Our Fees
Veritas Fertility & Surgery is an out-of-network medical practice. This does not mean we don’t take insurance, but rather that we are not contracted with insurance companies to accept predetermined rates for services and surgeries.
When you receive care at Veritas Fertility & Surgery, billed charges can be submitted to your out-of-network insurance benefits for reimbursement, whether you are receiving care in our office or having surgery. Veritas is committed to making this complex issue as straightforward as possible.
We have partnered with Reimbursify to help make it easier for you to get reimbursed for the care you receive in our office (office visits, ultrasounds, and office procedures) and also with surgeon fee. In less than a minute, bills from our office can be quickly uploaded through the Reimbursify app and claims can be submitted for reimbursement from your out-of-network benefits (at no cost to you).
Why is Veritas Fertility & Surgery out-of-network?
Infertility and the gynecologic conditions we treat are complex, and there is no one-size-fits-all treatment. Additionally, many conditions causing infertility are best treated with specialized treatments or reproductive surgeries that restore a woman to optimal health, giving her the best chance of achieving pregnancy naturally.
Insurance companies don’t distinguish between the advanced reproductive surgeries we offer and “standard” procedures that can leave patients with incompletely treated conditions or extensive scar tissue, which can further harm fertility down the road.
Being out-of-network means we aren’t limited in the treatments we can provide. This arrangement allows us to offer comprehensive, personalized treatment plans determined by your specific health needs and not the whims of insurance companies.
Want to know more?
For more information about our fees and what to expect from your insurance plan, schedule a free insurance discussion with our Surgery Coordinator by calling 314-405-9556.
Our fees for office visits, ultrasounds, and in-office procedures are based on the average fees for such services in our area. The amount you are reimbursed by your insurance for care you receive with Veritas will depend on your insurance plan’s out-of-network benefits, including your deductible and the insurance plans “allowable amounts” for reimbursement.
The cost of surgery involves two components: a “surgeon fee” and hospital charges. Most of the time, the charges from Mercy Hospital, St. Luke’s Hospital or the St. Louis Multispecialty Surgery Center are applied to your in-network benefits (you’ll know prior to surgery if the hospital, surgery center or other consulting surgeons are out-of-network as well).
For the surgeon fees, there is a deposit which must be paid in full prior to surgery. The amount of this deposit is based on the expected length and complexity of your surgery as well as the procedures performed. Each patient who has surgery with Dr. Puthoff or Dr. Yeung will get an itemized receipt (superbill) for the surgeon fees which can be submitted to insurance by the patient easily with the Reimbursify app. Depending on your insurance, you may receive a reimbursement from your insurance if the payment from your insurance for the surgeon fees is above your out-of-network deductible.
Health insurance is inherently complex, and there can be a variety of factors that determine the cost of care for one patient that might be different from another patient.
Veritas can provide you with information and guidance. Prior to your initial consultation, we can:
- Determine your out-of-network benefits
- Explain what level of coverage you can expect from your insurance
- Explain what services and procedures may or may not be covered
For patients who do not have out-of-network coverage or who would rather be a self-pay patient, we offer a self-pay rates for office visits, procedures and surgery. Regardless of your out-of-network coverage, we recommend all patients discuss financial options with our Patient Care Coordinator.
Patients pay for office visits, ultrasounds and in-office procedures in full at the time of service. Surgeon fees are paid 3-4 weeks prior to surgery. A superbill (medical receipt) will be provided to you upon request after office visits, procedures and surgeries so that you can use the Reimbursify app to submit these bills to insurance quickly and easily if you have out-of-network benefits. The amount you are reimbursed will depend on your out-of-network deductible and co-insurance amounts.