Fees and Charges, Patient Accounts

Billing and Costs

Ontario residents with valid Ontario Health Card are not charged for hospital services, except for the following:

  • Supplemental fee for a private or semi-private room (you may have private insurance which covers this)
  • Telephone service
  • Television rental
  • Cosmetic/uninsured procedures
  • Circumcision
  • Ambulance services (you are required to pay a $45.00 co-payment for land or air ambulance if you have a valid Ontario Health Card AND it is deemed medically necessary by the receiving or attending physician. You are required to pay the full $240 for land ambulance if you do not have a valid Ontario Health Card or the ambulance transportation is not medically necessary.)
  • Crutches or canes
  • Casts and other supports

Canadian residents insured in other provinces are covered in Ontario. The MHA will process the interprovincial claim on behalf of the patient. Canadian residents without a provincial health card must pay for all charges. Non-residents of Canada are responsible for payment for all hospital services. Payment is due at the time of service.

Hospital room cost for Canadian residents insured under the Ontario Health Insurance Program (OHIP)

Private Room: $320.00 per day (as of September 2020)
Semi-Private Room: $275.00 per day (as of September 2020)

Bill payments can be made in person or by mail at either hospital site

Strathroy Middlesex General Hospital

395 Carrie Street
Strathroy, Ontario
Canada N7G 3J4
Phone: 519-245-1550

Four Counties Health Services

RR3 1824 Concession Drive
Newbury, Ontario
Canada N0L 1Z0
Phone: 519-693-4441

Bill payments can also be made online

Paymentus Corporation is an independent company and charges a convenience fee of $1.50 to pay your bill using this service. Please note that Four Counties Health Services does not retain any portion of the convenience fee. We accept payments using MasterCard.

We will receive an instant notification of your payment and will post it to your account within two business days. For each payment, you will receive a confirmation number. We will also send you an email confirmation for your records. If you experience any difficulties in entering your payment, please report the problem to us today by calling 519-245-5295 ext. 5940 during normal business hours.

Please note that once you click on links below you will be exiting the Middlesex Hospital Alliance website.

Patient Accounts

The Middlesex Hospital Alliance Finance Department, including Patient Accounts, is located at Strathroy Middlesex General Hospital.

At Four Counties Health Services, payments can be left in the payment box located in the Emergency Department (beside the door to the waiting room). Payments can be made 24 hours a day, 7 days a week. Please enclose the bottom portion of the invoice with your exact payment in the envelope provided. A receipt will be sent to you in the mail. Patient Registration will also accept payments. Open 8am to 7pm, Monday to Friday.

At Strathroy General Middlesex General Hospital Patient Accounts is located on the first floor. Hours: 8am to 4pm, Monday to Friday, Closed weekends and holidays. You may pay your account upon discharge by cheque, cash or credit card (Visa, Mastercard or American Express).

Payment can also be made at one of two payment boxes, located in the front lobby registration area and the emergency department registration area. Payments can be made 24 hours a day, 7 days a week. Please enclose the bottom portion of the invoice and the exact payment in the envelope provided. A receipt will be sent to you in the mail.

If you require a receipt at the time of payment, the payment window located in the front lobby registration area, can issue one. Open 7am – 4:30pm, Monday, Tuesday, Thursday; and 7am – 4pm, Wednesday and Friday, or at the emergency department registration, 24 hours a day. Payment can be made by cheque, cash, debit or credit card.

Preferred Accommodation

Middlesex Hospital Alliance has semi-private and ward rooms at both sites, and additionally, private rooms are available at SMGH. Every effort is made to meet your room choice. Unfortunately, we will not know until the day of admission what type of rooms will be available. Occasionally we are not able to provide patients with their requested room preference because of medical requirements. We ask for your understanding and thank you for your cooperation.

Financial Responsibility

For preferred accommodation: There is a charge for semi-private rooms and private rooms beyond what the provincial government will cover. The hospital does not charge you for the last day of your stay but you will be charged for the first day in a semi-private or private room. In order to obtain a private or semi-private room, you must provide the hospital an insurance certificate of coverage on or prior to admission. It is your responsibility to check with your insurance company to confirm your specific coverage before coming to the hospital. If your insurance company does not pay your outstanding account in full, you are responsible to pay the difference. Patients without private or semi-private insurance coverage requesting and receiving preferred accommodation are requested upon discharge to pay by credit card, debit card, cheque or cash. A private room includes one bed, washroom and a private telephone line. A semi-private includes two beds separated by curtains, each with a telephone and one shared washroom. A wardroom includes four beds, separated by curtains, a washroom and a telephone. There is no differential room rate for a ward room. The Ontario Ministry of Health and Long Term Care covers the full cost of a ward room if a valid health card is provided.

Amounts quoted are for 2020 and are subject to change without notice. We try to place you in the type of room you request. Sometimes, your choice of room will not be available when you are admitted. You will be moved as soon as one is free. If you decide that you need to downgrade your accommodations, or you have any questions about room charges, please notify your nurse, Admitting or Patient Accounts, as soon as possible.

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