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NCH Bonita Ambulatory
Surgery Center

Billing Information

Insurance and Billing

We will verify your health insurance coverage(s) that may cover some or all of the services to be performed, NCH Bonita Ambulatory Surgery Center will initiate contact with them to determine your cost-sharing responsibilities. Prior to surgery, someone from the center will contact you with your estimated cost-sharing out of pocket.

Upon request, a written estimate will be provided to you. This amount is due prior to or on the day of your surgery. Please remember to bring a form of payment with you. We accept cash, checks, major credit cards and care credit.

For payment plans, financial assistance plans, or charity care discounts please call the billing office to see if you qualify: NCH Bonita Ambulatory Surgery Center: 239-382-5001.

After surgery, NCH Bonita Ambulatory Surgery Center will submit your bill to your insurance company. Any additional financial responsibilities, above what was given as the estimate, will be balance billed to the patient.

NCH Bonita Ambulatory Surgery Center’s standard collection policy is to produce and send two statements to patients for their cost sharing amount. If payment is not received within 90 days of date of service, the balance will be turned over to collections.

NOTE: You will receive a separate bill from your doctor, anesthesiologist and/or pathologist.

Provider Disclosure

Services are provided in this health care facility by other health care providers who may separately bill the patient and who may or may not participate with the same health insurers or health maintenance organizations as NCH Bonita Ambulatory Surgery Center.

You may request a more personalized estimate of charges from these other health care providers by contacting the health care providers directly. You may contact these providers through their contact information provided below.

Team Health Anesthesia

Naples Pathology Associates

Associates in Medicine & Surgery
Jonathan Furmanek, DPM
2350 Vanderbilt Beach Road Suite 204
Naples, FL 34109
239-596-9890

Atlantic Center of Aesthetic and Reconstructive Surgery Pediatrix Medical Group
David Lobb, MD
26800 Tamiami Trail
Suite 380
Bonita Springs, FL 34134
239-420-7447

Dr. Tony Mork Endoscopic Spine Specialist
Tony Mork, MD   
4851 Tamiami Trail N
Suite 200
Naples, FL 34103
239-420-7447

GenesisCare
Adam Riker, MD
900 Tamiami Trail
Naples, FL 34102
239-333-0995

Naples Sports Medicine 
Gregory Rubin, DO
1285 Creekside Blvd
Naples, FL 34109
239-624-0310

NCH Healthcare Medical Group
Christopher Staudinger, MD
1726 Medical Blvd
Suite 203
Naples, FL 34110
239-624-0390

Richard de Asla, MD
1285 Creekside Blvd E
Suite 102
Naples, FL 34109
239-624-1700

Out-of-Network

A patient receiving treatment at our facility who presents an insurance with which we are considered out-of-network may be eligible to receive an adjustment to their assigned out-of-network patient liability. This is, assuming our facility is not prohibited from offering out-of-network adjustments under state/Federal laws or your insurance company’s provisions.

If not prohibited, the application of any out-of-network discount is subject to vary based on a patient’s benefit coverage. Accounts which become delinquent may have the adjustment disallowed.

FloridaHealthfinder.gov

The Agency for Health Care Administration maintains an interactive, searchable pricing website to provide data on health care costs for national, state and county prices.

Information regarding bundle services and procedures is available. The pricing provides a non-personalized estimate of cost that may be incurred by the patient for anticipated services.

Please do not hesitate to contact our business office with any concerns or questions regarding your coinsurance and/or payment options. You may also contact our billing office to review our Financial Assistance Policy.

For billing questions, please call 239-382-5001.

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Contact Us

24040 S Tamiami Trail
Suite 201
Bonita Springs, FL 34134