Insurance and Payments

Our business office will contact you regarding your insurance coverage and expected charges. Generally, all insurance carriers, including Medicare, reimburse outpatient centers just as they would other health facilities. Standard charges have been established for all procedures performed at Coral Gables Surgery Center (CGSC).

Your financial responsibility at the time of service will be any estimated co-insurance, co-pay or deductible. You will be balance billed for any service and/or charges not covered by your insurance plan. As a courtesy to you, we bill your insurance. Charges for cases not fully covered by insurance must be paid in full at time of service. CGSC will assist you in filing insurance claims. We will help you understand your financial responsibility prior to your surgery, and are here to assist you. CGSC accepts personal checks and certain credit cards, including Visa and Master Card. CGSC accepts most of the area’s health insurance plans, including Medicare (Part B) and Florida Medicaid. For a sample listing of the local, national and international Managed Care Plans we participate in, please click to download our Managed Care List.

Estimate of Charges
Coral Gables Surgery Center is happy to provide you with a personalized estimate of charges for your Surgery Facility Fees. Please note that this fee will not include your physician, surgeon, anesthesiologist or any other fee associated with your surgery. These services bill independently from CGSC and you may or may not receive bills from these providers.

You will need to contact each provider separately to receive a personalized estimate of their charges and verify if they participate with your health plan. To speak to a representative at Coral Gables regarding your Surgery Facility Fees, please call 305-461-3229. Click here to view a Contracted Providers List .

IMPORTANT INFORMATION REGARDING YOUR ANESTHESIA BILL
Click here to view important information about  Sheridan Healthcare.

Self-Pay Pricing
In our effort to make surgeries accessible to patients, we offer affordable self-pay prices for procedures performed at Coral Gables Surgery Center by surgeons with privileges at the Center. Ambulatory surgery center prices are typically 40% to 60% lower than those at inpatient medical centers. Upon request, we can offer inclusive fees to cover:

  • Initial consultation with surgeon
  • Surgery Facility Fees
  • Anesthesiologist’s Fees
  • Surgeon’s Fees
  • Ophthalmology
  • Implants
  • Pathology
  • Post-op consultation

Self-Pay procedures need to be paid before or at time of service. We can offer flexible forms of payment, including financing through Care Credit. If you would like to get a sample quote for a particular surgical procedure performed by one of our physicians, or want to learn more about financing, please call the Business Office at 305-461-3229. Once a staff physician evaluates you, reviews your medical records and determines a care plan, we can then develop an actual price for your individual procedure. The self-pay price quote, with all the components it includes, will be given to you in writing.

Financial Assistance
Coral Gables Surgery Center offers financial assistance to low-income patients who do not qualify for Medicaid and do not have other financial resources available. To determine eligibility requires completion of an application and proof of income. The application must be completed and approved prior to surgery. For more information regarding eligibility, call 305-461-3229 and ask for the Business Office.

HB 1175 Notice – Transparency in Healthcare
In accordance with Florida Law, HB 1175, please click on a link below to review information.
View HB 1175 Notice page
Download HB 1175 Notice (PDF)