Financial Assistance Policy

If Surgery Center of Florida believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Surgery Center of Florida may initiate contact with them to determine your cost-sharing responsibilities for Surgery Center of Florida’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If Surgery Center of Florida determines that you have cost-sharing responsibilities for Surgery Center of Florida’s bill, in accordance with Surgery Center of Florida’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided. Surgery Center of Florida’s financial assistance policies are that if you are unable to pay your cost-sharing responsibilities in full on or before the date that Services are provided, because you believe you are medically indigent or you are not covered by any health insurance or HMO, then upon request Surgery Center of Florida, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by Surgery Center of Florida to be “charity care.” There is no formal application process for obtaining “charity care” at Surgery Center of Florida. Surgery Center of Florida’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.

Good Faith Estimate

Upon your request, and before the provision of non-emergency care at Surgery Center of Florida, you can receive a good faith estimate of anticipated charges for the treatment of your condition at Surgery Center of Florida. This estimate must be provided to you within seven (7) days of the request being received by Surgery Center of Florida. You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling Surgery Center of Florida at 727-787-3000.

Itemized Bill

Upon request and after discharge from Surgery Center of Florida we will provide a statement within 7 working days of your request.

Provider Disclosure

Services may be provided in this health care facility by Surgery Center of Florida as well as by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as Surgery Center of Florida. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. Surgery Center of Florida may contract with providers for pathology and anesthesiology services; these services are billed separately from Surgery Center of Florida for their services. You may contact these providers through their contact information provided below.

Surgery Center of Florida Providers

We may be required to send tissue for analysis by a pathology lab contracted with your health plan. Your insurer’s provider network information may include the pathology lab in the insurer’s network of providers. You may want to check with your insurer. Or you can contact the laboratory directly about whether they participate in your health plan.

The pathology labs we send tissue to for analysis include:

Quest Diagnostics
4226 East Fowler Avenue
Tampa, Fl 33617
866-697-8378