Billing and Insurance
Some payments may be required from you at the time services are provided, including:
- Insurance deductibles
- Payment for services not covered by insurance
The bill you receive from Anderson Surgery Center reflects services received during your visit, which may include:
- Surgery Center fee for the type of procedure. This fee includes nursing care, medications, standard supplies, and use of the operating and recovery rooms.
- The surgeon’s procedure fee.
- The anesthesiologist’s fee for providing anesthesia for the procedure, if applicable.
- Depending on the procedure performed, patients also may receive bills for laboratory or X-ray tests prior to the procedure or bills from other care providers such as a pathologist and/or radiologist.
As a courtesy, the surgery center verifies benefits and bills your insurer for your fee(s). Your estimated balance is due on the day of surgery. You must remember that you are ultimately responsible for your bill. All procedures not covered by insurance must be paid in full before admission for surgery.
Other Professional Fees
You may receive bills from physicians you did not see in person. These bills are for professional services rendered by these doctors in diagnosing and interpreting test results while you were a patient. These services have been ordered by your attending physician. Pathologists, radiologists, cardiologists, pulmonologists, intensivists, hospitalists, anesthesiologists and other specialists perform these services and are required to submit separate bills. If you have questions about these bills, please call the number printed on the statement you receive from them.
If you have insurance coverage, we will bill your insurance carrier soon after healthcare services have been provided. However, if you do not have insurance coverage, you will receive the bill directly. The bill will clearly state the services provided and when your payment is due.
If you are uninsured or under-insured, you may qualify for financial assistance from Anderson Hospital.
For more information regarding your eligibility for financial assistance, click here.
Common Billing Definitions
Deductible: the annual dollar threshold of out-of-pocket expenses that a patient must pay before the insurance company begins to pay more or all of the expenses
Deductible Met: the year-to-date amount of the deductible that has been paid by the patient
Out-of-Pocket Max: the annual maximum amount of out-of-pocket expenses the patient must pay before insurance covers all other expenses for the remainder of the covered benefit period
Out-of-Pocket Met: the year-to-date amount of the out-of-pocket maximum that has been paid by the patient
Co-pay: the patient’s financial responsibility for specified services. This may include different levels of payment for each inpatient hospitalization, ER visit, etc.
Co-insurance: a form of cost sharing that requires the patient to pay a percentage of medical expenses after the deductible amount has been paid.