Terms and Conditions:

I acknowledge this is an estimate of what I would pay and does not represent a guarantee of the total and final costs for all medical services provided and received.  I understand this is an estimate based on the information provided by myself and/or my insurance carrier at the date and time of this inquiry and is subject to variation.  Final costs may increase or decrease based on my insurance contract and benefits, medical condition, and any additional testing, procedures, supplies, or medications ordered by my physician.  I understand I may be billed separately for additional ordered services provided by other providers not employed by Monument Health.  I acknowledge this estimate does not create a request for, a consent to, or an agreement with Same Day Surgery Center for the provision of medical services or procedures.

Disclaimer:

Use of the MyChart price estimator tool does not create a request for or consent to a financial agreement with Same Day Surgery Center for the provision of medical services or procedures. This estimate is not a guarantee of final charges and you will be responsible for any additional costs or services not included in this estimate.  An estimate is based on your insurance contract and benefits, medical condition, and any additional testing, procedures, or medication ordered by your physician.  You may also be billed separately by your radiologist, anesthesiologist, specialty laboratory, or your own doctor.  You will need to contact them directly if you have questions about the costs of their services.

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