Financial Assistance

If St. Michael’s Surgery Center Surgery Center believes that you have health insurance and/or HMO coverage(s) that may cover some or all of the Services, St. Michael’s Surgery Center may initiate contact with them to determine your cost-sharing responsibilities for St. Michael’s Surgery Center’s bill. You may contact them directly as well for additional information concerning your cost-sharing responsibilities. If St. Michael’s Surgery Center determines that you have cost-sharing responsibilities for St. Michael’s Surgery Center’s bill, in accordance with St. Michael’s Surgery Center’s financial assistance policies, you will be required to pay your cost-sharing responsibilities in full on or before the date that Services are provided.

St. Michael’s Surgery Center’s financial assistance policies are that if you are unable to pay your 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 upon request St. Michael’s Surgery Center, in its sole discretion, may offer you a discount on the amount due and/or offer a payment plan. Any such discount is considered by St. Michael’s Surgery Center to be “charity care.” There is no formal application process for obtaining “charity care” at St. Michael’s Surgery Center. St. Michael’s Surgery Center’s standard collection policy is to produce and send one or more bills to patients for their cost-sharing amount.

Good Faith Estimate

Upon your request, and before the provision of non-emergency care at St. Michael’s Surgery Center, you can receive a good faith estimate of anticipated charges for the treatment of your condition at St. Michael’s Surgery Center. This estimate must be provided to you within seven (7) days of the request being received by St. Michael’s Surgery Center. You should contact your insurer or health maintenance organization regarding your cost-sharing responsibilities. You may request and obtain a Good Faith Estimate by calling St. Michael’s Surgery Center.

Itemized Bill

Upon request and after discharge from St. Michael’s Surgery Center we will provide a statement within 7 working days of your request.

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Provider Disclosure

Services may be provided in this health care facility by St. Michael’s Surgery Center 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 St. Michael’s Surgery Center. You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. St. Michael’s Surgery Center may contract with providers for pathology and anesthesiology services; these services are billed separately from St. Michael’s Surgery Center for their services. You may contact these providers through their contact information provided below.

St. Michael’s Surgery Center Providers

Bay Area Anesthesia
4805 W Laurel St.
Tampa, FL 33607
Tel: 727-230-1578

We may be required to send tissue for analysis by a pathology lab contracted with your health plan. Your insurer’s provider network information may include the pathology lab in the insurer’s network of providers. You may want to check with your insurer. Or, you can contact the laboratory directly about whether they participate in your health plan.

The pathology labs we send tissue to for analysis include:

West Central Pathology
3901 66th St. North, Suite 202
St. Petersburg, FL 33709
727-345-8519

GI Path
3495 Hacks Cross Rd
Memphis, TN 38125
812-259-4089

Interpace
300 Interpace Parkway
Parsipanny, NJ 07054
843-906-2521

Patient Health Record

Upon request and after discharge from St. Michael’s Surgery Center, St. Michael’s Surgery Center will make available the patient record that may be necessary for verification of the accuracy of your patient statement within 10 working days of your request.

Healthcare Related Data

Pursuant to AHCA Statute: s.405.05,F.S. please find here a link to data, quality measures, and statistics that are disseminated by AHCA.

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