When facing surgery, one of the most stressful questions patients ask is, “How much is this going to cost me?” At our boutique general surgery practice, we believe in transparency and communication—especially when it comes to surgical billing and insurance coverage. Here’s what you need to know before your procedure.
- Start with Insurance Verification
Before surgery, our team contacts your insurance provider to confirm coverage and pre-authorization requirements. This step helps avoid surprise bills and ensures you understand what your plan covers—from the procedure itself to anesthesia, imaging, and lab work.
- Know the Difference Between In-Network and Out-of-Network
Using an in-network general surgeon and facility can significantly reduce your out-of-pocket expenses. We’ll help you confirm whether your insurance plan includes our practice and associated surgical facilities. If you’re out-of-network, we’ll walk you through what that means financially.
- Understand Out-of-Pocket Costs
Even with insurance, most patients are responsible for deductibles, co-pays, and co-insurance. We provide an upfront cost estimate before surgery, so you’re never left guessing.
- Ask About All Associated Fees
Surgical costs often include more than just the procedure. Depending on the case, there may be fees for pre-op testing, pathology, anesthesia, or facility use. We steer you in the direction of who to ask for answers to these specific questions.
- Plan Financially Before Surgery Day
Patients who take the time to understand their financial responsibility before surgery feel more confident and in control. We encourage you to ask questions, review your explanation of benefits (EOB), and let us know if something doesn’t make sense.
Surgery is a big decision—understanding the financial side shouldn’t be a mystery. Contact our office today to speak with a patient coordinator and get a personalized cost estimate for your upcoming procedure.
