Payment Policy

This represents one of the most important policies we have.  Clear understanding of the costs of the services provided is imperative. Our Patient Representative can provide you with “an estimate” of the facility fee based on your scheduled procedure. Please understand what is included in your facility fee and what is not.

Your facility fee includes the following:

• Procedure room
• Recovery room
• Medical equipment
• Medications and supplies*

*In unusual circumstances where certain prosthesis or unusual instruments are used this may generate additional cost. This is an extremely unusual event. If your physician anticipates using such device you will be notified.

The facility fee does not include:

• Physician Fees
• Anesthesia Services (Physician/CRNA)
• Laboratory testing
• Pathology
• X Rays

Dallas Endoscopy Center, LLC, accepts various methods of payment for the convenience of our patients. Payment options include cash, check, money order, Mastercard and Visa.

Advanced Payment VIA Internet - The costs of mailing monthly statements is a very expensive process. Our physicians and staff are committed to doing everything possible to keep healthcare costs from rising; therefore, we ask that our patients assist us in keeping costs to a minimum. PAYMENT IN FULL is requested at the time of service.

Payment arrangements can be made with our Account Representative at 214.520.8235.

Any patient who has filed bankruptcy will be seen on a cash basis only. No personal checks will be accepted.

If your personal check is returned to our office for any reason, the amount of the check will be reinstated to your existing balance and a $25.00 service charge will be assessed to your account. Patients will be informed of the returned check and asked to handle these amounts immediately in the form of cash and or money order.

In certain instances, we might receive payment from your insurance company for a previously paid service. Should that happen, the overpayment will be refunded to you within 30 days of notification from your insurance carrier. Please extend the same courtesy to us if you receive payment for outstanding charges. Keeping insurance money is dishonest. Failure to forward this money to our office may result in a patient being dismissed from the practice.