Insurances, Billing, Fees
Our Financial Policy
To control costs and provide the best possible care for our patients, we have established the following financial policy. We hope that this will address any questions you may have regarding your financial responsibilities.
All insurance co-pays and deductibles are due at the time of service. For your convenience, we accept Visa, MasterCard, Discover, debit cards, personal checks, and cash as forms of payment at our facility. If your check is returned to us for any reason, your account will be charged a $25.00 fee.
Your insurance benefits will be verified prior to your surgery date, and you will be contacted with the amount due, including deductible, coinsurance, and copayments.
Collection Procedure
Insurance coverage is an agreement between you and your insurance company. As a courtesy to our patients, we will file an insurance claim on your behalf for your planned procedure and for the Physician’s professional fee through your insurance plan. For Medicare patients, we will file a claim with your secondary and additional insurance companies. As a patient, you are expected to respond to your insurance plan’s request for information timely to minimize processing delays with the claim. Not all insurance plans cover all services. If your insurance company determines a service is “not covered,” you will be responsible for the balance. Additionally, if your insurance company only covers a percentage of the service, you are responsible for the remaining portion owed.
If payment is not received within 30 days, or a balance remains after payments are received from your insurance company, you will be billed the balance. Insurance payments made directly to you for PRSC services rendered are due to the Center immediately upon receipt. In the event that you have a “patient due” balance on your account at the time of scheduling your procedure, you will be asked to bring your account current prior to your next procedure.
Accounts with an outstanding balance after 90 days of notice, without pending insurance payments and/or financial arrangements, will be sent to Gulf Coast Collection Bureau at 7560 Commerce Ct, Sarasota, FL 34243, (866) 991-7360. You will then be required to pay for any future procedures in full on the day of service.
We require a 24-hour notice for procedure cancellations. If you do not notify the Center of cancellation within this timeframe, your account will be billed a $75.00 no-show fee. No-show fees will be your responsibility to pay before further treatment at the Center as insurance companies will NOT pay this fee.
Financial Assistance - Payment Plans
Peace River Surgery Center offers a variety of ways to assist patients with financial responsibility for services rendered by the surgery center. Patient financial liability will comply with insurance contract obligations and Federal and state regulations. All providers, Physicians and Facility, bill separately for their services and offer their own financial services. If you are in need of Financial Assistance, please contact the Center at 941-421-0580 to request assistance in setting up a payment plan.
Our payment plan structure may be set up as follows:
*subject to change, please contact our office for current plans
Balance Due: # of Months:
Less than $100: 2 months
$100.01 – $300: 3 months
$300.01 – $500: 4 months
$500.01 – $800: 6 months
$800.01 – $1500: 8 months
$1500.01 – $2500: 10 months
$2500.01 – $4000+: 12 months
State of Florida Transparency in Health Care Legislation
Services may be provided in this health care facility by the facility as well as 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. Patients and prospective patients may contact each health care practitioner who will provide services in the Center to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.
The following providers are contracted with Peace River Surgery Center, LLC to provide services for patients:
Peace River Cardiovascular Center, PA
4161 Tamiami Trail, Suite 701
Port Charlotte, FL 33952
Phone: 941-629-5356
Price Estimation for Service Bundles
The Agency for Health Care Administration provides information on payments made to facilities for defined service bundles and payments on their pricing website located at https://pricing.floridahealthfinder.gov.
This service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services. Actual costs will be based upon services actually provided to the patient.
Below is a listing of physicians who perform procedures at this facility along with their phone number. Please contact them for an estimate for their services that may be billed separately from the surgery center bill.
Peace River Cardiovascular Center
Dr. David Hotchkiss
Dr. Nicolai Mejevoi
Dr. Melody Strattan
All physicians listed can be reached at 941-629-5356.
Prior to your surgery, you may request to receive a reasonable estimate of charges. The estimate is based upon your current insurance benefits. Contact our Financial Counselor at (941) 421-0580 to obtain an estimate.