3001 St Rose Pkwy, Henderson, NV
ProcedureScout is independent and free to use. We are not paid by hospitals, financial assistance programs, applications, or referrals. This information is provided to help patients understand benefits that may already be available to them.
Financial Assistance Program
St. Rose Dominican - Siena Campus
Required Documents
What this hospital usually asks you to bring with your application
- Government-issued photo ID (driver's license, state ID, or passport)
- Proof of household income (most recent 2 months of paystubs, or last year's tax return / 1099 / W-2)
- Proof of Nevada residency (utility bill, lease, or bank statement)
- Social Security card or ITIN (for each household member, when available)
- Documentation of any other coverage (Medicaid, Medicare, employer plan, VA, exchange plan) or written denial
- Bank statements for the last 3 months (for asset-based review)
How to Apply, Step by Step
- 1Download the FA application PDF from commonspirit.org or call 702-616-5002 to request it by mail.
- 2Complete the Dignity Health Nevada / St. Rose application.
- 3Attach ID, paystubs/tax return, residency, and any coverage denials.
- 4Submit by mail, fax, email (PatientFinancialAssistance@commonspirit.org), or in person at Patient Registration.
- 5A financial counselor follows up for any missing items.
- 6Decision letter mailed within 30 days of a complete application.
Processing Timeline & Appeals
How long it usually takes: Typically 14–30 days from a complete application.
If your application is denied: Denied applicants may appeal in writing within 30 days. CommonSpirit reviews appeals at the system level.
Hospital Contact Information
Policy Information & Verification
- Hospital's Financial Assistance Page
- Application Form (PDF)
- Full Written Policy
- Verified Source: CommonSpirit Health Financial Assistance Policy G-003 (2024)
- Verification Date: 2026-06-20
- Policy Effective: 2024
What Counts as "Medically Necessary" Care?
Medically necessary care means care you need — services to diagnose, treat, prevent, or manage a medical condition, illness, injury, or disease. Most hospital financial assistance programs cover this kind of care. The final call is always made by the hospital, your doctor, your insurer, or the financial assistance program — not by ProcedureScout.
- Cancer treatment
- A colonoscopy ordered by your doctor
- Imaging (MRI, CT, ultrasound) ordered by your doctor
- Heart procedures
- Emergency room care
- Surgery to treat an illness or injury
- Cosmetic procedures
- Elective procedures done only for appearance
- Services a hospital specifically excludes
Every hospital and program writes its own rules. The lists above are common examples — they do not guarantee your specific procedure will or will not qualify.
Frequently Asked Questions
- It's a program — written by the hospital itself — that reduces or eliminates your hospital bill if you can't afford it. It is not insurance. It is not a loan. If you qualify, the hospital lowers what you owe (sometimes to $0). Most nonprofit hospitals are required to publish one.
ProcedureScout is independent and free to use. We are not paid by hospitals, financial assistance programs, applications, or referrals. This information is provided to help patients understand benefits that may already be available to them.