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Billing and Insurance

The Center charges a facility fee for each surgical procedure preformed by the surgeon. The fee includes the cost of a pre-operative evaluation, nursing personnel, medications, supplies and the use of the operating and recovery room. We will contact you prior to surgery to discuss your fees if necessary. We will collect co-payments, co-insurance, and/or deductible payments on the day of surgery. You will receive separate bills from your surgeon and anesthesiologist (if one is needed for your procedure) and any other professional services you receive when you are at the surgery center, such as pathology.

Medical Insurance

The Center accepts most major medical commercial insurance, HMO/PPO, Medicare, Medicaid and Workers' Compensation.

We will bill your insurance company as a courtesy; however, any balance due is your responsibility. Payment will be requested from you if reimbursement from your insurance company is not received within 60 days.

Please check with your insurance company for pre-admission requirements, second opinions and pre-admission certification prior to your procedure.

Uninsured and/or self pay patients will be required to pay for services on or before the surgery date unless other arrangements have been made with the center. We will accept MasterCard, Visa, Discover and American Express, Cash or certified funds.

Billing and Financial Responsibility

We make every effort to contact you prior to surgery regarding your financial responsibility. However, if we fail to reach you within 48 - hours of your surgery please call us at: (804) 672-4040. Patients with verified insurance will be required to pay ONLY their portion on the day of surgery. Note: In the event that your benefits are covered at 100% we will NOT contact you.

Boulders Ambulatory Surgery Center will bill your insurance company on your behalf as a courtesy. However, if your insurance company does not pay your claim within 60-days, the total charges will become your full responsibility. Please be assured that we will pursue payment from your insurance company and will keep you informed of the status of your claim.

To ensure proper filing of claims, please bring valid insurance cards with you on the date of surgery.

We also have an Uninsured Discount Program that is designed for uninsured or underinsured patients who do not qualify for Medicaid, charity care, or any other discount programs offered at our center. All patients will receive the Uninsured Discount unless they qualify for a Charity Discount. These patients receive a bill that reflects a discount from total charges.

Uninsured or underinsured patients will be required to pay for services on the date of surgery. Our Financial Counselor will review your financial obligation prior to the date of surgery. We accept cash, personal check, MasterCard, Visa, Discover and American Express to assist you in paying for your services.

In the event that any of the above options cannot be met, the Surgical Center will attempt to make other financial arrangements prior to admission. Patients, who have no known or visible means of income and/or meet financial hardship guidelines per current Federal Poverty Guideline, will be eligible for charity adjustment. See our charity care policy under Community Support on this website. Patients can request information regarding this policy from our Financial Counselor.