Billing and Insurance

PinnacleSurgeryCenter_Color

Financial Arrangements

The ever changing healthcare system makes understanding your medical fees a challenge.  Please make sure your authorization/pre-authorization for your surgery is on file prior to the surgery.We will do your best to help you understand your responsibility for payment of the charges incurred for your surgery.

Bills for Services

The Pinnacle Surgery Center collects any co-payments, un-met deductibles, and co-insurance amounts on the day of surgery.

You will be charged a facility fee for all services provided by Pinnacle Surgery Center. This fee does not include fees for any of the following services that may be incurred during your stay at our facility, and you will receive separate billings for these services:

  • Your Doctor
  • Your Anesthesiologist
  • Plus any necessary lab test, pathology reports, etc.

If you have health insurance, we will bill your insurance company for the facility fee. If you do not have health insurance or if your surgery is not covered by insurance the facility charges must be paid within 60 days from the date of surgery.  We encourage you to also contact your surgeon, anesthesia group and your insurance company if you have questions about your financial obligations.

We do contract with most insurance companies, however, we cannot guarantee that your insurance company will pay any or all of these charges.  You will be responsible for that portion of the allowed charge not paid by your insurance company.

Your Responsibility for the Balance

You should receive an explanation of benefits from your insurance company showing how our claim was processed and indicating your responsibility for any balance. You will also receive a statement from Pinnacle Surgery Center reflecting any amounts paid and any discounts or adjustments to your account. Payment of the balance on the statement will typically be due within 60 days from the date of the statement. For your convenience, we accept cash, personal checks, and most major credit cards.

If you are unable to pay the balance on your account as indicated above you will need to make outside financial arrangements as we no longer carry accounts for more than 60 days. One option is to finance your balance with a healthcare services finance company. We are not affiliated with such companies in any way but offer this information as a convenience to our patients to assist them in paying for their surgery. You may be eligible for a no-interest financing plan. Please see the receptionist before you leave if you would like more information or a credit application.

We hope this information is helpful in assisting you plan for your visit to the Pinnacle Surgery Center.  For any other financial questions regarding your surgery, please contact us at 719-418-4700. We will be happy to assist you in any way possible.