Patient Transparency Law

FLORIDA STATUTE 395.301

Price transparency; itemized patient statement or bill; patient admission status notification.

(1) A facility licensed under this chapter shall provide timely and accurate financial information and quality of service measures to patients and prospective patients of the facility, or to patients’ survivors or legal guardians, as appropriate. Such information shall be provided in accordance with this section and rules adopted by the agency pursuant to this chapter and s. 408.05. Licensed facilities operating exclusively as state facilities are exempt from this subsection.

• (a) Each licensed facility shall make available to the public on its website information on payments made to that facility for defined bundles of services and procedures. The payment data must be:
  • Presented and searchable in accordance with, and through a hyperlink to, the system established by the agency and its vendor using the descriptive service bundles developed under s. 408.05 (3)(c).
  • Include the estimated average payment received from all payors, excluding Medicaid and Medicare, and the estimated payment range for such bundles.
  • Include plain-language disclosure that the data is an estimate and actual costs will be based on the services provided.

  The facility’s website must:

  • Provide information to prospective patients on the facility’s financial assistance policy, including application process, payment plans, discounts, charity care policy, and collection procedures.
  • Notify (if applicable) that services may be billed separately by other providers who may not be in-network with the same insurers.
  • Inform patients they can request a more personalized estimate of charges and encourage them to contact providers to verify network participation.
  • Provide names, mailing addresses, and phone numbers of contracted providers and instructions to verify their insurance affiliations.
• (b) Upon request and before providing any nonemergency medical services, each licensed facility shall:
  • Provide in writing or electronically a good faith estimate of anticipated charges within 7 business days. This estimate:
    • May be based on descriptive service bundles unless a more personalized estimate is requested.
    • Must inform patients they may contact their insurer for cost-sharing details.
  • Include information on the financial assistance policy, including application process, payment plans, discounts, charity care, and collections.
  • Clearly identify facility fees and, if applicable, explain the purpose of the fee and that it may be cheaper elsewhere.
  • Notify the patient of any revisions to the estimate upon request.
  • Notify the patient that services may be billed separately by other providers, if applicable.
  • Take action to educate the public that estimates are available upon request.
  • Note: Failure to provide an estimate on time results in a $1,000 daily fine, not exceeding $10,000.

INFORMATION ON PAYMENTS/FINANCIAL ARRANGEMENTS

Patients served at the Leon Surgery Center at Dadeland, LLC are members of Leon Health, Inc., a Medicare Advantage Plan (Part C). Part A and Part B benefits are covered by Leon Health, Inc. Patient members of Leon Health, Inc. will not have financial responsibilities for services rendered at the Surgery Center. All services rendered at the Surgery Center are billed directly to Leon Health, Inc.