Procedure Rates & Billing

UNDERSTANDING COLONOSCOPY AND EGD BILLINGS

Subject to Four bills for one procedure

They will be as follows:

1. Facility Charge (The place where your procedure is scheduled
2. Physician Charge for the procedure itself.
3. Anesthesia Charge.
4. 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).

Screening Colonoscopy

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

EGD

$750 COLLECT 2 CHECKS ($350 FOR GI AND $400 FOR PSC)

COLONOSCOPY

$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)

The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and that actual costs will be based on services actually provided to the patient

http://pricing.floridahealthfinder.gov

• Patients have the right to request a personalized estimate from the center.
• Patients have the right to request financial assistance policy, charity care policy, and collection procedure.
• Patients should contact the health care practitioners anticipated to provide services to the patient while in the center regarding a personalized estimate, billing practices and participation with the patient’s insurance provider or health maintenance organization (HMO) as the practitioners may not participate with the same health insurers or HMO as the center.

Patients Financial Information Policy and Authorization Form
Click Here

Financial Assistance Policy/Charity Care Policy/Collection Procedure

For payment plans, financial assistance plans, or charity care discounts please call the billing office to see if you qualify: Premier Surgical Center Billing Office Manager, Ruth Petty, 352-901-7499. After surgery, Premier Surgical Center will submit your bill to your insurance company.

Financial Assistant Plan:
If Premier Surgical Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, Premier Surgical Center may initiate contact with them to determine your cost-sharing responsibilities for your bill. You may also contact your insurance provider directly for additional information concerning your cost-sharing responsibilities. If Premier Surgical Center determines that you have cost-sharing responsibilities for the account, in accordance with the financial assistance policies, you may apply for care credit or talk with the Billing Manager for a self-pay arrangement. If you cannot pay the 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 it is the sole discretion of the Billing Manager and Administrator who may offer you a manageable payment plan.

Premier Surgical Center considers any discount to be “charity care.” There is no formal application process for obtaining “charity care”, and will be at the discretion of the Billing Manager and Administrator.

Premier Surgical Center’s standard collection policy is to produce and send one or more bills to patients for their cost-sharing amount. Billing is thirty days after the day of the procedure. If payment is not received within 60 days past the day of the procedure, a third billing is sent for the 90 days period. If payment is not received, A third billing is sent to the collection agency.