Billing / Fees

Insurance

All providers are in-network for Providence, First Choice, and Pacific Source commercial plans (except Dr. Saccoman is out-of-network for Pacific Source). We are also in-network for Regence Blue Cross Blue Shield plans only for employees of St. Charles hospital but are otherwise out-of-network for Blue Cross Blue Shield.

No providers at our clinic are in-network for Medicare, Oregon Health Plan, or Pacific Source Community Solutions. 

We will submit claims directly to companies we are in-network with. If we are out-of-network with your insurance company you will be considered a "self-pay" client and payment will be collected at the time of service. However, we can submit out-of-network claims on your behalf and request any reimbursement checks be directly sent to if requested. Please notify Dr. Saccoman, the clinic owner, if you are interested in out-of-network direct billing. Otherwise, our policy is to only submit claims automatically to companies with whom we are in-network. 

We cannot guarantee self-pay clients will receive reimbursement for services.

Fees

In-network rates are set by your insurance company. We can discuss these at the time of scheduling. You may still have to meet a deductible, depending on what type of service you are seeking, and for testing we may require that you pay a significant portion toward meeting your deductible up front.

For self-pay clients we will discuss associated fees upon scheduling. Fees for assessment can vary widely depending upon the age and complexity of the referral.

No Surprises Act

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost as a provision of the No Surprises Act

Under the law, health care providers need to give patients who don't have insurance or who are not using their insurance an estimate of the bill for medical items and services.

Under this law:

 • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees.

 • Your health care provider must give you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

 • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

You should make sure you save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 541-678-5174.

Payment & No-Show Fees

All fees (including co-pays, co-insurance, and deductibles) are due at the time of service. We will charge the credit card on file following your appointments unless you make other arrangements to pay by check or cash. 

For self-pay clients seeking assessment, a Good Faith Estimate will be provided prior to your first appointment. For testing you will be charged a downpayment at the time of your first appointment and then final charges are assessed at the time of the final appointment. 

A late cancellation fee will be applied to cancellations or no-shows with under 24 hours of an appointment. The full fee for the service will be charged to the card on file and is not billable to insurance. For testing appointments this fee is $500. Missed or late-cancelled appointments will not be rescheduled until the fees is collected in full. Please discuss any extenuating circumstances with us via phone.