Estimated Procedure Costs

Please select your payment method to receive a good faith estimate on a procedure.

Final billed charges may vary from good faith estimates for many reasons including, but not limited to: the patient’s medical condition; unknown circumstances, complications, or findings; final diagnosis, and recommended treatment, devices, supplies, and/or services ordered by a practitioner. For insured patients, provision of this estimate does not guarantee that this episode of care is covered or considered medically necessary by your insurance plan. Final determination of benefits, coverage, eligibility, and payment will be determined by your insurance company based on the terms and conditions of your specific plan. We encourage you to contact your insurance company with any questions or concerns.

Methods of Payment

• Commercial Payers (Aetna, Humana, etc.)
• Indiana Medicaid
• Medicare
• Cash – No Assistance
• Cash – With Assistance

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