Frequently Asked Questions

financial questions

How will I know what the patient balance is?
How is the facility fee determined?
If you participate with my insurance, do you accept their check as payment in full?
How will I know if I am spending my healthcare dollars wisely?
What payment options does NMSC offer?

How will I know what the patient balance is?

At the time of insurance verification, the anticipated out-of-pocket amount is calculated based on the scheduled procedure, your insurance plan and your deductible and coinsurance amounts. If a balance is due on the day of your procedure, you will be contacted with the anticipated out-of-pocket amount by our Insurance Verification Staff. 

For uninsured patients or patients having cosmetic procedures not covered by insurance, NMSC Business Office staff will contact you prior to your surgery date with the amount due on the day of your procedure. 
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How is the facility fee determined?

Ambulatory Surgery Center (ASC) fees are based on the procedure(s) performed by the surgeon. The facility is reimbursed one set amount plus, in some cases, the cost for implants that remain in the body. Supplies, medication, and/or pre- and post-operative care are not billed separately or itemized on your statement. 
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If NMSC participates with my insurance do you accept their check as full payment?

Not necessarily; participation with a payer requires NMSC to accept what that insurance allows for a procedure. However, patients may still be responsible for out-of-pocket expenses due to deductible and/or coinsurances according to their insurance plan. 
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How will I know if I'm spending my healthcare dollars wisely?

The cost of a procedure at an Ambulatory Surgery Center (ASC) is typically 45-60% less than the same procedure performed in the hospital out-patient (HOPD) setting. Accordingly, patient co-pays are also significantly lower when care is received in an ASC versus the HOPD. These savings are also passed along to private, third-party and government payers. 
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What payment options does NMSC accept? 

NMSC accepts cash, check, all major credit cards and Care Credit. We also offer Online Bill Pay for your convenience. 
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"Everyone was friendly from check in to discharge. I am very impressed and pleased. You have a fabulous staff. It couldn't possibly have been a better experience. "
- Claudia S.
"If procedures are necessary, it is a pleasure having them done at the Surgery Center. All processes have been well thought out and streamlined with the patient in mind. There does not seem to be any unnecessary steps or duplication of effort."
- Gary P.
"Excellent care --- and my anesthesiologist was very caring about my comfort throughout the surgery."
- Ellen L.
"Always such a nice experience here when you're having medical procedures done. It's never fun, but I try to be positive about it and the staff and docs are great. Glad to find good care here 'Up North.' "
- Heidi P.
"The follow up phone calls both from the surgeon and nurse were very comforting, and appreciated. All in all, a first class operation; thanks for your caring"
- Lee M.