Transparent Pricing
We are able to work with most insurances. We'll do our best to obtain an accurate cost for our patients ahead of procedure, while working with as many third party payers as we can tolerate. Given the high burden of dealing with pre-authorizations, denials, resubmissions, delayed payments and declining "reimbursements," we will be working to taper our exposure to uncooperative insurers who make doctors' and patients' lives more difficult.
Simultaneously, we continue to build out a list of cash-based prices (self-pay rates) as an alternative option for patients as we accumulate data regarding our own base costs and our affiliates' facility fees. We are working to bundle those costs into an all-inclusive single fee, to include surgery, anesthesia and facility. We'll model off of the transparent pricing system of Surgery Center of Oklahoma which offers a multitude of surgeries at a fraction of the cost of typical third-party health coverage schemes. Cash pricing could be a better option for those with a HealthShare, an HSA, for those covered by a business that is self-insured, for the uninsured, for medical tourists and perhaps others.
In our view, the better approach to health care funding would be found outside of what has become in recent decades the lobbied and legislated "normal" insurance model in which a corporate or government entity decides what will be paid for, by whom, to whom, through which claims submission processes, meeting which criteria, and at what price... trickled through endless, indecipherable, impersonal layers of costly, redundant and wasteful bureaucracy. The patient and physician get managed and squeezed, and the corporate insurance and hospital entities make billions (yes, even the "non-profits" who love to put their names on sports stadiums). This setup completely undermines the physician-patient relationship, and in the most economically devastating way. Better options seem to include Direct Primary Care (DPC), carrying catastrophic health plans or health shares, direct payments of reasonably and transparently priced physician services, and Health Savings Accounts. (For example, did you realize that instead of getting a bill for a $2500 CT scan at the hospital using your insurance, we can help find you the same CT scan at a local radiology center for $250 when you pay directly? It's almost as if the insurance premiums and deductibles extract value from you rather than provide it to you.)
Cash price options are under development. Feel free to inquire! We'll work with you as best we can.
Accepting all major credit cards, HSA, FSA, cash, check, Bitcoin and Ethereum.
Non-cash and insurance billing will be managed through AdvancedMD billing services. (Patient/payment portal link here.) If you receive a bill that seems in error or you are concerned about being able to pay, please give us a call or email. We have never sent a patient to "collections."