Financial Policy & Prompt Pay

Please review below and also refer to our financial payment policy in our office before your visit. For billing questions, please call 1-866-270-8965. For convenience, you may make a payment online at https://floa.patientbillhelp.com/.

Insurance co-payments, co-insurance and deductibles are expected at the time of service. These are based on your benefits through your insurance company and confirmation by our Benefits Department.

A service rendered by our providers does not guarantee payment for these services by your insurance company. Please refer to your insurance benefit booklet or call the number listed on your insurance card for benefit information.

We work with trusted hospitals and surgery centers in the area. Prepayment of the patient’s estimated financial responsibility for surgery is required. A Benefit Representative will notify you prior to your surgery of your financial obligation based on the expected procedure.

At Florida Orthopaedic Associates, we realize that rising costs and deductibles can make healthcare cost-prohibitive for some people in our community, and we would like to assist by offering Prompt Pay pricing for our services.

Participation in Florida Orthopaedic Associates’ Prompt Pay pricing cannot be used in combination with commercial insurance benefits nor can it be provided to patients participating in U.S. government health plans.

All fees for the Prompt Pay service are not refundable and must be paid in full at the time of your visit. We will not file any insurance claims under this program.

Florida Orthopaedic Associates accepts payment by cash, check, credit card, or Care Credit.

ORTHOPAEDIC OFFICE VISITS	PRICE
Orthopaedic Visit Includes Medical History, Exam, X-rays, Non-Visco Injections, Casting and Injection Administration
NEW ORTHO OFFICE VISIT – ONE (1) BODY PART (Ex: Right Knee)	$ 350
NEW ORTHO OFFICE VISIT – MORE THAN ONE (1) BODY PART (Ex: Right and Left Knee)	Additional $100 per body part
FOLLOW UP ORTHO VISIT – ONE (1) BODY PART (Ex: Right Knee)	$ 150
FOLLOW UP ORTHO VISIT – MORE THAN ONE (1) BODY PART (Ex: Right and Left Knee)	$200
POST-OP OFFICE VISITS – ALL VISITS WITHIN 90 DAY GLOBAL PERIOD	$300

 

Other treatments such as physical therapy, bracing/durable medical supplies, visco-supplementation injections and other therapeutic modalities are not included in Prompt Pay pricing but are charged separately at a discounted rate. A DME price will be provided at the time of visit.

OTHER TREATMENTS	PRICE
Injections
ULTRASOUND GUIDANCE FOR INJECTION*	$ 25
VISCO INJECTION*	$ 150
PLATELET-RICH PLASMA (PRP) INJECTION	$ 625
PROLIA INJECTION*	$ 1,300
Physical Therapy (DeLand Office Location)
PHYSICAL THERAPY – INITIAL EVALUATION	$ 90
PHYSICAL THERAPY – SUBSEQUENT EVALUATION	$ 85
EMG Testing and Nerve Conduction Studies (Includes Office Consultation)
SINGLE (One limb, i.e. right arm only)	$ 425
BILATERAL (Two limbs, i.e. right and left leg)	$ 600

*Indicates that an injectable drug price is per unit; multiple units may be administered.

You Have the Right to Receive a “Good Faith Estimate” Explaining How Much Your Medical Care Will Cost

Under the law, healthcare providers need to give patients who don’t have certain types of healthcare coverage or who are not using certain types of healthcare coverage an estimate of their bill for healthcare items and services before those items are services are provided.

You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

If you schedule a health care item or service at least 3 business days in advance, make sure your healthcare provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.

If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.coms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.