Notice of Ambulatory Price Transparency
Effective date of notice: 03/31/21
NOTICE OF AMBULATORY PRICE TRANSPARENCY
CLI Surgery Center
Privacy Officer
P.O. Box 549
Wabash, IN 46992
• Commercial insurers negotiate rates with Ambulatory Surgical Centers on behalf of their members. The rates vary among insurers.
• Several factors can affect the amount a patient owes to an Ambulatory Surgical Center, including the type of plan you have the amount your insurance benefits require you to pay for co-pays, deductibles and co-insurance.
• Generally, the amount you pay will be less if your Ambulatory Surgical Center are in-network with your plan.
• Be sure to review your benefits plan to understand all the factors affecting your financial responsibility.
