HSS Palm Beach ASC


HSS Palm Beach Ambulatory Surgery Center, LLC (HSS Palm Beach ASC) is a state-of-the-art facility providing the highest-quality outpatient surgery options for patients of HSS Florida. It follows the world-class best practices established by Hospital for Special Surgery.

Information for Patients and Visitors

Our mission is to provide the highest-quality care and to improve our patients' mobility and quality of life. One of the ways in which we do this is by helping our patients to be active partners in their care. Please see the information below for more on how patients, their friends and family, and the HSS team all play a vital role in providing the best care and outcomes. 

Online Clinical History

In order to make your care as convenient as possible, HSS Palm Beach ASC asks that you complete an online registration with One Medical Passport®. Choose the appropriate link below:

Our Surgeons

The surgeons that will operate at HSS Palm Beach ASC can be seen on the HSS Florida site.

Your Rights, Privacy and Safety

Patient Rights and Responsibilities

Florida law requires that your health care provider or health care facility recognize your rights while you are receiving medical care and that you respect the health care provider’s or health care facility's right to expect certain behavior on the part of patients. You may request a copy of the full text of this law from your health care provider or health care facility. A summary of your rights and responsibilities follows:

A patient has the right to be treated with courtesy and respect, with appreciation of his or her individual dignity, and with protection of his or her need for privacy.

A patient has the right to a prompt and reasonable response to questions and requests.

A patient has the right to know who is providing medical services and who is responsible for his or her care.

A patient has the right to know what patient support services are available, including whether an interpreter is available if he or she does not speak English.

A patient has the right to bring any person of his or her choosing to the patient-accessible areas of the health care facility or provider’s office to accompany the patient while the patient is receiving inpatient or outpatient treatment or is consulting with his or her health care provider, unless doing so would risk the safety or health of the patient, other patients, or staff of the facility or office or cannot be reasonably accommodated by the facility or provider.

A patient has the right to know what rules and regulations apply to his or her conduct.

A patient has the right to be given by the health care provider information concerning diagnosis, planned course of treatment, alternatives, risks, and prognosis.

A patient has the right to refuse any treatment, except as otherwise provided by law.

A patient has the right to be given, upon request, full information and necessary counseling on the availability of known financial resources for his or her care.

A patient who is eligible for Medicare has the right to know, upon request and in advance of treatment, whether the health care provider or health care facility accepts the Medicare assignment rate.

A patient has the right to receive, upon request, prior to treatment, a reasonable estimate of charges for medical care.

A patient has the right to receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have the charges explained.

A patient has the right to impartial access to medical treatment or accommodations, regardless of race, national origin, religion, handicap, or source of payment.

A patient has the right to treatment for any emergency medical condition that will deteriorate from failure to provide treatment.

A patient has the right to know if medical treatment is for purposes of experimental research and to give his or her consent or refusal to participate in such experimental research.

A patient has the right to express grievances regarding any violation of his or her rights, as stated in Florida law, through the grievance procedure of the health care provider or health care facility which served him or her and to the appropriate state licensing agency.

A patient is responsible for providing to the health care provider, to the best of his or her knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to his or her health.

A patient is responsible for reporting unexpected changes in his or her condition to the health care provider.

A patient is responsible for reporting to the health care provider whether he or she comprehends a contemplated course of action and what is expected of him or her.

A patient is responsible for following the treatment plan recommended by the health care provider.

A patient is responsible for keeping appointments and, when he or she is unable to do so for any reason, for notifying the health care provider or health care facility.

A patient is responsible for his or her actions if he or she refuses treatment or does not follow the health care provider’s instructions.

A patient is responsible for assuring that the financial obligations of his or her health care are fulfilled as promptly as possible.

A patient is responsible for following health care facility rules and regulations affecting patient care and conduct.

Notice of Nondiscrimination and Accessibility

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. 

Who Presents this Notice 
This Notice describes the privacy practices of United Surgical Partners International (the “Facility”) and members of its workforce, as well as the physician members of the medical staff and allied health professionals who practice at the Facility. The Facility and the individual health care providers together are sometimes called "the Facility and Health Professionals" in this Notice. While the Facility and Health Professionals engage in many joint activities and provide services in a clinically integrated care setting, the Facility and Health Professionals each are separate legal entities. This Notice applies to services furnished to you at HSS Palm Beach ASC, West Palm Beach, Florida 33401, as a Facility and all off-campus outpatient departments as an inpatient or outpatient in a Facility-affiliated program involving the use or disclosure of your health information. 

Privacy Obligations 
The Facility and Health Professionals each are required by law to maintain the privacy of your health information ("Protected Health Information" or "PHI") and to provide you with this Notice of legal duties and privacy practices with respect to your Protected Health Information. The Facility and Health Professionals use computerized systems that may subject your Protected Health Information to electronic disclosure for purposes of treatment, payment and/or health care operations as described below. When the Facility and Health Professionals use or disclose your Protected Health Information, the Facility and Health Professionals are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure). 

Notifications 
The Facility is required by law to protect the privacy of your medical information, distribute this Notice of Privacy Practices to you, and follow the terms of this Notice. The Facility is also required to notify you if there is a breach or impermissible access, use or disclosure of your medical information. 
 

The Facility and Health Professionals may use and disclose your PHI for the following purposes without your written authorization.

Treatment 
Your PHI may be used and disclosed to provide treatment and other services to you‒for example, to diagnose and treat your injury or illness. In addition, you may be contacted to provide you appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you. Your PHI may also be disclosed to other providers involved in your treatment. For example, a doctor treating you for a broken leg may need to know if you have diabetes because if you do, this may impact your recovery.

Payment 
Your PHI may be used and disclosed to obtain payment for services provided to you‒for example, disclosures to claim and obtain payment from your health insurer, HMO, or other company that arranges or pays the cost of some or all of your health care (“Your Payor”) to verify that Your Payor will pay for health care. The physician who reads your x-ray may need to bill you or your Payor for reading of your x-ray therefore your billing information may be shared with the physician who read your x-ray. 

Health Care Operations 
Your PHI may be used and disclosed for health care operations, which include internal administration and planning and various activities that improve the quality and cost effectiveness of the care delivered to you. For example, PHI may be used to evaluate the quality and competence of physicians, nurses and other health care workers. PHI may be disclosed to the Facility Compliance & Privacy Office in order to resolve any complaints you may have and ensure that you have a comfortable visit. Your PHI may be provided to various governmental or accreditation entities such as the Accreditation Association for Ambulatory Health Care to maintain our license and accreditation. In addition, PHI may be shared with business associates who perform treatment, payment and health care operations services on behalf of the Facility and Health Professionals. Additionally, your PHI may be used or disclosed for the purpose of allowing students, residents, nurses, physicians and others who are interested in healthcare, pursuing careers in the medical field or desire an opportunity for an educational experience to tour, shadow employees and/or physician faculty members or engage in a clinical Practicum. 

Health Information Organizations 
Your PHI may be used and disclosed with other health care providers or other health care entities for treatment, payment and health care operations purposes, as permitted by law, through a Health Information Organization. A list of Health Information Organizations in which this facility participates may be obtained upon request or found on the facility’s website at www.hss.edu/florida. For example, information about your past medical care and current medical conditions and medications can be available to other primary care physicians or hospitals, if they participate in the Health Information Organization. Exchange of health information can provide faster access, better coordination of care and assist providers and public health officials in making more informed treatment decisions. You may opt out of the Health Information Organization and prevent providers from being able to search for your information through the exchange. You may opt out and prevent your medical information from being searched through the Health Information Organization by completing and submitting an Opt-Out Form to the registration. 

Use or Disclosure for Directory of Individuals in the Facility 
Facility may include your name, location in the Facility, general health condition and religious affiliation in a patient directory without obtaining your authorization unless you object to inclusion in the directory. Information in the directory may be disclosed to anyone who asks for you by name. Your religious affiliation may be given to a member of the clergy, such as a priest or minister, even if they do not ask for you by name. If you do not wish to be included in the facility directory, you will be given an opportunity to object at the time of admission. 

Disclosure to Relatives, Close Friends and Other Caregivers 
Your PHI may be disclosed to a family member, other relative, a close personal friend or any other person identified by you who is involved in your health care or helps pay for your care. If you are not present, or the opportunity to agree or object to a use or disclosure cannot practicably be provided because of your incapacity or an emergency circumstance, the Facility and/or Health Professionals may exercise professional judgment to determine whether a disclosure is in your best interests. If information is disclosed to a family member, other relative or a close personal friend, the Facility and/or Health Professionals would disclose only information believed to be directly relevant to the person’s involvement with your health care or payment related to your health care. Your PHI also may be disclosed in order to notify (or assist in notifying) such persons of your location or general conditions.

Public Health Activities 
Your PHI may be disclosed for the following public health activities: 

  1. to report health information to public health authorities for the purpose of preventing or controlling disease, injury or disability; 
  2. to report child abuse and neglect to public health authorities or other government authorities authorized by law to receive such reports; 
  3. to report information about products and services under the jurisdiction of the U.S. Food and Drug Administration; 
  4. to alert a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition; and 
  5. to report information to your employer as required under laws addressing work-related illnesses and injuries or workplace medical surveillance. 

Victims of Abuse, Neglect or Domestic Violence 
Your PHI may be disclosed to a governmental authority, including a social service or protective services agency, authorized by law to receive reports of such abuse, neglect, or domestic violence if there is a reasonable belief that you are a victim of abuse, neglect or domestic violence. 

Health Oversight Activities 
Your PHI may be disclosed to a health oversight agency that oversees the health care system and is charged with responsibility for ensuring compliance with the rules of government health programs such as Medicare or Medicaid. 

Judicial and Administrative Proceedings 
Your PHI may be disclosed in the course of a judicial or administrative proceeding in response to a legal order or other lawful process. 

Law Enforcement Officials 
Your PHI may be disclosed to the police or other law enforcement officials as required or permitted by law or in compliance with a court order or a grand jury or administrative subpoena. For example, your PHI may be disclosed to identify or locate a suspect, fugitive, material witness, or missing person or to report a crime or criminal conduct at the facility. 

Correctional Institution 
Your PHI may be disclosed to a correctional institution if you are an inmate in a correctional institution and if the correctional institution or law enforcement authority makes certain requests to us. 

Organ and Tissue Procurement 
Your PHI may be disclosed to organizations that facilitate organ, eye or tissue procurement, banking or transplantation. 

Research 
Your PHI may be used or disclosed without your consent or authorization if an Institutional Review Board approves a waiver of authorization for disclosure. 

Health or Safety 
Your PHI may be used or disclosed to prevent or lessen a serious and imminent threat to a person's or the public's health or safety. 

U.S. Military 
Your PHI may be use or disclosed to U. S. Military Commanders for assuring proper execution of the military mission. Military command authorities receiving protected health information are not covered entities subject to the HIPAA Privacy Rule, but they are subject to the Privacy Act of 1974 and DoD 5400.11-R, "DoD Privacy Program," May 14, 2007.

Other Specialized Government Functions 
Your PHI may be disclosed to units of the government with special functions, such as the U.S. Department of State under certain circumstances for example the Secret Service or NSA to protect the country or the President. 

Workers' Compensation 
Your PHI may be disclosed as authorized by and to the extent necessary to comply with state law relating to workers' compensation or other similar programs. 

As Required by Law 
Your PHI may be used and disclosed when required to do so by any other law not already referred to in the preceding categories; such as required by the FDA, to monitor the safety of a medical device.

Appointment Reminders 
Your PHI may be used to tell or remind you about appointments. 

Fundraising 
Your PHI may be used to contact you as a part of fundraising efforts, unless you elect not to receive this type of information. 
 

Use or Disclosure with Your Authorization 
For any purpose other than the ones described above, your PHI may be used or disclosed only when you provide your written authorization on an authorization form (“Your Authorization”). For instance, you will need to execute an authorization form before your PHI can be sent to your life insurance company or to the attorney representing the other party in litigation in which you are involved. 

Marketing 
Your written authorization (“Your Marketing Authorization”) also must be obtained prior to using your PHI to send you any marketing materials. (However, marketing materials can be provided to you in a face-to-face encounter without obtaining Your Marketing Authorization. The Facility and/or Health Professionals are also permitted to give you a promotional gift of nominal value, if they so choose, without obtaining Your Marketing Authorization.) The Facility and/or Health Professionals may communicate with you in a face-to-face encounter about products or services relating to your treatment, case management or care coordination, or alternative treatments, therapies, providers or care settings without Your Marketing Authorization. 

Sale of PHI 
The Facility and Health Professionals will not disclose your PHI without your authorization in exchange for direct or indirect payment except in limited circumstances permitted by law. These circumstances include public health activities; research; treatment of the individual; sale, transfer, merger or consolidation of the Facility; services provided by a business associate, pursuant to a business associate agreement; providing an individual with a copy of their PHI; and other purposes deemed necessary and appropriate by the U.S. Department of Health and Human Services (HHS).

Uses and Disclosures of Your Highly Confidential Information 
In addition, federal and state law require special privacy protections for certain highly confidential information about you (“Highly Confidential Information”), including the subset of your PHI that: 

  1. is maintained in psychotherapy notes; 
  2. is about mental illness, mental retardation and developmental disabilities; 
  3. is about alcohol or drug abuse or addiction; 
  4. is about HIV/AIDS testing, diagnosis or treatment; 
  5. is about communicable disease(s), including venereal disease(s); 
  6. is about genetic testing; 
  7. is about child abuse and neglect; 
  8. is about domestic abuse of an adult; or 
  9. is about sexual assault. In order for your Highly Confidential Information to be disclosed for a purpose other than those permitted by law, your written authorization is required. 
     

Right to Request Additional Restrictions 
You may request restrictions on the use and disclosure of your PHI 

  1. for treatment, payment and health care operations, 
  2. to individuals (such as a family member, other relative, close personal friend or any other person identified by you) involved with your care or with payment related to your care, or 
  3. to notify or assist in the notification of such individuals regarding your location and general condition. While all requests for additional restrictions will be carefully considered, the Facility and Health Professionals are not required to agree to these requested restrictions. 

You may also request to restrict disclosures of your PHI to your health plan for payment and healthcare operations purposes (and not for treatment) if the disclosure pertains to a healthcare item or service for which you paid out-of-pocket in full. The Facility and Health Professionals must agree to abide by the restriction to your health plan EXCEPT when the disclosure is required by law. 
If you wish to request additional restrictions, please obtain a request form from the Health Information Management Office and submit the completed form to the Health Information Management Office. A written response will be sent to you. 

Right to Receive Confidential Communications 
You may request, and the Facility and Health Professionals will accommodate, any reasonable written request for you to receive your PHI by alternative means of communication or at alternative locations. 

Right to Revoke Your Authorization 
You may revoke Your Authorization, Your Marketing Authorization or any written authorization obtained in connection with your PHI, except to the extent that the Facility and/or Health Professionals have taken action in reliance upon it, by delivering a written revocation statement to the Facility Health Information Management Office identified below. 

Right to Inspect and Copy Your Health Information 
You may request access to your medical record file and billing records maintained by the Facility and Health Professionals in order to inspect and request copies of the records. Under limited circumstances, you may be denied access to a portion of your records. If you desire access to your records, please obtain a record request form from the Facility Health Information Management Office and submit the completed form to the Facility Health Information Management Office. If you request copies of paper records, you will be charged in accordance with federal and state law. To the extent the request for records includes portions of records which are not in paper form (e.g., x-ray films), you will be charged the reasonable cost of the copies. You also will be charged for the postage costs, if you request that the copies be mailed to you. However, you will not be charged for copies that are requested in order to make or complete an application for a federal or state disability benefits program.

Right to Amend Your Records 
You have the right to request that PHI maintained in your medical record file or billing records be amended. If you desire to amend your records, please obtain an amendment request form from the Facility Health Information Management Office and submit the completed form to the Facility Health Information Management Office. Your request will be accommodated unless the Facility and/or Health Professionals believe that the information that would be amended is accurate and complete or other special circumstances apply. 

Right to Receive an Accounting of Disclosures 
Upon request, you may obtain an accounting of certain disclosures of your PHI made during any period of time prior to the date of your request provided such period does not exceed six years and does not apply to disclosures that occurred prior to April 14, 2003. If you request an accounting more than once during a twelve (12) month period, you will be charged for the accounting statement. 

Right to Receive Paper Copy of this Notice 
Upon request, you may obtain a paper copy of this Notice, even if you have agreed to receive such notice electronically. 
 

If you desire further information about your privacy rights, are concerned that your privacy rights have been violated or disagree with a decision made about access to your PHI, you may contact the Facility Compliance & Privacy Office. You may also file written complaints with the Director, Office for Civil Rights of the U.S. Department of Health and Human Services. Upon request, the Facility Compliance & Privacy Office will provide you with the correct address for the Director. The Facility and Health Professionals will not retaliate against you if you file a complaint with the Facility Privacy Office or the Director. 

Effective Date and Duration of This Notice 
This Notice is effective on January 1, 2020. 

Right to Change Terms of this Notice 
The terms of this Notice may be changed at any time. If this Notice is changed, the new notice terms may be made effective for all PHI that the Facility and Health Professionals maintain, including any information created or received prior to issuing the new notice. If this Notice is changed, the new notice will be posted in waiting areas around the Facility and on our Internet site at www.hss.edu/florida. You also may obtain any new notice by contacting the Facility Compliance & Privacy Officer. 

Facility Contacts:
Hospital for Special Surgery Palm Beach Ambulatory Surgery Center, LLC d/b/a HSS Palm Beach ASC 
Attn: Privacy Officer 
300 Palm Beach Lakes Blvd 
West Palm Beach, FL 33401
 

  1. How Someone May Act on Your Behalf 
    You have the right to name a legal representative who may act on your behalf to control the privacy of your health information. Parents and guardians will generally have the right to control the privacy of health information about minors, unless the minors are permitted by law to act on their own behalf. 
  2. How to Learn About Special Protections for HIV, Alcohol and Substance Abuse, Mental Health, and Genetic Information 
    Special privacy protections apply to HIV-related information, alcohol and substance abuse treatment information, mental health information, and genetic information. Some parts of this Notice may not apply to these types of information. If your treatment involves this information, you may be provided with special authorization forms in connection with the disclosure of such information by HSS Palm Beach ASC. To request copies of these forms, please contact HSS Palm Beach ASC at 561.725.4300. 
  3. How to Obtain a Copy of This Notice 
    You have the right to a paper copy of this Notice. You may request a paper copy at any time, even if you have previously agreed to receive this Notice electronically. To do so, please call HSS Palm Beach ASC at 561.725.4300. You may also obtain a copy of this Notice from our website at www.hss.edu/florida or by requesting a copy at your next visit. 
  4. How to Obtain a Copy of Revised Notice 
    We may change our privacy practices from time to time. If we do, we will revise this Notice so you will have an accurate summary of our practices, and the revised Notice will apply to all of your health information. We will post any revised Notice in our admitting areas and other locations in HSS Palm Beach ASC. You will also be able to obtain your own copy of the revised Notice by accessing our website at Florida www.hss.edu/florida, calling HSS Palm Beach ASC at 561.725.4300, or asking for one at the time of your next visit. The effective date of the Notice will always be noted in the cover and at the top outside corner of each page. We are required to abide by the terms of the Notice that is currently in effect. 
  5. How to File a Complaint 
    If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201 or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. 

To file a complaint with us, please write to 
HSS Palm Beach ASC 
Attn. Privacy Officer 
300 Palm Beach Lakes Blvd. 
West Palm Beach, FL 33401
561.725.4300

No one will retaliate or take action against you for filing a complaint.
 

Your Safety

HSS Palm Beach ASC is committed to your well-being and safety. Our mission is to provide the highest-quality patient care and to improve your mobility and quality of life. One of the ways in which we achieve these goals is by making you an active partner in your care. The purpose of this information is to explain ways in which you, your friends and family and your healthcare team can all play a vital role in providing you with the best care and the best outcomes.

Please share this information with your family and friends while you are at HSS Palm Beach ASC. We welcome your questions and concerns.

What Should I Know About Safety?

Be an active partner in your care.
We urge patients to become involved in their care. Research shows that patients who take part in decisions about their healthcare are more likely to have better outcomes.

Speak up.

  • Ask questions if you have concerns or do not understand something about your care.
  • Let us know if English is not your primary language. We will gladly provide you with interpreter services.
  • Say something if you think you are about to receive the wrong medication or if you think the healthcare professional has confused you with another patient.
  • Ask members of your healthcare team if they have washed their hands prior to delivering care.
  • Share your medical history with your healthcare team.
  • Tell us if you have any allergies.
  • Ask a trusted family member or friend to be your advocate.

Seeking education about your medical issues and your treatment allows you to be a better partner in your care. Good communication with your healthcare team benefits everyone. 

Know what medications you take and why and when you take them.

  • Have a list of all the medications you are currently taking, as advised, prior to admission. This includes prescriptions and over-the-counter items like vitamins, herbal supplements, pain relievers, antacids and allergy medications.
  • Also have your contact information for your primary care doctor, or the doctor who will be following your care once you leave HSS Palm Beach ASC, including their name, telephone number and fax number.
  • Always ask about any medication that is given to you and know why you are taking it.
  • Carefully review the medications you are to take once you leave HSS Palm Beach ASC. Be sure you have the prescriptions and that you understand the discharge and follow-up instructions.
  • Throw away any old medication lists and update your records with any retail pharmacies or providers.
  • Should you be discharged on medications such as Coumadin or Lovenox, which are anticoagulants (medications to prevent blood clots), our nurses will provide careful teaching to you and your family or caregivers as to dose, time, diet and follow-up instructions that are all very important for your safety.

Check and double-check identification.

  • Patient identification:
    You will be given an identification (ID) band when you arrive at the HSS Palm Beach ASC. This ID band has your name, date of birth (DOB) and medical record number, which helps us to identify you and ensures that we are giving you the proper care and treatment. You will find that your healthcare team will check your ID band and ask for your name and DOB throughout your stay. Please know that this is for your safety. If your ID band falls off or is not easy to read, please ask us for another one.
  • Surgical site identification:
    You will be asked to identify the correct surgical site by pointing to the area where you are due to have surgery. Your surgeon will initial the correct surgical site using a special marker. Another safety measure that happens right before your procedure is a “Time Out,” in which the healthcare team will confirm your identity, surgical site, correct procedure and surgery consent form.

Prevent infections.
Hand washing is one of the best ways to prevent the spread of infection. HSS Palm Beach ASC staff members are aware of this and will clean their hands with either soap and water or a sanitizing solution before and after they provide care for you. If you have not seen someone on your healthcare team wash their hands, we suggest that you ask them to do so.

Paying for your Care

Insurance Information

HSS Palm Beach ASC will be participating in a number of major insurance plans. However until those agreements are in place we are working with our patients and their insurers to minimize patients’ out-of-pocket costs. HSS Palm Beach ASC staff can provide you with the most up-to-date information and answer questions about the estimated fees for your procedure. You can contact them at 561.725.4300. Please note, this information only applies to HSS Palm Beach ASC and is subject to change.

Billing Information

Pay your bill online

Certain licensed facilities are required by law to make available information about the fees you may be billed that may not be covered by your healthcare plan. 

The physician services you receive at HSS Palm Beach ASC are not included in charges from HSS Palm Beach ASC. In addition to the bill for the HSS Palm Beach ASC facility fee, you will receive separate bills for the following services:

  • Your surgeon
  • Your anesthesia provider
    For billing questions about anesthesiology, please contact:

Orthopedic Anesthesia Pain Specialists, FL
844.268.4820
Remittance Address:
Orthopedic Anesthesia and Pain
P.O. Box 22250
New York, NY 10087-2250   

  • Your pathologist, if tissues or specimens were removed during surgery.
    For billing questions about pathology, please contact:

AmeriPath Southwest Florida
239.275.1164
1620 Medical Lane, #100
Fort Myers, FL 33907
 

Financial Assistance

If you are concerned that you may not be able to pay in full for your care at HSS Palm Beach ASC, you may be eligible for financial assistance. We provide financial aid to patients based on income, assets, and needs. View information about financial assistance or contact our Financial Assistance Office at 561.725.4300.

Transparency in Healthcare

The Florida Agency for Health Care Administration offers Florida Health Price Finder, a health care transparency tool for consumers. The service bundles are not personalized and actual costs are based on services received. The website allows consumers and caregivers to look up the average amounts paid by Florida insurance plans for a specific service, giving them a better estimate of their total out-of-pocket expenses.

The average amounts paid by insurance plans are based on billions of lines of claims data from three Florida health plans. Claims data from additional health plans were expected to be added to the database in 2018.

  • The website lists the services as “care bundles." A care bundle includes the steps and procedures that are part of a typical treatment plan for that specific care bundle. For example, the care bundle for Knee Replacement includes an office visit with a specialist, surgery, outpatient physical therapy/rehabilitation and follow-up visits.
  • Since 2007, Floridians have been able to use FloridaHealthFinder.gov to look up undiscounted hospital charges, however, this is rarely the amount that individuals or insurance companies are expected to pay. Now, with this new tool, and in conjunction with working with their respective insurance plans, Floridians have the opportunity to get a much better estimate of out-of-pocket costs for specific services.

Surgical Specialties

Our specialties include the following:

  • Hand and Upper Extremity
  • Hip and Knee Replacement
  • Shoulder Surgery
  • Sports Medicine
  • Trauma and Fractures
 
 
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