Anesthesia at OSPINE Surgical Center

OSPINE Surgical Center Contracts with Independent Anesthesia Groups and Independent Medical Facilities to provide Anesthesia Services. Some of the Independent Groups Contracted by Ospine Surgical Center to provide Anesthesia Services include:

FEINERMAN ANESTHESIA, PA

Gail S. Goldstein, M.D., PLLC

Spine Institute of Central Florida

Each contracted group is committed to providing excellent and compassionate anesthesia health care. the Physician (Anesthesiologists), Nurse Anesthetists (CRNAs) and staff are dedicated to maintaining the highest standards of medical practice for all patients requiring surgery or pain relief. Each contracted group is independent of OSPINE Surgical Center.

About Anesthesiology?

During your procedure when Anesthesia is needed, Anesthesia may be administered locally (to numb only the surgery site), regionally (to numb the region containing the surgical site) or generally (which puts the patient to sleep for the procedure.)

Some procedures may require sedation, for example moderate sedation (conscious sedation) or monitored anesthesia care (MAC) which are drug-induced states that help patients feel relaxed and calm during minor procedures. Patients are in a conscious (awake) and relaxed state during their medical/surgical/diagnostic procedures, and are able to follow directions but will remember little or none of the procedure. During moderate sedation or monitored anesthesia care, sedative and/or analgesic medications are administered intravenously to the patient, and the patient’s vital signs are closely monitored by a qualified medical team or anesthesiologist.

The education of today’s anesthesiologists has kept pace with their expanding role in all aspects of the surgical process. After completing a four-year college program and four years of medical school, would be anesthesiologists enter a four-year anesthesiology residency training program. Many of our physicians have additionally completed further training in research and anesthesiology subspecialties.

General anesthesia is a complex procedure involving:

• Pre-anesthetic assessment

• • Prior to surgery, the anesthetist interviews the patient to determine the best combination and dosages of anesthetics and the method and monitoring process required to ensure a safe and effective procedure. It is important that you answer the questions truthfully and completely so the anesthetist can select the proper anesthetics and procedure.

• • One of the risks under general anesthesia is that you may involuntarily regurgitate. For this reason your anesthetist will instruct you not to take any fluid or food after midnight on the night before your operation.

• Administration of general anesthetic drugs (induction)
• Monitoring vital signs such as blood pressure, oxygen saturation and heart rate
• Analgesia (pain inhibition)
• Airway management
• Fluid management
• Waking (emergence from the anesthesia process)
• Postoperative pain relief

Your Bill

Anesthesia charges are not included in the Facility Charges. In addition to any bills from the Facility and your Surgeon, you will receive a separate bill for anesthesia when applicable. There may be times when reimbursement by your insurance company is less than the full anesthesia bill. You will be billed for your deductible, required co-payments, or for the remainder of anesthesia fees not covered or paid by your insurance. If you have insurance and are inquiring about an out-of-pocket estimate, or if you are requesting a self-pay estimate, please feel free to contact us prior to your procedure(s).

FACILITY FEE

OSPINE Surgical Center, just like all surgical facilities and hospitals charge a facility fee for its services. The facility fees are related to the complexity of the services provided.

The facility fees at an ambulatory surgery center (ASC) covers the use of the facility and the services provided, including: 

• Nursing Staff: Nursing services involve significantly high overhead including salaries, benefits like health insurance, payroll taxes paid by the facility. Facility employ nurses, or contract with other medical facilities to provide nurses to provide needed nursing services. For patient safety, and as required by law multiple nurses are required to be present at the facility during your time at the facility. At least there must be a operating room nurse, and at least 2 recovery room nurses available to provide your care. At least one nurse is required to help get you set up prior to your surgery/procedure.
• Surgical Technicians: Multiple surgical technicians are required to facilitate provision of your surgical care.
• Use of Facility: Including reservation and use of operating room, recovery room, pre-operative holding area and resources.
• Other supporting Staff: Other technical personnel, and other staff.
• Equipment: Costly surgical trays, instruments, anesthesia machines, and other equipment used during the procedure. Equipment also requires recurring routine maintenance costs.
• Supplies: Costly drugs, anesthetic agents, biologicals, bone grafts, hemostatic agents, linens, surgical drapes, surgical prepping materials, surgical dressings, splints, casts, and other supplies.
• Disposables: Costly disposable materials and instruments required for your procedure.
• Implants: Costly surgical implants. Some surgical procedures would have implant costs far greater than $20,000. These are paid for by the Facility and must be available for your surgery to take place.
• Diagnostic services: Laboratory tests, X-rays, Fluoroscopy, ultrasound technology, and other diagnostic procedures. These diagnostic services require ongoing cost per use, and ongoing costly maintenance contracts.
• Administrative services: Receptionist, record keeping, housekeeping, and numerous other administrative services.
• Utilities: Utilities like electricity, ongoing costs related to required stand-by generators, phone services, and other utilities.
• Intraoperative Neuromonitoring (IONM): When IONM is deemed necessary, although you may have co-payments or other payments directly due to the intraoperative neuromonitoring company, the Facility contracts with Nuvasive Intraoperative Neuromonitoring Company and makes payment to the Intraoperative Neuromonitoring Company to facilitate their providing their services to you. The payment made by the Facility to the IONM company significantly reduces and at times eliminates any additional payments due from you to the IONM company.
• Other services: Ambulance services, braces, artificial limbs, and more.

It pays for the care team, NOT including the doctors, anesthesiologists who bill separately. Facility fees does not include services provided to you where you may have payment responsibilities like for radiology services requiring outside radiology reading, laboratory or pathology studies/samples sent out to outside laboratory facilities. Facility fee also covers costs related to maintaining the facility during the time your care is being provided.