Once in collections for a hospital bill that they denied you financial assitance on can you contact the hospital to negotiate with them again or is there any other way to get bill lowered?

Everything is negotiable. Remember it is always better to pay a balance in fullthan a settlement. Reason: a settlement will show on the respective tradeline on your credit report that the account was "Legally settled for less than the full balance". This sends the message to risk managers that you borrow money but fail to pay all of it back. Contact the hospital. Negotiate your best arrangement. Most hospitals just want their money and will take payments. Try to determine what the insurance company would haveauthorized for payment and use that amount as a basisfor your out of pocket limit. Do not let this go to 3rd party collections. Talk to the primary creditor and make your arrangements with them. A collection agency will be after the balance in full, with little orno "wiggle" room.