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Financial Information

We appreciate your choosing MD Anderson Cancer Center for your health care needs. We realize that this is a difficult time for you and your family, and that finances may be an additional concern. We are committed to supporting you by providing the following information to understand our charges, billing and payment process.

Your Financial Specialist Team

Whether you are covered by international insurance, sponsored by an embassy or corporation, or paying for your own care, we will work with you to help ensure that the billing and payment process is as smooth as possible. Your team of financial specialists is likely to include the following individuals.

The International Patient Assistants will be your primary contacts prior to arriving at MD Anderson. They will communicate the details of your initial appointment and deposit or work with your embassy to secure a letter of guarantee.

Patient Access Services is located in the clinic where you will be seen. You will meet with them when you first arrive at MD Anderson. They will review your demographic information to ensure our records are accurate. They require a photo identification at registration, so please bring your current passport or another current, government-issued identification. The Patient Access Services staff will verify your insurance information and secure any needed authorizations. 

If you are paying for your own care, a Patient Access Specialist will give you charge estimates once a treatment plan has been established. He/she will also answer any financial questions you may have.

Patient Business Services (PBS) staff is responsible for filing insurance claims, producing patient statements, processing refunds and posting payments. You may communicate with PBS customer service representatives to resolve billing issues, obtain itemized statements of services provided or ask questions about your account in person or via myMDAnderson. PBS customer can also answer your financial questions after you return home.

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Type of Charges

MD Anderson’s patient statements contain two separate billing components.

  • Hospital charges are for the use of hospital facilities and the services provided by the nurses and other members of your care team who are not physicians.
  • Physician charges represent the specialized services that your physicians will provide.

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Initial Deposit for Evaluation

If you are paying for your own care, you will be asked to pay an initial deposit to be evaluated at MD Anderson. This deposit is determined by the care center based on the type of cancer for which you are being seen. This deposit represents the average charge for evaluation by your physician, as well as the diagnostic tests that are normally performed in order to make a diagnosis and develop a treatment plan. The deposit is an estimate only. Actual charges may be higher or lower based on your specific needs.

MD Anderson deposit amounts include charges for both hospital and physician services. Other hospitals may provide only hospital charges, so if you are comparing charges at other institutions, you will want to ask for physician charges as well. Please speak to your International Patient Assistant if you need clarification. Our intent is to make sure you are aware of what the total estimated cost of your evaluation may be in advance.

Patients sponsored by embassies or corporations must have a valid letter of guarantee prior to receiving services. Your embassy will be billed directly by our International Center Senior Patient Account Specialist to receive payment. Some services may require prior authorization by the embassy in order to be covered.

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Charge Estimate for Treatment

Once you receive your initial evaluation by an MD Anderson physician and agree on a treatment plan, Patient Access Services will provide you with a charge estimate for continued treatment. This Charge Estimate is based on the plan of care that your physician recommends for you. Your actual charges may be more or less than the estimated amount. You may request a charge estimate for services prior or during your visit. We realize that the cost for cancer services may be a concern for your family, so we are available to help answer your financial questions.

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You will receive a patient statement showing all hospital and physician charges approximately four to six weeks after your appointment.

If your total charges are more than the estimate you paid, your patient statement will show a balance due. If your actual charges are less than the amount you paid, you can request a refund. Statements do not reflect any credits that may be on your account.

If you wish to have a family member assist you, please complete an Authorization for Disclosure of Financial Information form so that we will be able to release financial information to that person.

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If you are sponsored by an embassy or have insurance, MD Anderson will bill your embassy or insurance carrier. Contact your insurance plan for specific coverage information that may impact your financial responsibility. For services not covered by an embassy or your insurance, or if you do not have insurance, payment is requested prior to receiving treatment.

Payment in full is applied to hospital charges and to physician charges as indicated on your statement. If you pay less than the full balance, your payment will be applied to the oldest service dates and split between hospital and physician charges. To ensure timely and accurate payment posting, please include the remittance coupon attached to your statement.

MD Anderson accepts cash, check (if the bank has a branch in the United States) or credit card as forms of payment. MD Anderson accepts the following credit cards: Visa, MasterCard, American Express and Discover. Payment can be made either at your center or at one of the cashier locations in the Mays Clinic (near Tree Sculpture) or in the Main Building (near Café Anderson).

If you wish to make a wire transfer prior to your appointment, please use the following routing instructions.

Name: JPMorgan Chase Bank, N.A.

Address: 707 Travis
Houston, Texas 77002-5860

Phone: 713-216-4865

S.W.I.F.T. CHASUS33  (Learn more about S.W.I.F.T.)

ABA Routing Number: 021000021

Account Number: 1586838979

Account Name: University of Texas MD Anderson Cancer Center

Patient’s Name:

Referral Number:

Please allow approximately five to seven business days for an international wire to arrive. It is important that you send a copy of the wire receipt to your care center prior to your next appointment, in order to verify a wire is in process.

Please note that deposits that exceed the actual charge estimate will be returned to the originating bank and will not be applied to your account.

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If your actual charges are less than the amount you paid in advance, and you don’t anticipate receiving further treatment at MD Anderson, you may request a refund. Refunds take approximately two weeks to process. If you paid by credit card, a refund will be made to your credit card account. Otherwise, your refund will be by check or wire transfer.

Refunds for deposits made due to pending insurance authorizations will not be processed until after the insurance pays on your invoices, which may take approximately three to six months for non-contracted insurances.

Contact the Patient Business Service for assistance.

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Clinical Trials

MD Anderson sponsors many clinical trials that research breakthrough treatments for cancer. If you are participating in a clinical trial, the trial sponsor, embassy or your insurance company may cover some of the charges. Items paid by the clinical trial will be listed in your Charge Estimate Letter, in a section titled ‘Charges Paid by Clinical Trial.’ You or your insurance will be responsible for the charges not covered. These are listed in the section titled ‘Charges not Paid by Clinical Trial.’ The Patient Access Services staff in your center is available to help answer any questions you may have.

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Account Review

During your stay, your account may be placed in “review” status to notify your care center when they need to request additional information from you. It also gives the care center an opportunity to inform you of your upcoming services by providing you with a charge estimate or balance information. Our goal is to resolve any questions regarding your account, and we appreciate your cooperation in doing so. Communication with your Patient Access Services staff is important, especially if there are changes in your information.

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Discounts for Uninsured Patients

If you are paying for your own care, your charges may be eligible for a discount. In order for a discount to be considered, your charge estimates must be paid in advance and any billed amounts must be paid timely. Accounts that are in collections are not eligible for a discount. Your Patient Access Specialist is available to review your account and advise you about any potential discounts.

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myMDAnderson is a secure online tool to communicate with us and find out information about your care. You can view your schedules, medical records and statements, pay your bill, and correspond via secure messages to the International Center Business Center, your care center, or PBS Customer Service. Embassies also have access to myMDAnderson.

Using myMDAnderson is beneficial because you can send a message or check information online at your convenience. We will respond to your messages in a timely manner. Talk to a staff member to sign up for or request help with myMDAnderson.

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Contact the International Center

Contact us with questions or to make an appointment.

Phone: 001-713-745-0450
Toll-free from Mexico & Canada: 800-811-6167
Hours: Monday - Friday, 8:00 a.m. - 5:00 p.m. (CST)

What to Expect

Find more information on each step of the appointment process: 

myMDAnderson for Patients

myMDAnderson is a secure site for registered patients of MD Anderson. The site features:

  • Secure messaging between patients and care team/support staff
  • Appointment schedules
  • Patient education materials
  • Online prescription refills
  • Patient billing statements
  • Personal Health Record, including lab and pathology results

Our Global Culture

Meet Eileena Tran

Eileena Tran
Financial Analyst, CIO Office
Hong Kong


If I had to recommend services to an international patient, I would recommend that they get to know their patient access representatives so they can really get a clearer understanding of their financial responsibilities. Also, the language assistance program is great. I know from personal experience with my parents and family that being able to communicate freely in your native language can take some of the anxiety away. It also ensures a better understanding and the opportunity for questions and can open a more honest line of communication.

© 2015 The University of Texas MD Anderson Cancer Center