Will collection agencies settle for less on medical bills?

Asked by: Luella Gislason  |  Last update: July 10, 2025
Score: 4.4/5 (22 votes)

For medical debt, it is common to negotiate to a lower amount than you were originally billed. For medical debt, creditors will typically settle for roughly the amount insurance companies pay for the same services, which is usually much lower than the amount that would be billed to an uninsured person.

How to negotiate with collection agencies for medical bills?

How to Negotiate Medical Bills in Collections
  1. Review Bills: Check accuracy.
  2. Direct Negotiation: Try with the provider first.
  3. Payment Plans: Explore options like medical credit cards.

Can you settle medical bills for less?

Unlike many other types of debt, medical bills can often be negotiated. See if your provider offers any discounts for things like paying as a lump sum (provided you can afford it). Many hospitals also have bill relief programs that can help decrease your bill if you meet certain criteria for financial assistance.

What percentage should I offer to settle a debt?

Some collectors want 75%–80% of what you owe. Others will take 50%, while others might settle for one-third or less. So, it makes sense to start low with your first offer and see what happens. And be aware that some collectors won't accept anything less than the total debt amount.

What is the law on unpaid medical bills in Washington state?

(1) No health care provider or health care facility may sell or assign medical debt to any person licensed under chapter 19.16 RCW until at least one hundred twenty days after the initial billing statement for that medical debt has been transmitted to the patient or other responsible party.

Former Collectors Advise What to Say When Medical Debt Collectors Call

37 related questions found

What happens if a medical bill goes to collections?

Once medical bills enter collections, they are often reported to consumer credit reporting companies. Medical debt collections on a credit report can impact your ability to buy or rent a home, raise the price you pay for a car or insurance, and make it more difficult to find a job.

What is the surprise medical billing law in Washington state?

Your Rights and Protections Against Surprise Medical Bills. Beginning January 1, 2020, Washington State law protects you from surprise, or balance, billing. Under your health plan, you're responsible for certain cost-sharing amounts. This includes copayments, coinsurance, and deductibles.

What is the lowest a creditor will settle for?

In some cases, you may be able to settle for much less than that 50.7% average. Collectors holding old debts may be willing to settle for 20% or even less. The statute of limitations clock starts from the date the debt first became delinquent.

Will a collection agency sue for $300?

Most debt collectors won't sue for less than $500. However, any unpaid debt can potentially result in debt collection legal action regardless of the amount owed if the collector determines suing worthwhile.

How to get a collection agency to settle for less?

Negotiating with debt collectors is a four-step process.
  1. Verify the legitimacy of both the debt and the collector.
  2. Review your finances and choose your most affordable payment option.
  3. Negotiate with the debt collector.
  4. Get agreements in writing.

Is there debt forgiveness for medical bills?

All hospitals offer discounts or bill forgiveness based on income. On average, a family of 4 earning less than $100,000 a year will qualify. You can apply for financial assistance before or at the time of your hospital treatment or service. You do not need to wait for a bill.

How much will a medical debt collector settle for?

For medical debt, creditors will typically settle for roughly the amount insurance companies pay for the same services, which is usually much lower than the amount that would be billed to an uninsured person.

What do I say to lower my medical bill?

How to Negotiate Medical Bills
  1. Ask for a detailed bill. ...
  2. Make it clear that the current amount represents a hardship. ...
  3. Ask about available discounts. ...
  4. Express a willingness to pay to your best ability. ...
  5. Be persistent (and polite) ...
  6. Appeal insurance denials. ...
  7. Suggested script for negotiating your medical debt.

What is the minimum amount I can pay a debt collector?

Debt collection thresholds vary widely and depend on several factors. While there's no legal minimum, practical limitations often determine the smallest debt amount collection agencies will pursue.

What do you say to a debt collector for medical bills?

Consumer advisory: Pause and review your rights when you hear from a medical debt collector
  1. Request a detailed list of charges. ...
  2. Negotiate the amount you owe. ...
  3. Submit a complaint. ...
  4. Get legal help. ...
  5. Catch up with CFPB's work on medical debt.

Is it better to settle medical debt or pay in full?

Settling a debt with a debt collector happens by negotiating a reduced total amount due. However, these agreed payments often require the full payment to be made at one time. Therefore, it is best to settle medical debts as early as possible before going to a collections agency.

How much should I offer a collection agency to settle?

“Offering 25%-50% of the total debt as a lump sum payment may be acceptable. The actual percentage may vary depending on the circumstances of the borrower as well as the prevailing practices of that particular collection agency.” One benefit of negotiating settlement terms is likely to reduce stress.

What is the lowest amount a debt collector will sue for?

For most debt collection agencies, suing for very small amounts is not economically viable. While specific thresholds vary among agencies and jurisdictions, certain principles generally apply. Typically, agencies may set a minimum threshold, often around $500 to $1,000, below which they are unlikely to sue.

Is it true you don't have to pay a collection agency?

Do You Have to Pay Debt Collectors? Yes, if a debt collector has contacted you about a legitimate debt, you are legally obligated to pay it. However, it's essential first to verify that the debt is yours and the amount is correct.

How to negotiate a medical bill in collections?

7 Steps to Take If You Have a Medical Bill in Collections
  1. Step 1: Validate and Verify Your Debt. ...
  2. Step 2: Demand That the Collections Agency Only Contact You in Writing. ...
  3. Step 3: Verify whether or not insurance already paid the amount you owe. ...
  4. Step 4: Negotiate with the Hospital. ...
  5. Step 5: Negotiate with the Collections Agency.

What is the least acceptable settlement?

Your Least Acceptable Agreement is the minimum you need before walking away. It is the minimum you are willing to accept, and so forms one of the outside parameters of your negotiating envelope.

Is it better to settle debt or not pay?

So, if you've fallen behind on payments, it's crucial to address the situation head-on as soon as possible. In general, paying off your credit card debt in full is the optimal solution that preserves your credit score and history.

Can medical bills go to collections in Washington state?

Having medical bills, especially when you have been sick, can cause worry and extra stress. But ignoring these bills can lead to bigger problems. Your bills might be turned over to a collection agency or you might be sued. If you cannot afford your medical debt, here are some options that can help.

How to negotiate a surprise medical bill?

Here are a few tips to help you decipher your bill.
  1. Request an itemized bill. ...
  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.

How long do I have to pay a medical bill?

30 days once it's sent to the collectors it's no longer in the hospital's hands you have to just pay the bill or they'll just put it on your credit 30 days is Max in just about every state that I know of if you want to avoid that timeline set up a good faith payment they'll accept a small amount and once they do you ...