Insurance and Billing
The Surgical Center Billing
Thank you for choosing The Center for Ambulatory Surgery for your procedure.
Due to the number of insurance carriers we may or may not participate with it is imperative that you call and confirm your benefit status with the Center. Call our billing department before your surgery date at (888) 590-6849 and ask for Patient Billing, Monday thru Friday between the hours of 9am and 5pm.
As soon as you are scheduled for surgery we will contact your insurance carrier for verification of your insurance. After identifying the extent of your coverage we can determine your financial responsibility. You will be notified of these financial responsibilities. For your convenience, we accept Master Card, Visa, American Express, Discover, Personal Checks and cash. Payment arrangements need to be made prior to surgery.
A single facility fee covering most, but not all of expenses related to Surgery Center will be incurred. Occasionally you may be billed for extra services. An example of those extra services could be an implant that is placed by your surgeon, an unusual medication, etc.
As a service to you we will bill your insurance company first. However, you will be liable for those costs which your insurance company does not cover. We offer discounts for those who do not have insurance.
You will receive a separate anesthesia bill. The anesthesia services are not included in the Surgical Center fee. The Anesthesia billing department will accommodate the patient by first billing the insurance company. However, any balance that is not covered by the insurance company will have to be met by the patient. There may be certain procedures where the anesthesia fee will be collected in advance. Co-payments, deductibles, etc. may also be collected in advance of the surgery.
The surgeon or surgeons will generate a charge for their services. Please contact your surgeon’s office to discuss any billing matters.
There may be other bills that a patient can incur during surgery. These are ancillary services that may be utilized during your surgery. Examples of this are pathology fees, certain radiology fees and any special devices your surgeon may order for you to take home.
The Cost of Your Procedure
Because you are responsible for costs for covered healthcare services until you reach your deductible, you should comparison shop if you elect to have a nonemergency procedure.
You can use tools like Healthcare Bluebook and the Medicare Procedure Price Lookup (for Medicare patients). Many health insurance websites also provide information on where to find in-network services.
A High-Deductible Health Plan (HDHP) is a plan with a higher deductible than a traditional health insurance plan.
A High Deductible Health Plan (HDHP) can be a wise way to save money on health insurance and take a proactive role in your healthcare.
Health insurance is an agreement between you and an insurance company of your choosing.
Insurance Plans We Accept
Our surgery center is dedicated to providing consumers with as much information as possible regarding potential healthcare costs. Accordingly, we have listed information on the insurers and providers the center participates in.
It is important you contact your insurance company prior to receiving services or care. Each plan is different and some provide different levels of coverage that could make a difference in your out-of-pocket costs.
- Horizon BCBS
This list may not be comprehensive. For example, specialty insurers such as workers’ compensation and personal injury protection (“PIP”) are not included because there are a number of different types of insurance products and we may not participate in all of them. If you do not see your plan listed on our website, we strongly recommend that you contact us or your health insurance plan to confirm whether your plan is in-network or out-of-network.
In addition, the physicians who provide care within our center might not participate in the same insurance plans as the ASC. You should check with the physician who is arranging your healthcare services to see which insurance plans the physician participates in. You should also know that these healthcare professional(s)’ costs are not included in the facility’s charges. They will bill separately.
Other Care Providers
We work with other providers as part of your care. In addition to a bill from the facility and the physician, you may receive a bill from another provider, depending on the nature of your procedure.
New Jersey Healthcare Specialists
P.O. Box 417191 – Dept. 10006
Boston, MA 02241-7191
Phone: (800) 431-5379
Pathology Consultants (AKA Rahway Pathology)
865 Stone Street
Rahway, NJ 07065
Phone: (732) 499-6139
Pathline Emerge Pathology
535 E. Cresent Ave.
Ramsey, NJ 07446
Phone: (877) 477-4208