Insurance and Billing
Anticipating surgery can be stressful and part of the anxiety can arise out of not fully understanding out-of-pocket expenses associated with a proposed surgery. At TGH Surgery Center, we believe it is important to make patients aware of their potential financial expense. Your insurance benefits will be verified prior to your surgery date and you will be notified of the payment due based on expenses not covered by your insurance, including deductibles and co-payments. Payment for out-of-pocket expenses will be expected prior to or on day of procedure.
Uninsured and cash paying patients will be required to pay for services prior to or on the date of your procedure. Patients, or their legal guardians, are responsible for payment of facility services. As a courtesy, TGH Surgery Center will bill your primary and secondary insurance carriers for you. Please bring your insurance cards with you on the day of surgery. TGH Surgery Center accepts cash, checks, major credit cards, flexible spending accounts (FSA), health savings accounts (HSA), and care credit as financing options. Your Surgery Center Fee Includes:
- Medical and surgical care
- Cost of routine equipment and supplies
- Cost of drugs administered (including anesthesia drugs)
- Operating room time
- Recovery room services
Anesthesia, pathology, surgeon, and physician consultation fees are not included in the Center’s fee and may or may not participate with the same health insurers or health maintenance organizations as the surgery center.
Prior to your procedure, you may request from the surgery center and other health care providers, a more personalized estimate of charges and other information. The estimate is based upon your current insurance benefits. Patients should contact each health care practitioner who will provide services in this surgery center to determine the health insurers and health maintenance organizations (HMOs) with which the health care practitioner participates.
Following your procedure, upon request, you may request an itemized bill of charges.
Financial Assistance Arrangements
We only schedule procedures at this facility by physicians who are on the medical staff at the facility. If your physician has determined that special financial assistance may be warranted and the physician agrees to those special financial arrangements for his or her services, you may be eligible for special financial assistance at the facility. If your physician or the physician’s office staff have agreed to provide special financial assistance to you for a procedure the physician wants to schedule at this facility, please contact us.
TGH Surgery Center does not offer charity care or financial hardship discounts. If you are unable to cover the cost of your surgery, please contact The Surgery Center at 813-396-2376 prior to your date of surgery so further arrangements can be made.
Contracted Service Providers:
The following providers render services to patients of this surgery center and may separately bill the patient.
Great Florida Anesthesiology, LLC a Division of Envision Physician Services
- Address: 1901 Ulmerton Road, Suite 405, Clearwater, FL 33762.
- Phone Number: (727) 210-8100B.
Reliance Pathology Partners
- Address: 5747 Hoover Blvd., Tampa, FL 33634b.
- Phone Number: (813) 490-7215C.
IPG Integrated Surgical Solutions
- Address: 11605 Haynes Bridge Rd., Suite 200, Alpharetta, GA 30009
- Phone Number: (770) 753-0046
Health Plans and Insurance Carriers Accepted
Carrier: Name Plan/Product Name (Web Site Address)
Aetna: Commercial, Government Programs, Medicare Advantage (https://www.aetna.com/)
AvMed: Medicare Advantage (https://www.avmed.org)
CIGNA: Commercial (https://www.cigna.com)
DevotedHealth: Medicare Advantage (https://www.devoted.com)
Florida BCBS: PPC, PPS, Network Blue, Medicare PPO/HMO, Traditional, Blue Select (https://www.floridablue.com)
Great West Healthcare (GWH)/Cigna: Commercial (https://www.cigna.com)
Humana: Commercial = PPO, HMO, POS, EPO, HMOX, Medicare = PPO, PFFS, HMO Medicaid HMO = Humana Family Traditional Plans (https://www.humana.com)
SIMPLY Health Plans - Better Health (Medicaid): Medicaid (https://www.simplyhealthcareplans.com)
Sunshine Health Plan (Includes Ambetter): Medicare, Medicaid, Healthy Kids (https://www.sunshinehealth.com)
Tricare/Humana Military (https://www.humanamilitary.com)
Truli: Commercial (https://www.truliforhealth.com)
United Health Care: Commercial, Medicare Advantage (https://www.uhc.com)
Veterans' Affairs Hospital (https://www.va.gov/health/)
Wellcare: Medicare Advantage, Medicaid https://www.wellcare.com/en/Florida
To view information on payments made to the facility for service bundles and procedures, you can visit the Agency for Healthcare Administration’s pricing website at http://pricing.floridahealthfinder.gov. Service bundle information is a non-personalized estimate of costs that may be incurred for the anticipated services; the actual costs charged will be based on the services actually provided to each patient. Patients and prospective patients may request from this facility and other health care providers a more personalized estimate of charges and other information. Patients and prospective patients should contact each health care practitioner who will provide services in the ASC to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.