This facility’s fees cover the use of the facility only. The facility fees do not include laboratory, pathology, surgeon, anesthesiologist, certified nurse anesthetist fees, nor does it include the cost of any implants used for your surgery. You will be billed separately for these fees.
Be prepared to pay any co-pay or deductible amounts on the day of your surgery.
If you require special financial arrangements, please phone our office prior to your surgery to discuss alternative methods of payment.
This facility accepts cash, cashier’s checks, credit cards, and personal checks with a valid I.D.
We will bill your primary and secondary insurance carriers or governmental agency directly for the facility’s charges.
Be sure to bring your most current insurance card with you on the day of your surgery. If you have more than one insurance carrier, we will also need accurate secondary billing information.
Please be aware of any admission policies your insurance plan may have. You or your physician may have to adhere to certain requirements in order to ensure maximum reimbursement. Failure to obtain pre-authorization, physician referral, or a second opinion may greatly reduce or eliminate your benefits.
If Vascular Center determines that you have cost-sharing responsibilities for Vascular Center’s bill, in accordance with Vascular 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.
Vascular 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 Vascular, 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 Vascular Center to be “charity care.”
There is no formal application process for obtaining “charity care” at Vascular Center.
Vascular Center’s standard collection policy is to produce and send one or more bills to patients for their cost sharing amount.
The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and that actual costs will be based on services actually provided to the patient.
CareCredit Credit Card
*Subject to credit approval. See provider for details.
This facility is dedicated to the protection of your personal health information. We follow the guideline set forth by the U.S. Department of Health and Human Services. For more information, visit www.hhs.gov/ocr/hipaa/
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balance billed for these post-stabilization services.
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
