Paying Your Bill
Account Statements & Billing Information
Once your insurance carrier has processed your anesthesia claim—typically within 30 to 45 days after your procedure—you will receive an account statement from Capital Anesthesia Partners. This statement will outline the services provided, payments received from your insurer, and any remaining patient responsibility, including co-payments, co-insurance, and/or deductible amounts.
You may also obtain your insurer’s summary of benefits, known as an Explanation of Benefits (EOB), directly from your insurance provider.
Convenient Payment Options
We offer several secure and convenient ways to pay your bill:
Online Payment (Credit Card)
Pay securely through our patient portal:
https://paynow.coronisglobal.com/FirstPay/paymentProcess.action.
You will need your account number and date of birth to access your statement.
By Phone (Credit Card)
Call 1-800-222-1442
Monday–Friday, 9:00 AM–6:00 PM ET (excluding holidays)
By Mail (Check or Money Order)
Please make checks payable to Capital Anesthesia Partners and include your invoice number in the memo line. Mail payments to:
Capital Anesthesia Partners
PO Box 17665
Baltimore, MD 21297
Payment Terms
Payment in full is due upon receipt of your invoice. Timely payment helps ensure our continued ability to provide high-quality anesthesia services to all patients.
If you have questions about your statement, our billing team is available at 1-800-222-1442, Monday–Friday, 8:00 AM–7:00 PM ET (excluding holidays).
Collections Policy
Accounts with unresolved balances may be referred, at our discretion, to a third-party collections agency for recovery of outstanding amounts. If this occurs, applicable collection costs—including agency fees (up to 20%) and any allowable interest—may be added to your balance.
Once an account is assigned to collections, all communications and payment arrangements must be made directly with the agency:
Mid Atlantic Medical Collection Services, Inc.
Phone: 410-494-7932
Insurance
Insurance & Billing Overview
Capital Anesthesia Partners participates with nearly all insurance carriers accepted at the facilities where we provide care. As an in-network provider, we have negotiated rates with your insurance company for our services. Your individual financial responsibility—such as co-payments, co-insurance, or deductibles—is determined by your specific plan and benefits.
Understanding Your Medical Bills
It is common for patients to receive multiple bills for a single outpatient procedure. These may include:
- Physician Fee – from the surgeon or gastroenterologist who performed your procedure
- Facility Fee – from the ambulatory surgery center or endoscopy center for supplies, medications, and equipment
- Anesthesia Fee – from Capital Anesthesia Partners for anesthesia services provided during your procedure
- Pathology Fee – if a biopsy is performed, for laboratory analysis and interpretation
Coverage Considerations
Some insurance plans include “medical necessity” policies that may limit coverage for anesthesia services during endoscopic procedures. While we will submit claims to your insurance carrier, coverage decisions are made by your insurer based on your individual policy. As such, coverage is not guaranteed, even when we are in-network.
What to Expect: Patient Costs
We believe in helping patients better anticipate the cost of care. On average:
- Out-of-pocket cost for anesthesia services: approximately $85
- Average deductible: approximately $287
Patients with high-deductible health plans who have not yet met their annual deductible may incur higher out-of-pocket expenses, which can exceed $500.
Questions About Your Coverage or Bill
Health insurance and medical billing can be complex. For questions about your coverage, benefits, or plan requirements—including co-pays, co-insurance, deductibles, or medical necessity policies—please contact your insurance provider or your employer's Human Resources department.
For questions about your anesthesia bill or account balance, please contact our billing office at 1-800-222-1442.
Collections Policy
Unpaid balances may be referred to a third-party collections agency at our discretion. Once an account has been transferred, all payment arrangements must be made directly with the agency:
Mid Atlantic Medical Collection Services, Inc.
Phone: 410-494-7932
Accepted Carriers
For your convenience, Capital Anesthesia Partners participates with the majority of major health plans accepted at our practice locations. The list below is provided as a courtesy and is subject to change at any time. If your insurance carrier is not listed, you may still be covered through a partner carrier. It is important that you review your coverage and obligations with your insurance company in advance of your procedure. Questions concerning coverage should be directed to your insurance carrier.
- Aetna
- CareFirst (BCBS Federal, PAR/RPN Networks, BlueChoice, BlueSelect and BlueCard)
- Cigna
- Chevy Chase Clinical Research
- Claritev (formerly MultiPlan)
- Community Reach (Mansfield Kaseman Health Clinic)
- Coventry
- First Health
- Healthnet
- Kaiser Permanente
- Medicaid
- Medicare
- Montgomery Cty Cancer Crusade
- TRICARE
- United Healthcare (Optum, UMR)
We are NOT contracted with:
* Adventist Healthnet though anesthesia services for some members may be covered if their plan accesses the CareFirst network. Read more.
* Johns Hopkins Medical Plan though anesthesia services for some EHP members may be covered if their plan accesses the Cigna wrap network. Members should consult with their Human Resources department to confirm participation.
NPI Number: 1265715692
Screening Colonoscopy Anesthesia Insurance Benefit
Understanding Screening vs. Diagnostic Colonoscopy
Knowing the difference between a screening and diagnostic colonoscopy can help you better understand your insurance coverage and potential out-of-pocket costs.
Screening Colonoscopy
A screening colonoscopy is a preventive procedure performed on patients without symptoms to detect colorectal cancer or precancerous polyps. Under the Affordable Care Act (ACA), most private insurers are required to cover recommended preventive services—like screening colonoscopies—at no cost to the patient, meaning no co-pays or deductibles in many cases.
Diagnostic Colonoscopy
A diagnostic colonoscopy is performed to evaluate symptoms or specific clinical concerns, such as:
- Rectal bleeding
- Abdominal pain
- Diarrhea
- Iron deficiency anemia
- Personal history of polyps or abnormal test results
Because this type of procedure is not considered preventive, deductibles, co-insurance, or co-pays may apply based on your insurance plan.
How Classification Affects Your Costs
Insurance coverage is determined not only by how the procedure is scheduled, but also by clinical findings and your medical history.
- If you are undergoing a routine screening colonoscopy and meet standard eligibility criteria (e.g., age and no prior history of gastrointestinal disease), your insurance will often cover the procedure—including anesthesia—at 100%.
- However, if polyps or other abnormalities are found, the procedure may be reclassified as diagnostic, which can result in patient cost-sharing depending on your plan.
- Colonoscopies performed following a positive stool-based test (such as Cologuard®) are typically classified as diagnostic, regardless of the final findings, and may involve out-of-pocket costs.
- A history of polyps or certain gastrointestinal conditions may also affect how future procedures are classified and covered.
Evolving Legislation
Historically, a gap in federal law meant that patients could incur costs if a screening colonoscopy led to additional findings (such as polyp removal). This created a financial barrier to preventive care.
In 2020, Congress passed The Removing Barriers to Colorectal Cancer Screening Act of 2020, which is gradually reducing patient cost-sharing for these scenarios. This change is being phased in over time, with the goal of eliminating out-of-pocket costs for follow-on care associated with screening colonoscopies by 2030.
Questions About Your Coverage?
Insurance policies vary, and coverage decisions ultimately rest with your insurer. For the most accurate information about your benefits—including how your procedure will be classified and what costs may apply—please contact your insurance provider or your employer’s benefits department. You can also view a flowchart prepared by the AGA Institute for additional information.
If you have questions about anesthesia services or billing, our team is here to help.
Esophagogastroduodenoscopy (EGD) Procedures
Anesthesia Billing for Esophagogastroduodenoscopy (EGD) Procedures
Anesthesia services provided during an esophagogastroduodenoscopy (EGD) are not considered preventive under the Affordable Care Act (ACA). As a result, these services are typically not covered at 100%, and patients may have financial responsibility based on their individual insurance plan.
Depending on your benefits, this may include:
- Unmet deductible
- Co-insurance
- Co-payment
How Anesthesia Services Are Billed
Anesthesia billing is based on a standardized formula that combines:
- ASA base units (reflecting the complexity of the procedure), and
- Time units (based on the duration of care)
Requesting a Cost Estimate
If you would like an estimate of your anesthesia costs prior to your procedure, please contact our corporate office. Our team will be happy to assist you in understanding your expected financial responsibility.
"Double" Procedures
Anesthesia Billing when a Colonoscopy and Esophagogastroduodenoscopy (EGD) are performed at the same
When a colonoscopy is performed alongside another procedure—such as an upper endoscopy (EGD)—the Affordable Care Act (ACA) screening benefit typically does not apply to anesthesia services. As a result, patients may have out-of-pocket costs based on their insurance plan, including:
- Unmet deductible
- Co-insurance
- Co-payment
How Anesthesia Billing Works
Anesthesia services are billed using a standardized methodology that combines:
- ASA base units (procedure complexity), and
- Time units (duration of care)
Unlike procedural billing, anesthesia is not billed separately for multiple procedures performed during the same session.
Cost Considerations
Although anesthesia for a standalone screening colonoscopy is often covered in full, combining procedures may change how anesthesia services are classified and reimbursed.
That said, having both procedures performed during a single visit is typically more cost-effective overall than scheduling them on separate days. Separate procedures may result in:
- Two anesthesia encounters
- Two facility fees (one for each date of service)
By combining procedures, patients can often reduce total costs while minimizing the need for multiple appointments.