At Orthopedic & Spine Surgery Center, patients often have questions about billing, insurance coverage, and financial responsibility, and this page is designed to clarify expectations for both patients and their insurance providers. Before your surgery date, a team member will contact you to review your insurance coverage, discuss your estimated financial responsibility, and explain what will be due on the day of surgery. A co-insurance and/or deductible payment will typically be collected on the day of your procedure, and insurance claims will be submitted on your behalf after surgery.?
You will be asked to sign an assignment of benefits form so that insurance payments are directed to the surgery center’s billing office rather than to you personally. Please note that your surgery center bill will not include charges from your surgeon, anesthesiologist, or any laboratory and pathology services, as these providers bill separately for their services. If you have any questions about your bill or need assistance understanding a statement, you will be directed to contact the Business Office at 608-218-1582.
There may be several separate charges related to your surgical procedure. Depending on the type of procedure, you could receive bills from different facilities or providers, including:
Payment for your surgical facility fees is required upon admission. If you have a remaining balance after your insurance processes your claim and issues an Explanation of Benefits (EOB), that amount is due within 90 days of your procedure date. Insurance coverage – including workers’ compensation, auto (no fault), and personal injury claims – is ultimately your responsibility as the patient. Our financial relationship is directly with you, not your insurer. For timely processing, please contact your insurance provider in advance regarding coverage. Should you experience any difficulties with your insurance company, reach out to our Business Office for assistance: 608-218-1582.?
If an account is delinquent, Orthopedic & Spine Surgery Center of Wisconsin may refer it to a professional collection agency or legal counsel, and you will be responsible for any related collection fees that may be incurred.
Our billing process is detailed below.
We work with a wide range of insurance plans. For a list of the insurance plans we accept, please call us at: 608-218-1582.
Your copay is due on or before your procedure date. As a courtesy, we submit claims directly to Medicare. After payment or denial, any remaining balance will be billed to you or sent to your secondary insurer if applicable. We will make copies of your insurance cards during registration.
Your copay is due prior to service. We submit bills directly to your private insurance carrier. If you do not have secondary coverage, any remaining balance will be billed to you after your primary insurance’s payment or denial. Coverage with secondary insurance will be processed after primary, and all insurance cards will be copied at registration.
You will be contacted before your procedure with an estimated cost, which must be paid on or before your surgery date. Additional charges, if applicable, will be billed separately afterwards.
Any overpayments, including deductibles, co-insurance, or copays, will be refunded after all insurance claims are processed. If your insurer issues an incorrect or excess payment, those funds will be returned to the provider. Refunds are typically processed using the original payment method; however, our Business Office may contact you for updated credit card details if needed. If an electronic refund cannot be completed, a check will be mailed to the original payer.