Financial Assistance – HSS Northern NJ Surgery Center
If you are concerned that you may not be able to pay for your care, we may be able to help.
The HSS Northern NJ Surgery Center provides financial aid for medically necessary services based on a patient’s financial need and includes a sliding scale discount for patients who qualify. Aid may be available for patients who do not have insurance and for those who are underinsured. We may be able to work with you to arrange a manageable payment plan.
Our financial assistance policy applies to services provided by the HSS Northern NJ Surgery Center, and some services provided by certain HSS West Side ASC physicians and other clinical staff of the HSS Northern NJ Surgery Center.
We use poverty guidelines issued by the US Department of Health and Human Services to determine a patient's eligibility for financial assistance. The amount of the discount varies based on your income and the size of your family. The income limits, based on seven times the 2025 Federal Poverty Guidelines (the “FPL”), are below:
Current Income Eligibility Limits
Family Size
1
2
3
4
5
6
7
8
Annual Family Income
Up to $109,550
Up to $148,050
Up to $186,550
Up to $225,050
Up to $263,550
Up to $302,050
Up to $340,050
Up to $379,050
Below, you can access the full policy, an application and additional information, including a full list of providers who participate in the HSS Northern NJ Surgery Center financial assistance policy. You can also call the HSS Financial Advisory Department at 212.606.1505, and we would be glad to provide information to you and answer any questions you may have.
Please note that if you are currently approved for Financial Assistance by HSS, the HSS Northern NJ Surgery Center will apply the same determination to HSS Northern NJ Surgery Center patients.
- HSS Northern NJ Surgery Center Financial Assistance Summary
- HSS Northern NJ Surgery Center Financial Assistance Application
- Apply Online in English
- Download in English
- HSS Northern NJ Surgery Center Financial Assistance Policy
- HSS Northern NJ Surgery Center Financial Assistance Policy – AGB
- HSS Financial Assistance Provider List – Schedule A
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