Resources
Self-Pay Pricing
Are you looking to learn more about self-pay options? Then keep reading! If you’re seeking to pay your bill, please visit our Bill Pay Page.
Planning your healthcare costs becomes a breeze when you’re aware of the expenses prior to your appointment. Explore our self-pay options to easily estimate service prices or opt for upfront package payments without any surprise charges.
At Proliance Surgeons, we prioritize transparency in pricing. Take control of your healthcare expenses by knowing the costs upfront. Our transparent self-pay solutions are tailored for individuals with high insurance deductibles, out-of-network insurance, or those without coverage.
Balance Billing Protection Act
In Washington State, you’re safeguarded against surprise medical bills and balance billing. Balance billing occurs when you’re charged the difference between what your insurance covers and the full cost of care from out-of-network providers. This often happens in emergencies or when unexpected out-of-network providers treat you at in-network facilities. However, you’re protected from balance billing for emergency services and certain in-network facility services. Providers cannot force you to waive these protections. Your responsibility is limited to your usual cost-sharing, and your insurance should cover the rest directly.
What does this mean for you?
For patients, the Balanced Billing Protection Act shields you against the financial burdens associated with out-of-network care. It ensures that individuals do not face excessive medical bills simply because they received treatment from a provider outside of their insurance network at an in-network facility. This legislation offers peace of mind by capping the amount patients can be billed for such services, preventing surprise charges that can disrupt their financial stability. Moreover, by establishing a framework for resolving payment disputes between insurers and providers, the act promotes transparency and fairness in healthcare billing practices, allowing patients to focus on their recovery without the added stress of navigating complex billing issues. Overall, the Balanced Billing Protection Act represents a significant step towards ensuring affordable and equitable access to healthcare for all individuals.
You can learn more about The Balanced Billing Protection Act here.
No Surprises Act & Good Faith Estimates
At Proliance Surgeons, we believe in providing transparent and accessible healthcare services to all our patients. As part of our commitment to transparency, we want to inform you about the No Surprises Act, which became effective on January 1, 2022, under Section 2799B-6 of the Public Health Service Act.
What does this mean for you?
In accordance with Section 2799B-6 of the Public Health Service Act, healthcare providers and facilities must notify individuals without health plan enrollment or federal healthcare program participation, or those not intending to claim with their coverage, of their right to receive a Good Faith Estimate for healthcare services upon request or during scheduling. This estimate must be provided both verbally and in writing. It’s crucial to note that these estimates are subject to change, and final billing statements may include additional medically necessary services.
Get a Self-Pay Estimate
Buy a Self-Pay Package
By selecting one of our self-pay packages, please note that you forfeit the option to bill your insurance for the appointment. Browse through the Care Center locations below to explore purchasing a self-pay package. Please note that these are the only Proliance Surgeons Care Centers offering self-pay packages at this time.
Managing Complex Care Needs
Patients come to us when they need specific care, such as orthopedics, ENT, general surgery, ophthalmology, and more. We’re a group of specialists and surgeons with advanced knowledge in our areas of medicine, treating complex care needs for our patients. And if surgery becomes necessary for you, we have performed more than 68,000 surgeries and procedures a year.
FAQ for Self-Pay Packages
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