Patients are responsible for all services not paid by their health insurance. You may request a written estimate of your out-of-pocket expenses from our office. Please allow up to 10 business days to receive this estimate. Total charges vary based on each patient’s medical history and condition and if any tests or procedures are done. Charges may also be subject to a deductable based on your insurance plane. Charges are usually higher than the amount actually paid by third-party payors. An insurance company may pay less to an out-of-network physician than an in-network physician even though our charges do not change on this basis.