Pricing Transparency and Patient Billing Information

 

Here at Seven Springs Surgery Center, we find it important for our patients to make informed decisions about their healthcare. We understand you may want to know what your out of pocket expenses may be. The following links may help you fully understand your rights and this process:

FloridaHealthFinder.gov for consumer health care information.

Click here for Patient Rights Under Florida Transparency Act of 2016.

The Agency for Health Care Administration places an emphasis on health care transparency for Florida's consumers. The agency has create a website with detailed information on healthcare pricing and quality at locations and facilities around the state. This website is a step forward in allowing Floridians to make more informed health care decisions.

At Florida Health Price Finder (https://pricing.floridahealthfinder.gov), you'll find data on health care costs for national, state, and county prices.

Pricing Transparency Requirements

The State of Florida requires most healthcare facilities to provide information about pricing and billing on their websites. Much of this information can be found on the FloridaHealthPricing website of the Agency for Health Care Administration (AHCA). The site, which can be found at https://pricing.floridahealthfinder.gov., shows average payments made to health plans for more than 200 service bundles. The bundles include payments to physicians, hospitals and ancillary services.

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

Patients have a right to request a personalized estimate from the center. 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 may pay less for this procedure or service at another facility or in another health care setting.

You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities.

 

Quality Measures

AHCA also provides information on quality measures on its web site at FloridaHealthFinder.gov. This website includes information on readmissions data, mortality rates, complication rates, infection rates, and patient satisfaction.

  Please Note Below:This request is for an estimate and is not a guarantee of coverage. Depending on the individual case, you may be held liable for additional services which are medically necessary as a part of patient care and not included on the estimate.  
Complete the Attached form and we will provide your estimate request within 7 business days.
 

Practitioners

Seven Springs Surgery Center

2024 Seven Springs Blvd.
New Port Richey, FL 34655
(727) 376-7000

 
Larry M. Perich D.O.
Tanya D. Perich D.O.
Kyle J. Linsey D.O.
                                   

The Seven Springs Surgery Institute first opened January 1992. Our state-of-the-art facility is equipped with two operating rooms, two laser suites and comfortable pre and post-operative areas. Your surgical experience and comfort should be as pleasant as possible. Providing that personal attention and care is our main goal.

The Surgery Institute is Medicare-certified and fully licensed by the State of Florida.

Just one of the many benefits of choosing Seven Springs  Surgery Institute whether it's for cataract, droopy eyelid, retinal, corneal or cosmetic surgery is that your procedures are performed in our own Ambulatory Surgery Institute where your privacy, comfort and personal care are ensured.

The Seven Springs Surgery Institute opened in January 1992, to offer our patients the personal attention and care they deserve. This state-of-the-art facility features two fully equipped operating rooms, two laser suites as well as a comfortable pre and post-operative area. Our main goal is to make your surgical experience as comfortable and pleasant as possible.The Surgery Institute is Medicare-certified and fully licensed by the State of Florida.
As an additional convenience, courtesy transportation is provided upon request for all surgery patients. Just let us know prior to your surgery.

Financial Assistance

Seven Springs Surgery Institute offers a financial assistance program offers a variety of ways to reduce a patient's financial responsibility for services rendered by the surgery center. Our program structures a balance between offering the patient a reduced financial liability while still complying with insurance contract obligations and Federal and state regulations. Please contact our facility's business office for further information on our policies as reflected below. Surgeons and other service providers (such as pathologists or laboratories) bill for their services separately from the surgery center and may offer their own financial assistance program, please contact them for further information regarding their services.

Application Process

You may request the facility to provide details for any of the elements within the financial assistance program. Certain policies have an application process requiring the patient to submit additional financial and household information to determine qualification of the available assistance.

Seven Springs Surgery Center Introduces CareCredit

As a service to our patients, we are pleased to offer the Care Credit card, North America's leading patient payment plan. Care Credit offers a full range of payment plans to meet every financing need. With the popular No Interest Payment Plans* there are no interest charges if the balance is paid in full within the specified time period. Or, if you prefer an even lower monthly payment, you can choose the low interest, Extended Payment Plan* for procedure fees from $1,000 to over $25,000. Plus, there are no upfront costs, no annual fees, and no pre-payment penalties. It's easy to apply and you may receive an online decision in seconds. Follow the link below for more details.

Payment Plans

Each patient is expected to pay his/her estimated financial liability on or before the day of service. In the event a patient is unable to pay the estimated liability in full, our surgery center may offer a short term repayment schedule after a minimum down payment is made. For an extended repayment schedule, a patient may need to secure financing with an outside source. Please consult with our surgery center's business office for further information.

Uninsured Discounts

Patients who are not eligible to receive services paid for by insurance or other third party payment sources may be eligible to receive an uninsured discount from our facility. This discount does not apply for cosmetic surgery services as defined by our facility. The discount is a set percentage off of charges and is subject to change. If a patient's services are subsequently found to be covered by insurance or other third party payment source, the uninsured discount may be disallowed.

Charity Care

The center maintains a charity discount policy which provides financial relief to patients who receive medically necessary care and who do not qualify for state or Federal assistance and are unable to pay the estimated or remaining financial responsibility in part or in full. A patient must meet the policy's household income qualifications which are based on Federal Poverty Level Guidelines (revised annually). Submission of supporting documentation is required to validate a patient's qualifying status.

Out of Network

A patient receiving treatment at our surgery center under insurance with which our facility is out of network may be eligible to receive an adjustment to their assigned out of network patient liability, assuming our facility is not prohibited from offering Out of Network adjustments under state/Federal laws or your insurance company's provisions. If not prohibited, the application of any out of network discount is subject to vary based on a patient's benefit coverage. Accounts which become delinquent may have the adjustment disallowed.

Collection Procedure

As a courtesy to our patients, we will file an insurance claim on behalf of the patient to his/her insurance plan. A patient is expected to respond to his/her insurance plan's request for information timely,as needed, in order to minimize processing delays with the claim.

Patients are expected to pay their financial obligations in a timelymanner including the estimated portionby the day services are received, and any remainingportion upon finalization of the claim by the payer. Unpaid claimsby the payer may resultin the account's outstanding balancebeing fully transferred to the patient for collection.

If needed, the center will attempt to reach a patient by any method available to us to secure paymenton the outstanding balance utilizing internal and external resources. If the account becomes delinquent, it may be placed with an attorney or agency for collection in which their fees and expenses may be the obligation of the patient.

Other Providers

Services may be provided in this health care facility by the facility 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 the facility. You may pay less for this procedure or service at another facility or in another health care setting.

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

Contracted Service Providers

As of January 07, 1992the following providers render services to patients of this surgery center. Patients should contact:

Anesthesia BKS Anesthesia (727) 934-3009

Pathology

This surgery center submits specimens to different pathology providers so please inquire with the facility as to which pathology provider will be used. Some pathology providers may engage specialized pathologists to assist in examining the patient's specimen.

Laboratory

This surgery center submits specimens to different laboratories so please inquire with the facility as to which one will be used. Some laboratories may engage other labs to assist in analyzing the patient's specimen.

FloridaHealthFinder.gov

Patients may access the State of Florida's Agency for Healthcare Administration website at this link for information about this surgery center: www.floridahealthfinder.gov

Requestor Information (if not patient)

By selecting "Submit" you confirm that you understand the following statements.
Any information received is only an estimate. The estimated price will be based on information you and your provider share with us about what services are expected to be performed. Many factors will influence the actual amount you will be billed, including whether the provider finds it necessary to perform more, fewer or different procedures than originally expected at the time of service.
Any information received reflects only hospital charges. It does not include charges for services provided by the physician, surgeon, anesthesiologist, emergency room physician or other providers.
If you are insured, prior to your visit, it is important you contact your insurance company to ensure that services required are "covered services." In the event that they are not covered services under your plan, please refer back to our uninsured information
Current Procedure Terminology(CPT) Code - A CPT code communicates to payers what medical and surgical procedures and diagnostic services are rendered by your provider and where payment is expected. You can find on the order from your doctor.