Insurance and Billing

While South Portland Surgical Center is an in-network provider for the majority of plans with these insurance carriers, not all doctors’ offices, anesthesia providers and pathology/laboratory facilities may be in-network with all insurance plans.

Before having surgery, South Portland Surgical Center recommends that you contact your insurance company to best understand what your out-of-pocket expenses will be.

If you have insurance, we will help you maximize your benefits by filing for you. However, a co-payment (coinsurances or deductible) will be collected at the time of scheduling or in advance of the procedure date. For your convenience, we accept cash, check, CareCredit, Mastercard, Visa and Discover.

We also offer the option to pay bills online. With our online bill pay option, you can securely make a payment for your service online with no hassles.

You will receive one bill from the center for use of the outpatient facility, nursing services and all medications and equipment required during your endoscopic procedure. This bill is separate from the medical services provided by your gastroenterologist. You may also receive separate bills for pathology, lab and anesthesia services when applicable. (Payments must be made to each entity separately).

The South Portland Surgical Center participates in the Medicare programs, as well as most commercial insurance plans. As with all insurance companies, verification of coverage is not a guarantee of payment. You will need to confirm your insurance carrier’s facility, lab and referral/pre-certification requirements prior to your procedure in order to receive the maximum benefit. You must notify our billing office of any changes in your coverage before your procedure date.

Accepted Insurance List

• Aetna
• BlueCross Blue Shield
• Cigna
• FirstChoice Health
• HealthNet
• Moda Health
• PacificSource Health Plans
• United Healthcare
• Medicare

The Cost of Your Procedure

Because you are responsible for costs for covered healthcare services until you reach your deductible, you should comparison shop if you elect to have a nonemergency procedure.

You can use tools like Healthcare Bluebook and the Medicare Procedure Price Lookup (for Medicare patients).  Many health insurance websites also provide information on where to find in-network services.