Costs & Billing

When a procedure such as a colonoscopy is performed, there is always a minimum of two billings incurred. One is for the physician fees, which you receive from a Gastro Health Care Center, and the other is for the facility fees such as a hospital or the endoscopy center. You may also receive a bill for anesthesia services, the reading of your pathology samples, and other lab tests if those services were provided.

A deductible is the cost of expenses that you must pay out of pocket before your insurance will pick up the bill. An allowed amount is when you must pay towards your deductible before your insurance pays for your bill. This amount is a contracted rate between your insurance and our providers, and we cannot tell you the cost of your visit until the patient is seen by the doctor. Coinsurance is a percentage of your bill that you must pay while your insurance covers the rest. Typically, the deductible must be met before you have a coinsurance. 

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

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The bill you are receiving is for the amount of the contracted rate between your insurance company and the doctor. We are not allowed to offer any discounts per our contract with your insurance. If you are a self-pay patient, your rate has already been discounted. We do offer payment plans. Please contact us to set one up.