 |
1-888-8-THE-WAY Toll Free
727-202-1290 Main
727-789-5400 Fax
www.WaypointOrtho.com
we-care@waypointortho.com |
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Below you will find the surgical cost analysis for your client.
| Surgery: |
|
{procedureIndicated} |
| Patient: |
|
{patientName} |
| Date of Surgery: |
|
{dateOf} |
| Operating Physician: |
|
{surgeon} |
| Surgical Procedure |
${procedureCalculation} |
| Surgical Center/Hospital |
${hospitalascCalculation} |
| Implants |
${implantCalculation} |
| Anesthesia |
${anesthesiaCalculation} |
| DME |
${dmeCalculation} |
| |
|
| TOTAL |
${totalCalculation} |
Physical Therapy Rehabilitation
* 3x per week for 4 weeks.
Estimate only. Physical therapy not be performed by Waypoint Orthopaedic Associates.
The total above represents a good-faith cost analysis of the procedure for your client, but does not include additional costs associated with an updated injury assessment during the procedure or any costs associated with any complication should they arise.
Please be advised there is a $3,000.00 no-show fee if your client does not appear at the designated hospital or surgery center on the day of the surgery.
Please feel free to contact our offices at (727) 202-1290 if you have any questions.
Regards,
Waypoint Orthopaedic Associates
(727) 202-1290 main
(727) 789-5400 main
(727) 460-2597
www.waypointortho.com
we-care@waypointortho.com
______________________________________________________________________________________