Understanding Colonoscopy and EGD Billings
Subject to Four bills for one procedure
They will be as follows:
- Facility Charge (The place where your procedure is scheduled
- Physician Charge for the procedure itself.
- Anesthesia Charge.
- Lab Charge (for testing or if biopsies are taken).
Gastro-intestinal consultants of Central Florida and Premier Surgical Center make every effort to call your insurance company to verify coverage for your procedure. This is no guarantee of payment from your insurance company. It is the patient’s responsibility to know the coverage of your procedure; you will need to contact your insurance company directly. Gastro-intestinal Consultants of Central Florida and Premier Surgical Center can only estimate charges incurred for our Physicians’ and anesthesia services. If you have questions regarding ay of the above mentioned charges, please contact your insurance company or our billing department (352-383-7703).
A screening colonoscopy is usually covered 100%% under your insurance preventative benefit. However, while the doctor is performing your screening, he may find a polyp. He may at that time remove the polyp and have it sent for biopsy. While the main colposcopy code should still be covered by your preventive benefit, there may be a portion that the patient may owe for that polyp and/ or biopsy.
EGD (Lower Endoscopy)
An EGD is not covered 100%. Depending on your insurance plan you will be responsible for your deductible co-pay or coinsurance. The portion you are responsible for will be collected at the time of your procedure. Any money collected upfront is only for the surgical facility. You will still receive your bill for anesthesia and doctor.
SELF PAY PROCEDURE RATES
$750 COLLECT 2 CHECKS ($350 FOR GI AND $400 FOR PSC)
$900 COLLECT 2 CHECKS ($450 FOR GI AND $450 FOR PSC)
COLONOSCOPY & EGD
Total for Colonoscopy (Colonoscopy & EGD) - $900
Total for EGD (Colonoscopy & EGD) - $375 As 2nd Procedure Reduced By 1/2 For Multi Procedure, Same Day Of Service
TOTAL FOR COLONOSCOPY AND EGD is $1,275.00
Collect 2 Checks ($625 For GI And $650 For PSC)