The information provided on this web site is not a quote nor is it a guarantee of
the charges for a service or the amount that you will owe. If you have insurance,
your insurance policy coverage (including deductibles, co-pay, co-insurance, and
out-of-pocket maximums) will determine the amount you owe.The estimated charges
provided on the following pages do not include any physician charges
(including office visits, surgeon, anesthesiologist, emergency room physician, radiologist,
pathologist, consulting physicians, etc.).
Note: The estimated cost is not a guarantee of insurance
coverage. Please check with your insurance company if you need help understanding
your benefits for the service chosen.
I HAVE READ THE DISCLAIMER AND UNDERSTAND THE INFORMATION ON THE FOLLOWING PAGES
IS AN ESTIMATE ONLY. THE ACTUAL AMOUNT I WILL BE REQUIRED TO PAY MAY BE, AND LIKELY
WILL BE, DIFFERENT.