The Institute will verify your current information at each visit to keep our records as updated as possible in order to serve you better.

There is an 80% deposit required on all evaluations and procedures. Payment is expected at the time of the visit. The balance will be due no later than 30 days after the service. Payments can be made by cash or check. We expect to accept credit cards soon.

Workers Compensation cases will be prepaid by the carrier as per individual agreement. Our staff can provide you with the form to submit to your attorney/workers compensation adjuster. 

The Institute’s Treatment Center provides free care to research subjects. See item # 2 under FAQs below.

Our staff will assist you in financially planning for your care with us.

The following fee schedule is based on usual and customary charges in the Tampa Bay Area. These fees are subject to change without notice:

PROCEDURES: *

1. Stellate Ganglia Nerve Block per block: $1,300 

Deposit: $1040

USA CPT Code 64510

2. Lumbar Sympathetic Nerve Block per block: $1,470

Deposit: $1176

USA CPT Code 64520

3. Trigger Point Injections (for 1-2 injections):$200

Deposit: $160

USA CPT Code 20551

4. Trigger Point Injections ( for 3 or more injections):$250

Deposit: $200

USA CPT Code 20552

5. Two-hour ketamine infusion by anesthesiologist**: $2,500

Deposit: $2,000

USA CPT Codes for conscious sedation include:

99149 - first 15 minutes

99150 - each additional 15 minute increment of

anesthesia that goes beyond the 15 minutes ascribed to 99149.

EVALUATIONS:

1. Initial Evaluation: $500

Deposit: $400

USA CPT Code 99245

2. Follow-up evaluation: $360

Deposit: $288

USA CPTCode 99213

USA DIAGNOSTIC CODES:

ICD-9 codes:

337.21 - Reflex sympathetic dystrophy of the upper limb

337.22 - Reflex sympathetic dystrophy of the lower limb

* If a second procedure is performed at the same session, the second procedure will be performed at the rate of 40% of the first procedure.

For Example:

First Procedure = Lumbar sympathetic block = $1,470

Second Procedure = Stellate ganglia block = $1,300 X 0.4 = $520

Total = $1,990

** NOTE: The 2-hour ketamine infusion is not simple sedation with a low dose of ketamine. We have found that the higher the dose of ketamine the better - - up to the limit of tolerance for ketamine. The depth of anesthesia is sufficient to require direct monitoring by an anesthesiologist throughout the 2-hour ketamine infusion. There is no cookbook dose of ketamine. Dosage is tailored to each individual patient's tolerance and response to the ketamine, but typically the dose of ketamine ranges from 200 to 400 mg per hour.

FAQs ~ Frequently Asked Questions:

1. Will the Center bill insurance or is money paid up front?

The Center is a private research institute that provides care to patients worldwide. Unlike medical practice in hospitals and universities in the USA, the Center receives no financial support from state or federal agencies. The Institute does not have an Accounts Receivable Department. Therefore, the Center requires money up front from the insurance company, the patient or another third party. The fee schedule is based on usual and customary charges in the Tampa Bay Area of Florida.

Our staff will assist you in financially planning for your care with us. We will make it as easy as possible for patients to receive, if appropriate, reimbursement from their insurance companies. The Center has created a two step process to facilitate financial planning and reimbursement.

STEP 1 ~ Prior to Evaluation / Treatment:

The Center will provide the patient the service(s) to be performed, CPT Code(s) and the fee. This information is reported on the "Fee Agreement" document shown at the following site:

Fee_Agreement

It is the patient’s responsibility to submit the document to their insurance company to determine if their company will, if appropriate, reimburse them for the money they pay the Institute.

This process will help the patient get PRIOR approval from their insurance for the Center's fee so that they can, if possible, obtain reimbursement for the money they pay the Institute:

Please note that the Fee Agreement document provides a link to our fee schedule on this web page.

STEP II ~ After Evaluation / Treatment:

After the patient is provided an evaluation and/or treatment, the patient will be provided with the following Health Insurance Claim (HIC) form linked below. This form will facilitate the reimbursement, if appropriate, from their insurance company. In addition, the patient will receive a copy of our evaluation or procedure notes.

Health Insurance Claim Form

2. Does the Center provide free care?

Yes -- The Center provides free follow-up evaluations for research subjects engaged in its research studies.

3. Do hotels give discount rates for RSD Institute patients?

Recently, the Institute negotiated $55 / night with a nice La Quinta Hotel across the street from Busch Gardens and 7 blocks from the Institute. The details can be found at the following site:

 http://rsdhealthcare.org/PatientInfo/Kirkpatrick_Hotels.htm

Families can stay at The Ronald McDonald House for free. This housing is reserved for families of children 18 years and younger.

Hotels & The Ronald McDonald House

RSD / CRPS Treatment Center and Research Institute

1900 East Busch Blvd.

Tampa, Florida 33612

(813) 995-5511

institute@rsdfoundation.org