Costs for surgical services other than your deductible, co-pay and/or co-insurance are usually covered by most healthcare plans. We will submit claim forms directly to all third party payors on your behalf; however, we expect you to work directly with your carrier to have your claim addressed.

All deductibles and co-pays are due the day of your surgery. We will contact you in advance to notify you of the amount due.

This amount is an estimate only based on the surgical procedure that your surgeon has scheduled for you. The actual cost of your surgery depends on the exact procedure(s) done in the operating room and any implants used.

Your payment to Muskegon Surgery Center is for the facility fee only. You will receive separate bills for surgeon services, anesthesia, lab services, durable medical equipment such as crutches and slings, and diagnostic services, as applicable.

Our office personnel are happy to answer questions regarding charges and/or payment, and will work with you to make payment arrangements before your surgery. To speak with one of our insurance specialists please call us now at 231-332-3014. You may also contact us via e-mail at: insurance@muskegonsurgerycenter.com

We accept MasterCard, VISA and Discover Card as well as payment in cash or by check.

Patient Responsibilities

• Be respectful of all healthcare professionals and staff as well as other patients.
• To read (with interpreter if needed) and understand all permits and/or consents to be signed: To ask the nurse or physician to clarify any information not understood about your care or services.
• To provide complete and accurate information about his/her health, medications, including over-the-counter products, dietary supplements and any allergies or sensitivities.
• To notify the Muskegon Surgery Center if you have an Advance Directive. 
• To follow the treatment plan prescribed by his/her provider and to notify Muskegon Surgery Center on admission if pre-operative instructions have not been followed. 
• The PATIENT is responsible for the outcomes of your actions if you refuse treatment or do not follow pre-operative instructions.
• To secure adult transportation to and from Muskegon Surgery Center.
• To follow the post-operative instructions given by the physician(s) and/or nurses, including instructions regarding post-operative appointments.
• To contact the physician or seek care if any complications occur.
• To assure all payments for services rendered are made on a timely basis understanding that the ultimate responsibility is the patient’s guarantor regardless of insurance coverage. 
• To provide financial and/or insurance information for the bill including current address and authorized contact information.
• It is the PATIENT’S responsibility to notify the administration of Muskegon Surgery Center if the PATIENT or the PATIENT REPRESENTATIVE thinks their right(s) have been violated or if the PATIENT has a suggestion, comment or complaint. 

Complaints should be directed to: Lisa Rose, Muskegon Surgery Center CEO 1400 Mercy Drive, Muskegon, MI, 49444 1-231-733-7800

PATIENTS and/or PATIENT REPRESENTATIVES should contact the office of the Medicare Beneficiary Ombudsman at www.cms.gov/center/special-topic/ombudsman/ medicare-beneficiary-ombudsman-home or the Michigan Medicare Assistance Program by calling 1-800-803-7174 or going to the website at www.mmapinc.org if they have a concern or complaint about Muskegon Surgery Center.

• Anyone may file a complaint against a licensed or certified health care facility by:
• Submitting Online Complaint Form on the Internet at www.michigan.gov/LARA by clicking the “I Need to..” menu at the top;
• Calling the Complaint Hotline at 1-800-882-6006 to file a complaint or with questions;
• Mail or Fax written complaints to:
  Michigan Department of Licensing and Regulatory Affairs (LARA)
  Bureau of Community and Health Systems – Health Facility Complaints
  P. O. Box 30664, Lansing, MI 48909
  Fax: 517-763-0219

Patient Bill of Rights

• All patients will be treated with consideration, compassion, and respect as individuals. Their privacy will be protected, and employees will seek to honor their personal and religious beliefs that do not harm or interfere with the planned course of medical/surgical therapy.
• Patients have the right to not be denied appropriate care based on race, religion, color, national origin, sex, age, disability, marital status, sexual preference, or source of payment.
• Patients have the right to expect that the staff have been fully credentialed and are competent to perform the treatments and procedures for which they have privileges.
• Each patient has the right to know the identity and professional status of individuals providing services to them and to know which physician or physician extender is primarily responsible for their care.
• All patients have the right to know, in advance, the estimated amount of his/her bill, have the right to examine and receive an explanation of their bill, and receive upon request, information relating to financial assistance available through the Muskegon Surgery Center, regardless of the source of payment.
• Patients have the right to choose an interpreter or have one supplied by the facility to communicate in the language that the patient understands.
• Patients will be involved in all decisions regarding their care. They have the right to complete information concerning their diagnosis and treatment in terms that he/she can understand. The Patients have the right to know the person or persons responsible for coordinating their care. If it is medically inadvisable to give such information to the  patient, the information will be provided to a person designated by the patient or to a legally authorized person.
• Patients will be fully informed of the scope of services available at the facility and will be given clear verbal and written instructions on the postoperative care of their wound and instructions on how to contact the provider on call in the event that they experience a medical problem after hours. 
• Patients will be informed of any human experimentation or other research/educational projects affecting his/her care or treatment and can refuse participation in such programs without compromise to the patient’s medical care. 
• Patients have the right to be informed of any persons other than routine personnel who will observe or participate in his/her treatment, and to refuse that observation and/or participation.
• Patients have the right to refuse treatment to the extent permitted by law and will be informed of the medical consequences of such refusal. 
• Patients have the right to be informed about the mechanism by which he/she will have continuing health care following discharge and to information concerning the facility to which he/she may have to be transferred.
• Patients have the right to privacy of any information or treatment concerning his/her own medical care for all medical records to be treated as confidential, and to be given the opportunity to approve or refuse their release unless this would cause a negative outcome in the continuation of medical care. All individually identifiable health information will be treated as confidential in accordance with HIPAA guidelines.
• Patients have the right to request, for a reasonable fee, a copy of his/her medical record.
• Patients have the right to change providers if other qualified providers are available.
• Patients have the right to adequate and appropriate pain and symptom management as a basic and essential element of his/her medical treatment.
• Patients may voice grievances or recommend changes in policies and services on behalf of himself/herself or others to the health facility, governmental officials, or to another person of his or her choice within or outside the health facility, free from restraint, interference, coercion, discrimination, or reprisal.
• Patients will receive care in a safe setting, and free from all forms of abuse or harassment. Their personal privacy will be respected at all times by all personnel.
• Patients have the right to have an Advance Directive and to receive notice on how the Muskegon Surgery Center will handle the Advance Directive.

Pediatric Patient Bill of Rights

All children have a right to cry, laugh, or be made comfortable if it helps them feel better. They also have a right to:

• Ask to have a parent or another adult stay with them during their examination.
• Tell their caregiver when and where something hurts.
• Ask questions if they don't understand a medical procedure or what's happening to them.
• Choose which ear should be looked at first, or which arm to have a shot in.
• Ask for something to ease their pain.
• Listen to music, play a game or read a book to help distract them during medical procedures.
• Have an adult with them when they ask except when the presence of another person would or may impact their care and cause a negative outcome.
• To have a schedule for their tests and procedures that doesn’t keep them hungry or thirsty any longer than necessary.
• and always... To be called by their name.

You will be asked to sign a form that acknowledges receiving our Notice of Privacy Practices, as well as giving consent to treat, share information if necessary, to leave you a voicemail or send you a text notification, or prescribe to a pharmacy when needed. An additional form will be presented enabling us to bill your insurance and acknowledging your financial responsibility for the payment of services. The receptionist can provide you with a paper copy of the Notice of Privacy Practices when you arrive.

You can review the Notice of Privacy Practices here:

Notice of Privacy Practices