Insurance/Finance

Advanced Surgery Center of Tallahassee, LLC will provide an itemized statement or bill to the patient, or their legal guardian or survivor, as follows:

• The itemized statement will be provided within 7-10 business days of the patient’s discharge or release, or 7 -10 business days after the request, whichever is later. Each itemized statement will include:

• Charges for Anesthesia, Surgery, Facility Usage, etc. are listed separately by date and service provided.

• For billing inquiries related to surgeon survives please contact

  • Palmer Eye Center: Dr. Amanda Matthews (2535 Capital Medical Blvd, Tallahassee, FL 32308 // (850) 877-7337)

  • Southeastern Plastic Surgery: Dr. Laurence Rosenberg, Dr. Christopher DeRosier (2030 Fleischmann Rd, Tallahassee, FL 32308 // (850) 219-2000)

  • Southern Vitreoretinal Associates: Dr. Nicholas Farber, Dr. Emily Ashmore (2439 Care Dr. Tallahassee, FL 32308 // (850) 942-6700)

  • Tallahassee Podiatry Associates Foot & Ankle Center: Mark Alvarez DPM, Joshua Nichols DPM, Bryan Spooner DPM (1866 Buford Blvd Tallahassee, Fl 32308 // (850) 878-6998)

• Should you need financial assistance, Please consult with your provider should you need financial assistance. These needs are handled on an individual basis and at the provider and owners discretion.

This ensures Advanced Surgery Center of Tallahassee, LLC is fully compliant with 59A-3.256 and provides transparent, accessible billing information to all patients and prospective patients.

To initiate a finance grievance please contact Advanced Surgery Center of Tallahassee at (448) 230-2311 and we will promptly response to help come to a resolution.

395.301 (6) & (7)  will become effective July 1, 2024:

(6) Each facility (hospital and ASC) shall establish an internal process for reviewing and responding to grievances from patients. Such a process must allow a patient to dispute charges that appear on the patient’s itemized statement or bill. The facility shall prominently post on its website and indicate in bold print on each itemized statement or bill the instructions for initiating a grievance and the direct contact information required to initiate the grievance process. The facility must provide an initial response to a patient grievance within 7 business days after the patient formally files a grievance disputing all or a portion of an itemized statement or bill.

What are surprise medical bills?

Before the No Surprises Act, if you had health insurance and received care from an out-of-network provider or an out-of-network facility, even unknowingly, your health plan may not have covered the entire out-of-network cost. This could have left you with higher costs than if you got care from an in-network provider or facility. In addition to any out-of-network cost sharing you might have owed, the out-of-network provider or facility could bill you for the difference between the billed charge and the amount your health plan paid, unless banned by state law. This is called “balance billing.” An unexpected balance bill from an out-of-network provider is also called a surprise medical bill.

People with Medicare and Medicaid already enjoy these protections and are not at risk for surprise billing.

What are the new protections if I have health insurance?

If you get health coverage through your employer, a Health Insurance Marketplace®,[1] or an individual health insurance plan you purchase directly from an insurance company, these new rules will:

• Ban surprise bills for most emergency services, even if you get them out-of-network and without approval beforehand (prior authorization).

• Ban out-of-network cost-sharing (like out-of-network coinsurance or copayments) for most emergency and some non-emergency services. You can’t be charged more than in-network cost-sharing for these services.

• Ban out-of-network charges and balance bills for certain additional services (like anesthesiology or radiology) furnished by out-of-network providers as part of a patient’s visit to an in-network facility.

• Require that health care providers and facilities give you an easy-to-understand notice explaining the applicable billing protections, who to contact if you have concerns that a provider or facility has violated the protections, and that patient consent is required to waive billing protections (i.e., you must receive notice of and consent to being balance billed by an out-of-network provider).

What if I don’t have health insurance or choose to pay for care on my own without using my health insurance (also known as “self-paying”)?

If you don’t have insurance or you self-pay for care, in most cases, these new rules make sure you can get a good faith estimate of how much your care will cost before you receive it.

What if I’m charged more than my good faith estimate?

For services provided in 2025, you can dispute a medical bill if your final charges are at least $400 higher than your good faith estimate and you file your dispute claim within 120 days of the date on your bill.

What if I do not have insurance from an employer, a Marketplace, or an individual plan? Do these new protections apply to me?

Some health insurance coverage programs already have protections against surprise medical bills. If you have coverage through Medicare, Medicaid, or TRICARE, or receive care through the Indian Health Services or Veterans Health Administration, you don’t need to worry because you’re already protected against surprise medical bills from providers and facilities that participate in these programs.

What if my state has a surprise billing law?

The No Surprises Act supplements state surprise billing laws; it does not supplant them. The No Surprises Act instead creates a “floor” for consumer protections against surprise bills from out-of-network providers and related higher cost-sharing responsibility for patients. So as a general matter, as long as a state’s surprise billing law provides at least the same level of consumer protections against surprise bills and higher cost-sharing as does the No Surprises Act and its implementing regulations, the state law generally will apply. For example, if your state operates its own patient-provider dispute resolution process that determines appropriate payment rates for self-pay consumers and Health and Human Services (HHS) has determined that the state’s process meets or exceeds the minimum requirements under the federal patient-provider dispute resolution process, then HHS will defer to the state process and would not accept such disputes into the federal process.

As another example, if your state has an All-payer Model Agreement or another state law that determines payment amounts to out-of-network providers and facilities for a service, the All-payer Model Agreement or other state law will generally determine your cost-sharing amount and the out-of-network payment rate.

Where can I learn more?

Still have questions? Visit CMS.gov/nosurprises, or call the Help Desk at 1-800-985-3059 for more information. TTY users can call 1-800-985-3059.

Estimate of Charges

Patient or prospective patients may request from this facility and other health care providers an estimate of charges prior to receiving services. We must respond to you within seven days of your request.

Our estimate will be based upon the procedure your physician tells us that he or she plans to perform and the insurance information that you provide to us. We normally will contact your insurer to learn of your eligibility for the procedure and will then base our estimate upon what the insurer tells us about the payment they will make for the procedure.  The procedure your physician actually performs may differ from the initial one planned based upon your medical condition at the time of the procedure.  Since we cannot forecast the change, the estimate will be based upon the planned procedure as scheduled by your physician.

You may pay less or more for this procedure or service at another facility or in another health care setting.

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.

Health Related Data and Pricing

Health-related data, including quality measures and statistics for defined procedures can be found on the Agency for Healthcare Administration website at https://ahca.myflorida.com/content/download/10430/file/Rules.pdf. The service bundle Information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services and that actual cost will be based on services actually provided to the patient. The average pricing for bundled procedures can be found on the Agency for Healthcare Administration website at https://price.healthfinder.fl.gov.