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.
Patients and prospective patients have the right to request a personalized estimate from Surgcenter of Greater Jacksonville by calling 904.586.8540.
Other Providers
Services may be provided in Surgcenter of Greater Jacksonville 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. Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information, such as billing practices. 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.
Contract Providers
Please contact the health care practitioners anticipated to provide services for your surgery with regards to a personalized estimate, billing practice and participation with your insurance provider or health maintenance organization (HMO) as the contracted practitioners may not participate with the same health insurers or HMO as Surgcenter of Greater Jacksonville. Sweet Dreams(888) 728-0882 (Anesthesia)
NeuroEdge Medical 407-621-1011 (Neuromonitoring)LabCorp(800-845-6167) (Lab Work)
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. To request an estimate, please call SurgCenter of Greater Jacksonville at 904.586.8540.
Disclosure of Ownership:
Your physician may have a financial interest in SurgCenter of Greater Jacksonville.
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:
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