7, 2025, the Consumer Financial Protection Bureau (“CFPB”) published a final Rule (the “Rule”) that prohibits consumer reporting agencies from including individuals' medical debt on consumer credit reports.

Can you settle a hospital bill in collections?

If you've been wondering can you negotiate medical bills in collections, the short answer is yes, you often can. If you are successful, you might get your medical debt reduced or receive more manageable repayment terms.

What is the lowest payment you can make on a medical bill?

But there is no law for a minimum monthly payment on medical bills. If that were true, hardly anyone would need to file bankruptcy for medical debts. The truth is that the medical provider can sue or turn you over to collections if they are not satisfied with the amount that you are sending in.

Can medical pay old hospital bills?

Retroactive Medi-Cal covers unpaid medical expenses from the three months prior to the month you apply for Medi-Cal. If you have unpaid bills from the three previous months, enter that information during the application process. If you qualify for Medi-Cal, you will also be evaluated for retroactive coverage.

Do hospitals write off unpaid bills?

Hospitals may try to negotiate a lower bill with patients, offer financial assistance, send the bill to a collection agency, or write off unpaid costs as “bad debt.” However, many hospitals go a step further and sue patients for the unpaid bill, eventually garnishing (taking a cut) of their wages or bank savings.

Can a hospital take your house for unpaid medical bills?

The short answer is yes, it is possible to lose your home over unpaid medical bills though the doctor or hospital would have to be willing to go to a lot of effort to make that happen. Medical debt is classified as unsecured debt. This means that your debt isn't tied to any collateral.

What happens after 7 years of not paying debt?

In general, most debt will fall off your credit report after seven years, but some types of debt can stay for up to 10 years or even indefinitely. Certain types of debt or derogatory marks, such as tax liens and paid medical debt collections, will not typically show up on your credit report.

Can medical bills under $500 be sent to collections?

The CFPB's action follows changes made by the three nationwide credit reporting conglomerates – Equifax, Experian, and TransUnion – who announced that they would take certain types of medical debt off of credit reports, including collections under $500, after the CFPB raised concerns about medical debt credit reporting ...

How long can a hospital bill go unpaid?

As of July 1, 2022, medical debt reporting on credit scores has been changed in a number of ways: Even after a medical debt is sent to collections, there is a 365-day grace period before the debt appears in your credit history, so an unpaid medical bill may not impact your credit immediately.

Can I ignore my medical bills?

Understand the Consequences of Ignoring Medical Bills

Collection actions: If you fail to pay your medical bills, healthcare providers may eventually send your account to a collection agency. Collection agencies can be aggressive in their attempts to recover the debt, causing additional stress and financial strain.

Is medical debt being forgiven?

Thanks to the American Rescue Plan (ARP), states, counties, and cities are canceling an estimated $7 billion in medical debt for up to nearly 3 million Americans, including: Arizona is using ARP funds to relieve an estimated up to $2 billion in medical debt for up to 1 million Arizonans.

How to negotiate a hospital bill?

1. Understand your medical bill.
  1. Request an itemized bill. Like a receipt, an itemized bill breaks down all the charges, including the cost of each procedure, medication, and service. ...
  2. Double-check your medical codes. ...
  3. Compare prices. ...
  4. Offer to pay upfront. ...
  5. Try a payment plan. ...
  6. Negotiate based on comparable rates.