Transparency in Healthcare
Pricing Estimates and Information
Doctors Outpatient Surgery Center is committed to providing meaningful information to our patients related to financial obligations for healthcare services. It is our intent with this website to publish our Financial Assistance Policies and provide a way to obtain an estimate of patient payment amounts for our most commonly services. If you have insurance, in order to provide you with information that is helpful based on your specific healthcare coverage, please contact our Billing Department at 239-566-5748.
If you do not have insurance, we are more than happy to provide you with an estimate for your expected service over the phone. Feel free to call us directly to obtain your estimate at 239-566-5748.
We know today, especially when so many are uninsured or underinsured, it is important for you to have healthcare pricing information. Doctors Outpatient Surgery Center is committed to making this information available so you can better anticipate and understand financial responsibilities to make informed healthcare decisions.
Because we know that healthcare is complex and that a general listing of prices for our common procedures will not meet everyone's needs, our billing department will be able to provide you with a prospective service quote. Our goal is to make this important information easy to access and personal to you.
Patients may access the State of Florida’s Agency for Healthcare Administration website at this link for information about this facility: http://www.floridahealthfinder.gov
What is Pricing Transparency?
"Pricing Transparency" is the term used to describe initiatives in the healthcare industry designed to provide meaningful pricing information to consumers. The healthcare industry is often complex and difficult for patients to navigate. Our center is committed to presenting pricing information for common services through this website in an accessible manner to promote better understanding, while also providing useful information about financial assistance available, definitions of key terminology, and key financial policies.
To obtain an estimate, what information do I need to have available?
It is a good idea to contact your physician's office to get the best description possible of the services that you need. Then, if you have insurance, contact your insurance company and make sure that the services required are "covered services" under your specific plan. If they are not "covered", then you would be considered "uninsured" for these services.
When you call our Billing Department at 239-566-5748, please try to have the following information on hand so that you can obtain the best estimate:
• Description of services needed - we will need to know as much information as possible about the specific services needed as described by your physician.
• Physician/Specialist Name - we will need to know the surgeon's name.
• If you have insurance, we will also need:
Your insurance card - please have your card available so that if needed, you can provide the following information: name of insurance company, type of policy (e.g. HMO, PPO, POS, Indemnity), policy holder's name, group name and number, policy number, insurance company phone number.
Policy holder's personal information - it is possible that the insurance company will want us to verify the Social Security Number and date of birth of the person who is named as the primary insurance policy holder.
What does "Uninsured" mean?
It means a patient does not have insurance coverage for hospital services by a third party like Medicare, Medicaid, Workers Compensation or another insurance company. Other common terms used when referring to uninsured patients are: Self Pay and Private Pay.
What services are excluded in my estimate?
Your personal physician or other physicians providing you with services related to your visit will bill you separately. This can include fees related to specialists, anesthesiologists, pathologists, and radiologists. Independent laboratory and radiology services will also bill you separately for reading and interpreting EKGs, X-rays, EEGs and lab work.
What services are included in my estimate?
If you are viewing estimates provided on this website, the pricing includes estimated for supplies, nursing care, equipment use, medications administered during your service and any services handled by the staff within the walls of the surgery center.
How do I obtain a patient estimate?
Please call us at 239-566-5748 to speak with one of our billing specialists who will be happy to assist.
Can I get an exact pricing quote?
Unfortunately, we are not able to provide an exact pricing quote pre-service. We will do our best to provide you with a pricing range based on our center's historical pricing for comparable services. Price quotes are not guaranteed since the services used to compute the quote can vary from services you actually receive due to treatment decisions, unforeseen complications, additional tests or services ordered by your physician, and variation in the clinical needs of each patient.
What is expected of patients in terms of payment?
Similar to your visits to your physician's office, we request payment at time of service. If you have insurance or other coverage, you will be asked to pay your copayment, coinsurance and/or deductible upon arrival at the center or in advance to make the process smoother for you on the day of service. After your insurance company pays us, we will send you information about any amount you may still owe.
If you are uninsured, we request payment at time of service (or will work with you to arrange monthly payments) for the estimated price of your services. If, after your services are received, any additional payment is due, we will send you information about any amount you may still owe.
We accept major credit cards, checks, money orders and cash.
How does the insurance billing process work?
If you are insured, a claim will be sent to your insurance company. After they receive the claim, the insurance company may contact you for additional information. Please respond to your insurance company's questions as quickly as possible so their payment is not delayed. It usually takes 30-45 days for your insurance company to pay your claim. After they pay us, we will provide you with information about any amount you may owe that you did not already pay. Please keep in mind that your policy is a binding agreement between you and your insurance company. If you did not follow your insurance plan's terms, they may not pay for all or part of your care.
What do I do if I need more information?
Because it is our goal to provide patients with useful information, we feel it is our responsibility to share more with you about some of the complications involved in determining patient financial responsibility. Providing you with an estimate of your potential costs is an imperfect process and although we would like to guarantee our pricing estimates, it would be inappropriate to do so as there are many reasons the patient payment may be more or less than what we initially estimate. All estimates are based on information provided to us by a prospective patient. We cannot predict or estimate for changes in treatment decisions, unforeseen complications, and additional tests or procedures ordered by a physician, among other variables. If you have a question please call our Billing Department at 239-566-5748.
Doctors Outpatient Surgery Center makes no guarantees regarding the accuracy of the pricing information provided herein. The pricing information provided by this website is strictly an estimate of prices, and Doctors Outpatient Surgery Center cannot guarantee the accuracy of any estimates. All estimates are based on information provided by a prospective patient and do not include, among other things, any unforeseen complications, additional tests or procedures any of which may increase the ultimate pricing for the services provided. Any prospective patient should understand that a final bill for services rendered at Doctors Outpatient Surgery Center may differ substantially from the information provided by this website, and Doctors Outpatient Surgery Center shall not be liable for any inaccuracies.