Billing Information and Disclosures
*For Florida patients: Pursuant to Florida Price Transparency and Billing Statute 395.301, Chapter 395 Section 301 – 2016 Florida Statutes – The Florida Senate, our ASC ensures compliance with all state and federal regulations including price transparency, provision of itemized statement or bill upon request, and patient admission status notification. Please reference the FloridaHealthPriceFinderer tool at: http://pricing.floridahealthfinder.gov.
*For North Carolina patients, please reference: https://info.ncdhhs.gov/dhsr/ahc/hb834/search.asp.
Service bundle information is a non-personalized estimate of costs that may be incurred by a patient for anticipated services; actual costs will be based on services actually provided to the patient.
Patients have the right to request a personalized estimate from the surgery center. Estimates are provided upon request of the patient or legal guardian for nonemergency medical services. A patient has the right to receive a copy of an itemized statement or bill upon request. A patient has a right to be given an explanation of charges upon request.
It is the facility’s policy to offer payment plans to assist patients who have difficulty paying outstanding balances in full at the time the accounts become due as a result of financial hardship. For inquiries regarding the facility’s financial assistance policy, charity care policy, and collection procedure, please contact:
Maria Ocampo
Director of Revenue Cycle Management
maria.ocampo@bluecloudpsc.com
The purpose of the financial assistance, charity care, and collections policies is to provide the management of Blue Cloud Pediatric Surgery Centers, LLC with a uniform method for handling patients who are financially responsible for all or a portion of their accounts but cannot pay in full as a result of financial hardship. This policy ensures that patients who cannot make payment in full at the time that the account becomes due have an alternative to pay over a specified time period.
It is the policy of Blue Cloud Pediatric Surgery Centers, LLC to offer payment plans to assist patients who have difficulty paying outstanding balances in full at the time the accounts become due as a result of financial hardship.
Blue Cloud encourages all patients to pay in full. However, staff can create payment plans for patients unable to make full payments or do not qualify for Care Credit, so they can pay outstanding balances over time. Payment plans may be used for outstanding balances or pre-service deposits for procedures, surgeries, or non-covered services.
- The minimum balance for a payment plan must be greater than $100.
- 50% of the balance must be paid at the time of service
- The remaining 50% must paid within 3 monthly installments
A patient who has a delinquent account is allowed one month to make up the missed payment. If he or she fails to meet this schedule, the account is no longer eligible for a payment plan, and must be paid in full. If the account is more than 120 days past due, it is made eligible for pre collection agency turnover.
Blue Cloud does not currently offer formal charity care.
The following are parties contracted to provide healthcare services in the facility:
Miami Children’s Surgery Center
(862) 803-2569
7867 N Kendall Dr #135
Miami, FL 33156
Dental
Florida Dental Team, LLC
(862) 803-2569
7867 N Kendall Dr #135
Miami, FL 33156
Anesthesia
Blue Cloud Anesthesia, LLC
(862) 803-2569
7867 N Kendall Dr #135
Miami, FL 33156
Fort Lauderdale Children’s Surgery Center
(954) 233-0785
4650 N Dixie Hwy
Oakland Park, FL 33334
Dental
Florida Dental Team, LLC
(954) 233-0785
4650 N Dixie Hwy
Oakland Park, FL 33334
Anesthesia
Blue Cloud Anesthesia, LLC
(954) 233-0785
4650 N Dixie Hwy
Oakland Park, FL 33334
Fort Myers Children’s Surgery Center
(239) 387-1587
3700 Central Ave, Ste 2
Fort Myers, FL 33901
Dental
Florida Dental Team, LLC
(239) 387-1587
3700 Central Ave, Ste 2
Fort Myers, FL 33901
Anesthesia
Blue Cloud Anesthesia, LLC
(239) 387-1587
3700 Central Ave, Ste 2
Fort Myers, FL 33901
Jacksonville Children’s Surgery Center
(904) 842-1235
3599 University Blvd S, Ste 604
Jacksonville, FL 32216
Dental
Florida Dental Team, LLC
(904) 842-1235
3599 University Blvd S, Ste 604
Jacksonville, FL 32216
Anesthesia
Blue Cloud Anesthesia, LLC
(904) 842-1235
3599 University Blvd S, Ste 604
Jacksonville, FL 32216
Pensacola Children’s Surgery Center
(850) 876-6724
1549 Airport Blvd, Ste 420
Pensacola, FL 32504
Dental
Florida Dental Team, LLC
(850) 876-6724
1549 Airport Blvd, Ste 420
Pensacola, FL 32504
Anesthesia
Blue Cloud Anesthesia, LLC
(850) 876-6724
1549 Airport Blvd, Ste 420
Pensacola, FL 32504
Tampa Children’s Surgery Center
(813) 774-6003
10909 W Linebaugh Ave, Ste. 102
Tampa, FL 33626
Dental
Florida Dental Team, LLC
(813) 774-6003
10909 W Linebaugh Ave, Ste. 102
Tampa, FL 33626
Anesthesia
Blue Cloud Anesthesia, LLC
(813) 774-6003
10909 W Linebaugh Ave, Ste. 102
Tampa, FL 33626
Orlando Children’s Surgery Center
(407) 792-1968
1000 Woodcock Rd, Ste. 120
Orlando, FL 32803
Dental
Florida Dental Team, LLC
(407) 792-1968
1000 Woodcock Rd, Ste. 120
Orlando, FL 32803
Anesthesia
Blue Cloud Anesthesia, LLC
(407) 792-1968
1000 Woodcock Rd, Ste. 120
Orlando, FL 32803
West Palm Beach Children’s Surgery Center
(561) 291-9839
1620 S Congress Ave, Ste. 100
Palm Springs, FL 33461
Dental
Florida Dental Team, LLC
(561) 291-9839
1620 S Congress Ave, Ste. 100
Palm Springs, FL 33461
Anesthesia
Blue Cloud Anesthesia, LLC
(561) 291-9839
1620 S Congress Ave, Ste. 100
Palm Springs, FL 33461
Raleigh Children’s Surgery Center
(984) 900-2777
2620 New Bern Ave
Raleigh, NC 27610
Dental
Dr. LaRee Johnson, LLC
(984) 900-2777
2620 New Bern Ave
Raleigh, NC 27610
Anesthesia
SCDP Anesthesia Professionals
(984) 900-2777
2620 New Bern Ave
Raleigh, NC 27610
Patients should contact the health care practitioners anticipated to provide services while in the facility regarding a personalized estimate, billing practices, and participation with the patient’s insurance provider or HMO as the practitioners may not participate with the same health insurers or HMO as the facility.
As of the most recent update to this Disclosure, the facility has not contracted with any health insurer or HMO. The site will be updated when the facility becomes a network provider.
