Transparency in Healthcare
Services may be provided in this health care facility by the facility as well as 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.
Patients and prospective patients may request from this facility and other health care practitioners a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner anticipated to provide services to them in the ASC as to provide a personalized estimate, learn the providers billing practices and their participation with the patients insurance provider or health maintenance organization (HMO) as some practitioners may not participate with all the same health insurers or HMOs as the center.
The following providers are contracted with Center for Special Surgery to provide services for patients:
Florida Price Transparency Requirements for Ambulatory Surgery Centers
Florida law requires that an ambulatory surgery center post on its website a consumer-friendly list of standard charges for at least 300 shoppable health care services, or if a facility provides fewer than 300 distinct shoppable health care services the standard charges for each service it provides. A copy of this facility’s standard charges for shoppable services is linked below.
https://link.edgepilot.com/s/c083fcc6/AM1P5jI9JU62XxM5pOMGMg?u=https://app.atexinsight.com/vvtaFiEXP37
The Florida Agency for Health Care Administration (Agency) launched Florida Health Price Finder, a new health care transparency tool for consumers. The new website allows consumers and caregivers to look up the average amounts paid by Florida insurance plans for a specific service, giving them a better estimate of their total out-of-pocket expenses. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and actual costs will be based on services actually provided to the patient. The average amounts paid by insurance plans are based on billions of lines of claims data from three Florida health plans. Claims data from additional health plans are expected to be added to the database in 2018.
- The website lists the services as “care bundles”. A care bundle includes the steps and procedures that are part of a typical treatment plan for that specific care bundle. For example, the care bundle for Knee Replacement includes an office visit with a specialist, surgery, outpatient physical therapy/rehabilitation and follow-up visits.
- Since 2007, Floridians have been able to use FloridaHealthFinder.gov to look up undiscounted hospital charges, however, this is rarely the amount that individuals or insurance companies are expected to pay. Now, with this new tool, and in conjunction with working with their respective insurance plans, Floridians have the opportunity to get a much better estimate of out-of-pocket costs for specific services.
Florida Health Price Finder – https://link.edgepilot.com/s/da3eb798/QZ5nxVRuiUa2xWlwgyC5Fg?u=https://price.healthfinder.fl.gov/
Click here for a list of names and web addresses of health insurers and health maintenance organizations (HMO) contracted with the hospital as a network provider or participating provider.
Patient Complaint or Grievance
To report a complaint or grievance, you can contact the facility Administrator by phone at 727-527-1919 or by mail at:
Center for Special Surgery
4650 4th St N, St. Petersburg FL 33703
Centurion Anesthesia
PO BOX 24243
New York, NY 10087
(718) 301-8600 option 7
Millenium DME Sales
BC/BS IPG (Implantable Provider Group)
IRL (Integrated Regional Labs) – Pathology
Patients may find information regarding service bundles in Florida at http://pricing.floridahealthfinder.gov.
A service bundle means the reasonably expected center services and care provided to a patient for a specific treatment, procedure, or diagnosis as posted on the Florida Agency for Health Care Administration’s website. 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 to the patient.
Section 1557 of the Patient Protection and Affordable Care Act
Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). The law prohibits discrimination on the basis of race, color, national origin, sex, age or disability in certain health programs or activities. Section 1557 builds on long-standing and familiar Federal civil rights laws: Title VI of the Civil Rights Act of 1964, Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975.
To read the Summary of the Final Rule, select your language below:
To read the Summary of the Final Rule, select your language below:
Patient Rights and Responsibilities
Notice of Privacy Practices
Surprise Medical Bills
Good Faith Estimate
Nondiscrimination Notice
Center for Special Surgery
4650 4th Street North
St. Petersburg, FL 33703
Tel: (727) 527-1919
Accreditation Association for Ambulatory Health Care
