Patient Information

Capital City Surgery Center is dedicated to providing patients and families with a safe, professional and efficient atmosphere in the provision of outpatient surgical care.

A continuous quality improvement program serves to enhance our patient’s outcomes while also focusing the entire staff on quality care and customer service. It is the mission of the center to provide excellence within a customer-focused, service-oriented environment.

Patient Forms

Patient Rights & Responsibilities
HIPAA Notice of Privacy Practices
Financial Agreement Form
Non-Discrimination Policy
Ambulatory Surgery Center Patient Consent to Resusitative Measures
Post-Operative Discharge Instructions
*Note: These will be tailored to you as a patient after your surgery.
Capital City Surgery Center Patient Brochure
Authorization to Release Clinical Records

About Your Bill

Capital City Surgery Center (CCSC) will make every effort to keep this process as simple as possible. Your surgical procedure will generate several different bills from different sources:

CCSC’s bill covers the use of the facility and all necessary supplies used during your surgical procedure.
You will receive separate bills from your surgeon and anesthesiologist.
Other billable services that may be separately billed are laboratory and/or pathology charges, radiology, and some specialty items/implants (IPG).

Our facility works with your doctor’s office to make sure we have accurate insurance information. We will contact your insurance carrier if there is any question bout our eligibility. If it is determined that you are responsible for the bill in its entirety or just a portion, we will call you before your date of surgery to make payment arrangements. We accept cash, personal checks, Visa, MasterCard, Discover and American Express. Capital City Surgery Center now accepts Care Credit.

Forms of Payment

We accept these
major credit cards:

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Insurance

Capital City Surgery Center will accept most major insurance plans, including Medicare. We are currently in network with the following insurance plans:

Aetna Medicare Advantage
Aetna (not all Aetna plans)
Alignment Healthcare (Must be Wake County Residents)
Ambetter of North Carolina
BCBS NC (except Blue Value or Blue Home Care)
Blue Medicare HMO/PPO
Bright Health Plan (Commercial Only)
CIGNA
Contiga Health
Corvel (NC Workers’ Comp with authorization)
Coventry of the Carolinas
Humana
Humana Medicare Advantage
Medcost
Medicare (Fee-for services)
NC Medicaid
UMR
United Health Care
United Health Care Medicare Advantage Plan
Veterans Affairs Community Care Network (VA CCN)
NC Workers’ Comp (with authorization)

Note: If payer is not listed, please contact the office for verification of coverage with the plan.

Capital City Surgery Center will bill your primary insurance and secondary insurance. Upon registration, please provide the staff with a copy of your insurance card, Social Security number and Driver’s License. This will ensure accurate and timely insurance payments.

Prior to your surgery you may receive a call from our Business Office to discuss your estimated out of pocket expense. Any out of pocket estimates are based on Capital City Surgery charges only. You may incur additional charges for other services you receive at Capital City (ie. Anesthesia, Physician Billing etc.).

If you have any questions regarding billing, please contact the Business Office at (919) 322-4800.

Our Mission

We will provide our patients with the highest quality surgical care and services in a comfortable and pleasant outpatient environment by adhering to highest professional standards of practice.

Our expert team of personnel will create an environment that fosters genuine caring concern for the comfort and welfare of the patients, their family and friends.

We will endeavor to continuously improve our services to our patients and other stakeholders.

Patient Satisfaction Survey