Dr. Mast participates as an “in-network” provider for a few insurance plans. As an “in-network provider” the cost of Dr. Mast’s care is dictated by the terms of your plan’s in network benefits. Please check with your insurance carrier to determine coverage.
Dr. Mast can still provide care to patients that are “out-of-network” or have high deductible health plans. With escalating costs for health care insurance plans, more and more patients are faced with this scenario. The good news is that in many cases with cash pricing there is less administrative cost, so we can offer lower prices for a variety of services. Dr. Mast will submit billing to insurers on behalf of the patient, but it will be the patient’s responsibility to collect from the insurer.
Effective July 1, 2022, Dr. Mast will no longer participate with Medicare and Medicare Advantage Plans. We will contract directly with you ONLY for Dr. Mast’s care based on the fee schedule below. Other aspects of your care, including but not limited to: the facility fee (hospital or surgery center), anesthesiology, medications, physical therapy, and durable medical equipment are not affected by Dr. Mast no longer participating with Medicare and Medicare Advantage Plans. The coverage for these aspects will be covered based on your benefits as dictated by your plan for each of these separately. You will be asked to sign this contract to acknowledge that Dr. Mast is an opted out provider.
Click here for more information on why Dr. Mast has opted out of the Medicare system.
Dr. Mast Offers Affordable Financing for Hip Surgery
Many patients ask about the available Financing Options for their hip surgery procedures. Financing allows you to enjoy your procedure now and pay for it with convenient monthly payments over time. Click here for more information on patient financing options.
Do you take insurance at the Hip & Pelvis Institute?
Fee Schedule
PROCEDURE | ESTIMATED CASH PRICE |
|---|---|
Initial Consultation | $325 |
Annual/Routine follow up | $150 |
Hip Arthroscopy | $6000 – $7000 |
Primary Total Hip Arthroplasty | $6500 – $7500 |
Simultaneous Bilateral Total Hip Arthroplasty | $12,000 |
Conversion of prior surgery to Total Hip Arthroplasty | $7000 – $9000 |
Revision of Total Hip Arthroplasty | $9000 – $11,000 |
PAO (periacetabular osteotomy) | $12,000 – $16,000 |
Proximal Femoral Ostetotomy/ Surgical Dislocation and associated procedures. | $9000 |
Abductor tendon repair +/- tendon Transfer | $ 12,000 – $18,000 |
Prices quoted are for cash based services only, payment in full is required prior to service. Certain limitations and restrictions apply. Complexity of case and patient comorbidities will factor into final cost calculations. Facility charges are billed separately and may/may not be covered under insurance plan.
Cash Pricing
For many procedures, an “all-in” cash price can be offered prior to the procedure. Inclusive in these prices are Dr. Mast’s services, anesthesiology, and facility charges. For example, routine primary hip replacement in a generally healthy individual can be done in the range of $30,000.00 to $35,000.00.
Post op visits
Post op office visits in Dr. Mast’s office will be covered up to 90 days following surgery as this fee is included in the “global package”.
Good faith estimate
If you are a self-pay patient (and this includes all Medicare patients since Dr. Mast does not participate in Medicare), you have the right to receive a good faith estimate of the expected charges upon scheduling a visit or procedure or upon request.
- A good faith estimate will be provided no later than 1 business day after scheduling if services have been scheduled to occur at least three business days after the date of scheduling.
- The good faith estimate will be provided no later than 3 business days after scheduling if the item or service is scheduled to occur at least 10 business days after the date of scheduling.
- When the good faith estimate is expressly requested by the patient, it shall be provided no later than 3 business days after the request.
Payment/Financial Policy – To download a PDF of our financial policy please click here.
Questions – If you have any questions regarding Billing or Insurance for Dr. Mast please contact his billing office at (415) 530-5330 extension #3.
