Estimate of Charges

http://pricing.floridahealthfinder.gov

On the above link, you can find service bundle information about the costs for your procedure. This information is a non-personalized estimate of costs that may be incurred for your anticipated services. Your actual costs will be based on the specific services provided to you.

Patients and prospective patients may request from this facility and other health care providers a personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in the ASC to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.

You will be contacted prior to your procedure to advise you of your estimated costs due at the time of service. Every attempt will be made to estimate your portion (the portion of charges your insurance will not cover or deems patient responsibility) as closely as possible. This verification will include MCC physician’s surgical fees, facility fees, and any applicable anesthesia fees. You will be given a copy of our estimate on the day of your procedure.

The deposit calculation sheet given on the day of your procedure is strictly an estimated figure. Please be aware that there are many variables which could result in charges being more or less than estimated. The estimated balance is based on your insurance benefits when verified and may vary when insurance is billed.

Amounts collected at the time of service are strictly an estimate, and insurance must process before final patient responsible amounts can be determined.

In the event of any overpayment or credit on your account, signing the deposit calculation authorizes the transfer of the overpayment to any outstanding debt at the Ambulatory Surgery Center and/or Medical Center Clinic.