Financial Assistance

Call Us
(225) 408-5542
In-Person
Monday through Friday
8 a.m. – 4:30 p.m.
Mail
Business Department
Financial Counseling
8080 Bluebonnet Blvd,
Baton Rouge, LA 70810

Frequently Asked Questions

The Financial Assistance Policy and application may be obtained from the hospital website, by mail, or in person at the hospital’s admissions department. Complete the application, include all requested documents and submit to the hospital’s admissions department or by mail to the address listed on the application.

The Financial Assistance Policy (FAP) covers emergency and medically necessary services provided to uninsured and underinsured patients at Surgical Specialty Center Hospital. Assistance for underinsured patients is meant to address gaps in coverage and does not cover co-pays, deductibles, or co-insurance for insured patients. The policy also does NOT cover; cosmetic procedures; charges resulting from procedures that are not covered by third-party insurance due to the patient’s failure to follow insurance payer guidelines where a patient knowingly received services in a non-contracted hospital; motor vehicle accidents where third-party liability is being pursued for payment of hospital expenses; and other services as determine by the hospital.

Eligibility for write-off is determined based on the number of persons in the household and annual family income as a percentage of the federal poverty level (FPL) (see percentages below). Qualifying patients receive a full write-off of all hospital charges, assuming they meet the other eligibility criteria set out in the FAP.

Uninsured, income up to 138% of FPL.

Underinsured will be treated as uninsured for purposes of this FAP.

Detailed information is available in the Patient Financial Assistance Policy Link below.

Eligible patients will not be charged more for emergency and other medically necessary care than Amounts Generally Billed (AGB) to those patients who have insurance.

The Plain Language Summary, FAP, and application will be offered in multiple languages at the admissions departments and on the website listed below.

Family Income includes the income of all family members who reside together and dependents claimed on the income tax return. The following income is used when computing family income: earnings, unemployment compensation, worker’s compensation, Social Security, Supplemental Security Income, public assistance, veterans payments, survivor benefits, pension or retirement income, interest, dividends, rents, royalties, income from estates, trusts, educational assistance, alimony, child support, assistance from outside the household, resources or property that are easily convertible to cash, and other miscellaneous sources. Family income is determined on a before –tax basis.

Pricing Transparency

Surgical Specialty Center of Baton Rouge (SSCBR) strives to empower patients to make informed decisions about their healthcare. This includes helping patients understand the cost of their care and the availability of financial aid. In compliance with federal law, SSC provides a list of standard charges for hospital services, referred to as the “Fee Schedule.”

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In compliance with federal law, SSCBR provides a list of standard charges for hospital services (the “Fee Schedule”). The Fee Schedule does not represent the actual amount paid by any governmental or commercial insurance providers, nor does it represent that actual amount for which a patient may be responsible. Each patient’s financial responsibility may vary. The actual amount a patient pays is based on many factors, including health insurance, benefit plans, other applicable discounts, and the services provided based on the patient’s individual needs.

To obtain the most accurate estimate of patient out of pocket costs, it strongly recommended that patients contact their insurer to request an estimate or SSCBR's Admission's Department at (225) 408-5661. To obtain the most accurate estimate possible, the patient’s insurance information, if any, as well as a specific description of the service requested, preferably a physician’s order, are necessary.

We also advise patients to consult, as applicable, with his or her health insurer to confirm individual payment responsibilities and remaining deductible balances.

Although estimates are available through SSCBR for most scheduled services, the nature of healthcare, including the factors described above, dictates that the appropriate level of care, and thus the patient’s cost of that care, frequently cannot be accurately determined until the care has actually been provided.

The actual cost for which the insurance and/or patient may be responsible are often, although not always, significantly less than the total charges posted to a patient’s account, and thus, estimating payer cost or patient responsibility using a fee schedule alone will not produce an accurate estimate.

By Accessing This Fee Schedule, You Are Acknowledging The Following: 

I have read and am aware of the above information, the contextual limitations of the SSCBR Fee Schedules and recognize that the SSCBR Fee Schedules cannot be used as a single source for determining actual cost to any payer, including insurers, employers, or patient out-of-pocket responsibility, and if such single service determination is attempted, the information will be out-of-context and therefore, incomplete and inaccurate. I understand that the list of charges reflects the standard charges for services provided at SSCBR. I understand that the Fee Schedule includes hospital services only and does not contain professional fees for any physicians or other medical practitioners, lab charges, diagnostic services or other related costs that are not included as hospital services. I understand that the prices on the Fee Schedule are the prices of hospital charges and do not necessarily represent the amount my insurance company will pay or what I will owe.

If I am a non-patient, third-party, I acknowledge that I have read and am aware of the above information, the contextual limitations of the SSCBR Fee Schedules, and recognize that the SSCBR Fee Schedules cannot be used as a single source for determining actual cost to any payer, including insurers, employers, or patient out-of-pocket responsibility, and if such single service determination is attempted, the information will be out-of-context and therefore, incomplete and inaccurate. I further acknowledge that if I or my organization republish, post online, or otherwise re-communicate this information to another party and hold-out these fee schedules to the sole determining factor in establishing payer cost or patient out-of-pocket responsibility, without providing the contextual limitations described above, I risk misleading the consumers of such information due to the limitations detailed in this disclaimer. If my or my organization’s intent is to aid a payer or patient in determining actual payer cost or patient out-of-pocket responsibility, I acknowledge that this intent is most accurately and effectively achieved by recommending that such individuals contact their insurer or SSCBR's Admissions Department at (225) 408-5661.

THIS SITE AND THE FEE SCHEDULE IS STRICTLY AN ESTIMATE OF CHARGES AND SSCBR CANNOT GUARANTEE THE ESTIMATES BECAUSE SERVICES RENDERED TO EACH PATIENT AND THEIR COST MAY VARY BECAUSE OF TREATMENT DECISIONS, UNFORESEEN COMPLICATION, ADDITIONAL TESTS OR SERVICES ORDERED BY YOUR PHYSICIAN, AND THE INDIVIDUAL NEEDS OF EACH PATIENT. THIS SITE AND THE INFORMATION CONTAINED IN THE FEE SCHEDULE IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT AN OFFER OR REPRESENTATION OF THE PROVISION OF MEDICAL SERVICES.

 

In compliance with federal law, SSCBR provides a list of standard charges for hospital services (the “Fee Schedule”). The Fee Schedule does not represent the actual amount paid by any governmental or commercial insurance providers, nor does it represent that actual amount for which a patient may be responsible. Each patient’s financial responsibility may vary. The actual amount a patient pays is based on many factors, including health insurance, benefit plans, other applicable discounts, and the services provided based on the patient’s individual needs.

To obtain the most accurate estimate of patient out of pocket costs, it strongly recommended that patients contact their insurer to request an estimate or SSCBR's Admission's Department at (225) 408-5661. To obtain the most accurate estimate possible, the patient’s insurance information, if any, as well as a specific description of the service requested, preferably a physician’s order, are necessary.

We also advise patients to consult, as applicable, with his or her health insurer to confirm individual payment responsibilities and remaining deductible balances.

Although estimates are available through SSCBR for most scheduled services, the nature of healthcare, including the factors described above, dictates that the appropriate level of care, and thus the patient’s cost of that care, frequently cannot be accurately determined until the care has actually been provided.

The actual cost for which the insurance and/or patient may be responsible are often, although not always, significantly less than the total charges posted to a patient’s account, and thus, estimating payer cost or patient responsibility using a fee schedule alone will not produce an accurate estimate.

By Accessing This Fee Schedule, You Are Acknowledging The Following: 

I have read and am aware of the above information, the contextual limitations of the SSCBR Fee Schedules and recognize that the SSCBR Fee Schedules cannot be used as a single source for determining actual cost to any payer, including insurers, employers, or patient out-of-pocket responsibility, and if such single service determination is attempted, the information will be out-of-context and therefore, incomplete and inaccurate. I understand that the list of charges reflects the standard charges for services provided at SSCBR. I understand that the Fee Schedule includes hospital services only and does not contain professional fees for any physicians or other medical practitioners, lab charges, diagnostic services or other related costs that are not included as hospital services. I understand that the prices on the Fee Schedule are the prices of hospital charges and do not necessarily represent the amount my insurance company will pay or what I will owe.

If I am a non-patient, third-party, I acknowledge that I have read and am aware of the above information, the contextual limitations of the SSCBR Fee Schedules, and recognize that the SSCBR Fee Schedules cannot be used as a single source for determining actual cost to any payer, including insurers, employers, or patient out-of-pocket responsibility, and if such single service determination is attempted, the information will be out-of-context and therefore, incomplete and inaccurate. I further acknowledge that if I or my organization republish, post online, or otherwise re-communicate this information to another party and hold-out these fee schedules to the sole determining factor in establishing payer cost or patient out-of-pocket responsibility, without providing the contextual limitations described above, I risk misleading the consumers of such information due to the limitations detailed in this disclaimer. If my or my organization’s intent is to aid a payer or patient in determining actual payer cost or patient out-of-pocket responsibility, I acknowledge that this intent is most accurately and effectively achieved by recommending that such individuals contact their insurer or SSCBR's Admissions Department at (225) 408-5661.

THIS SITE AND THE FEE SCHEDULE IS STRICTLY AN ESTIMATE OF CHARGES AND SSCBR CANNOT GUARANTEE THE ESTIMATES BECAUSE SERVICES RENDERED TO EACH PATIENT AND THEIR COST MAY VARY BECAUSE OF TREATMENT DECISIONS, UNFORESEEN COMPLICATION, ADDITIONAL TESTS OR SERVICES ORDERED BY YOUR PHYSICIAN, AND THE INDIVIDUAL NEEDS OF EACH PATIENT. THIS SITE AND THE INFORMATION CONTAINED IN THE FEE SCHEDULE IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT AN OFFER OR REPRESENTATION OF THE PROVISION OF MEDICAL SERVICES.