Community Surgery Center Plus

We offer the following digestive health services:

• Colonoscopy
• Sigmoidoscopy
• Colorectal surgery, such as, but not limited to, hemorrhoidectomy

Procedure Prep

• Rectal
• Colonoscopy
  • Magnesium Citrate Prep
  • Miralax Prep
  • MoviPrep (morning and afternoon)
• Abdominal surgery

All of our highly-trained surgeons are board-certified in colorectal surgery. They are members of Community Physician Network at Community Health Network as well as certified MD Anderson Cancer Network physicians.

Click their names to see their profiles, watch their videos and learn more about their expertise.

• Arun Gowdamarajan, MD
• Shekar Narayanan, MD
• Ateet Shah, MD
• Sanjay Thekkeurumbil, MD
• Patrick White, MD

Meet the Surgeons

Question: What do I need to bring to the procedure?
Answer: Bring your insurance card(s) and your driver’s license or a current state issued picture ID. Please bring a copy of your advance directives or power of attorney if you have one. Also, please bring a list of any medications you are taking.

Question: Do I need to make transportation arrangements?
Answer: A responsible adult driver must be with you upon check-in and accompany you home after the procedure. Due to the sedation, you will not be allowed to drive after your procedure. Your procedure will not be performed without your responsible party available, as a protection for your safety. Public transportation is not a permissible substitute for a responsible party. You may be asked to reschedule if you are unable to meet our safety policies.

Question: How will I be charged for the procedure?
Answer: Depending upon your insurance plan, you may receive several bills as a result of the many specialists supporting your procedure. These may be from: Community Surgery Center Plus, your physician, an anesthesia provider who managed your anesthesia care, and/or a lab or pathology facility. For further information about billing, please call 317-841-8005.

Question: I am taking the prep and now having loose, watery stools. Do I still need the rest of the prep?
Answer: Yes, you may have solid stool higher in the colon that needs to be eliminated.

Question: I already have diarrhea before taking the prep. Do I still have to take the laxative?
Answer: Yes, you must take the prep as directed by your doctor. Your colon is approximately six feet long. The entire colon must be emptied for your physician to see the colon clearly.

Question: Is there any way I can make the prep taste better?
Answer: You can try sucking on hard candy or rinse your mouth with water or mouthwash. Do not eat or drink anything while you are drinking the solutions.

Question: Why avoid red liquids?
Answer: The red color can persist in the colon and potentially look like blood.

Question: One of the medications I was instructed to take the morning of my procedure is red. Can I take it?
Answer: Medications for blood pressure, heart condition and seizures should be taken the morning of your exam regardless of the color.

Question: I see yellow color in the toilet bowl and a few flecks. What do I do?
Answer: If you drank the entire solution or if your last bowel movements were clear enough that you were able to see the bottom of the toilet, you should be fine. It is okay if you have some flecks of material. The yellow color is a result of bile that normally colors the feces. This should not interfere with the examination.

Question: My bottom is so sore. What can I do?
Answer: To clean the area, avoid rubbing. Gently pat with a wet washcloth. Apply Vaseline, Preparation H, or Desitin liberally.

Question: Can I drink alcoholic beverages?
Answer: We strongly suggest that you do not drink any alcoholic beverages prior to your procedure since they can cause dehydration and some wines may thin your blood.

Question: I feel like vomiting and do not think I can drink any more. What should I do?
Answer: It is important that you continue to drink the solution if possible. Without a clean bowel, the doctor will not be able to see the inside of your colon to complete the examination. If you do vomit, wait 30 minutes and begin drinking the solution again. If not improved, call us and have a phone number of an open pharmacy in case we need to call in a prescription.

Question: I drank a lot of the solution and have not gone to the bathroom yet. What should I do?
Answer: Keep drinking. Most people have a bowel movement after an hour; some patients may take two hours or longer.

Question: Can I drink any nutritional supplements?
Answer: You may drink Ensure (chocolate or vanilla) or Slim-Fast with Soy Protein/Lactose Free. These drinks are water based, not milk based.

Question: Can I chew gum or suck candy?
Answer: Yes, but nothing with soft centers or red color.

Question: What if I am still passing stool the morning of my test?
Answer: Take a tap water enema until you run clear. If this does not work, call the office.

Question: Can I brush my teeth?
Answer: Please do.

Question: Can I have chicken soup?
Answer: You can only have the broth; no noodles, chicken or vegetables allowed.

Question: Can I wear my dentures?
Answer: Yes, you may wear your dentures to the endoscopy suite. However, you may be asked to remove them prior to the procedure.

Question: I have been instructed not to take anti-inflammatories or blood thinners several days before the procedure. What can I take for headaches and pain relief?
Answer: You may take Tylenol as directed.

Question: Can I have the colonoscopy if I am on my menstrual period?
Answer: Yes, the procedure can still be performed. We ask that you use a tampon if possible (not absolutely necessary).

Question: Do I need a prescription for the laxatives?
Answer: It depends on the preparation instructions you were given. Miralax requires a prescription.

Bill Pay

Click the link below to securely pay your bill online.

Pay Bill Online

Prices and Cost Estimates

Community wants to help patients understand the cost of their care as well as the financial assistance and payment options that may be available to them. In compliance with federal law, Community Surgery Center Plus provides standard chargemaster prices for facility services and charges.

Community Surgery Center Plus Charges

A patient may at any time ask a healthcare provider for an estimate of the amount the patient will be charged by the provider and health facility for non-emergency medical services provided at Community Surgery Center Plus. The law requires that the estimate be provided within 5 business days.

If you need a price estimate, please call the Community Health Network Pricing Support Center at 844-786-9503 (toll-free) or 317-355-9279 to start the process. You may also request an estimate online. Reimbursement analysts are available Monday through Friday, 9 a.m. to 5 p.m. For messages sent after hours or on the weekends you will be contacted within 5 business days. Learn more at eCommunity.com/pricing.

To view pricing disclaimers and chargemasters for other Community facilities, click here.

Insurance Carriers

The following are in-network insurance carriers. If your insurance is not listed, please contact us for arrangements.

• Advantage Health Solutions
• Aetna
• Anthem
• Beech Street
• CIGNA
• COFINITY
• Coventry Healthcare
• Humana/ChoiceCare
• Indiana Health Network
• Medicaid
• Medicare
• NPPN
• PHCS
• TriCare

Financial Interests

Patients have a right to know if their physician has a financial interest in the surgery center. A “financial interest” means that your physician may have an ownership or investment interest through equity, debt or other means in Community Surgery Center Plus This center is jointly owned by VEI and the physicians of Community Physician Network, Colon and Rectal Care. Someone will inform you if your designated physician has a financial interest in Community Digestive Center prior to scheduling your procedure at the center. As a patient you are free to choose the center or any facility for your procedures/services required, without a penalty, subject to any limitation of your health insurance. A list of Community Surgery Center Plus's physician investors is available upon request.

Notice of Privacy Practices
Describes how medical information about you may be used and disclosed and how you can get access to this information.

Patient Rights & Responsibilities (PDF)
Describes your rights and responsibilities as our patient, including advance directives information and physician disclosures.

Our center promotes quality by participating in quarterly national benchmarking activities (Ambulatory Surgery Outcome Project) and we consistently test above average in ASCA quality reporting.