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Health Insurance or Self-Pay 

How to handle fees at OSS?

Option 1: Use your health insurance 

OSS accepts many PPO insurances, EPO insurances, Medicare and HMO insurance plans (only Facey or Axminster).  

  • If you have Medicare, an EPO, and /or a PPO,  OSS may ask you to handle a deposit and/or copay before OSS can render services. This deposit can be up to $120.  
  • If you are a part of an HMO insurance plan with Facey or Axminster, you'll need to have an authorization referral number from the medical group for your first appointment. 
  • OSS Imaging.  If you plan on using your health insurance for imaging, please see the list of plans (graphic) that OSS is contracted with for MRI, CT Scan and Bone Density DEXA Scans.  If you do not see your insurance plan listed, then OSS will refer you to a non-OSS imaging center.
  • IMPORTANT!  OSS is now Out-of-Network with Optum. Effective August 1, 2023, OSS is Out-of-Network with Optum (formerly Healthcare Partners Medical Group). This unfavorable decision follows extensive negotiations between OSS and Optum.  OSS recommends you contact Optum or your Primary Care Physician (PCP) to find another in-network specialist who may accept any new appointments you need.

 

Option 2:  Be self-pay (no insurance) 

You can pay for your office appointment with no insurance.  We accept most major credit cards. Sorry, no checks or cash accepted. 

Orthopaedic Office Visit
First Appointment for New Injury / Pain* $350
Follow Up for Same Injury $100

Pain Management Office Visit
First Appointment for New Injury / Pain $350
Follow Up for Same Injury $100

Physical Therapy Office Visit
First Appointment To Get Evaluated $150
Follow Up for Same Injury $100

Hand Therapy Office Visit
First Appointment To Get Evaluated $150
Follow Up for Same Injury $100

Chiropractic - Coming Soon
First Appointment To Get Evaluated
Follow Up for Same Injury

MRI (without contrast) $400

CT Scan (without contrast) $280

DEXA Bone Density $60

* Includes evaluation, necessary X-Rays, steroid injections and some small braces.

 

Option 3:  Use workers compensation. 

You injured yourself at work and are now working with your employer's insurance.   

 More Resources

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    - Anonymous
  • “Dr. Falkenstein has performed 2 lower back microdiscectomies in the past with excellent results. I've seen other doctors since the surgeries and they have all commented on the excellent work performed by Dr. Falkenstein. I am going back for fusion ... ”

    - Russel L.
  • “Now, November 2016, Dr. Mark Mikhael operated on my right foot. He also was a top surgeon. He spent alof of time going over everything with me before surgery in the office. My foot is healing quickly! ”

    - Janet L.
  • “My son got x-ray's done promptly, I felt very confident in Dr. Moses and when my son needed a custom splint made they were VERY helpful in making it right away on the premises and boy does it look good ”

    - A.H.
  • “Dr. Falkenstein saved me! I honestly don't even know how to describe the happiness and relief I am feeling right now after suffering from lower back pain for pretty much half of my life (ps I am 30). Thank you Dr. Falkenstein for giving me my quality ... ”

    - Linda C.
  • “If there were more stars, he deserves all! My mom knee was devastated by arthritis and osteoporosis (perhaps due to her age) for more than 8 years and the last 3 years it was impossible for her to walk... then Dr. Jeffrey Korchek performed a knee ... ”

    - Lorena F.