Charges for outpatient services provided by Scripps Mercy Surgery Pavilion are based on a fixed procedural fee. Various insurance companies and government health care payers have established procedural codes for which we have established a usual and customary fee. Most of these insurance plans require us to collect a deductible and/or co-insurance based upon the benefits of your individual plan. We will calculate and inform you of any deductible and/or co-insurance you may be required to pay.
Our fixed fee covers only the facility services provided by the surgery center. Our fees do not include the professional charges of your surgeon, anesthesiologist, laboratory or radiology services ordered by your surgeon. Charges for these services will be billed separately for these individuals or medical groups. They are not included in the surgery center’s service fees.
List of Contracted Insurance
- AARP/Secure Horizons
- Aetna
- Beech Street
- Blue Cross (All Products Including Covered CA)
- Blue Shield (All Products Including Covered CA)
- Carefirst (Medicare and Medi-cal)
- Community Health Group (Medicare)
- Cigna
- Coresource
- Coventry
- Easy Choice
- First Health
- GEHA
- Great West
- Healthcomp
- HealthNet (All Products Including Covered CA)
- HealthNet Medi-cal (Ophthalmology + Pain Cases Only)
- Humana
- Interplan
- Medicare
- Moilina Medicare
- Moilina Medi-cal (Ophthalmology + Pain Cases Only)
- Multiplan
- Pacificare
- Private Health Systems (PHCS)
- SCAN
- St. Paul’s Place
- Tricare/Triwest
- United Healthcare
- Workers Compensation (All)
