Dispute Your Hospital Bill

Generate a professional dispute letter in 60 seconds. Cite the Hospital Price Transparency Rule, Medicare rates, and request a fair reduction. Self-help template, not legal advice.

References price-transparency rules References Medicare Rates Demands Itemized Bill Requests Charity Care Review Ready to Mail

Hospital Information

Hospital Name *

City

State

Your Information

Your Full Name *

Your Address

Phone

Patient Account / Bill Number (optional)

Procedure & Charges

Procedure or Service *

Hospital Billed You

Medicare Pays (CMS avg)

Date of Service

Markup Ratio (auto-calculated)

Additional Notes (optional — added to letter)

Letter Tone

Approach

Your Dispute Letter

Download .txt

What to Do With This Letter

Request your itemized bill first. Call billing and ask for a line-item bill by CPT code before sending this letter.
Send by certified mail. Use USPS Certified Mail with Return Receipt Requested. Keep your tracking number.
Address it to "Patient Financial Services" or "Billing Manager" — call the hospital's main line to confirm the correct department address.
Follow up in 30 days if you don't hear back. Reference your certified mail tracking number.
File a CMS complaint if the hospital ignores your letter: cms.gov/price-transparency/complaints
Hospitals routinely accept 20–40 cents on the dollar for uninsured or hardship cases. Always negotiate before paying.

This tool generates a letter template based on the information you provide. It is not legal advice. CMS Medicare rates are historical averages and may differ from current rates. For specific legal guidance, consult a healthcare attorney, patient advocate, or your state's insurance commissioner. AccountableHub is not responsible for outcomes of negotiations based on this template.

Not legal, medical, or financial advice. AccountableHub provides information and self-help tools. We are not a law firm, and using this site does not create an attorney-client relationship. Dispute letters are templates you review, edit, and send yourself. Markup figures compare a hospital's average charge with Medicare's average allowed amount from public CMS data (2022) and do not mean your specific bill is unlawful. Attorney grades summarize public bar records that may be incomplete or out of date. Always verify with the state bar. For legal advice, consult a licensed attorney in your state; for medical decisions, consult your clinician.