SGSC’s Transparent Pricing Model is Ideal for Self-Funded Employers
Our direct-contracted employers realize hard dollar (often $15,000 or more, per case) savings on scheduled surgery procedures because we eliminate several direct and indirect costs of healthcare.
Our pricing is a transparent, set amount for a defined episode of care with quality you can count on. We negotiate up front on the bundled-price procedure. You pay the predictable negotiated amount. No reference-based pricing, no surprises, no need for audited bills, medical records reviews, no repricing fees, and one single line item bill that covers the facility fee, surgical fee, anesthesia costs, implants or hardware, and physician fees, and if medically necessary, we can offer an overnight stay in our facility with around the clock nursing care, or at a skilled nursing facility.
One of the 5-star accommodations we use for our patients, a serviced private “casita”.
How It Works
Your employees and dependents have their local hometown doctor consultation. If surgery is recommended, call us. 1 (844) 673-0095k, toll free from USA or Canada.
We’ll first confirm that we offer the procedure. If it isn’t one of the 220 we already have posted, we’ll work up the bundled price.
We’ll likely ask for a copy of the doctor’s note and any previous xrays, MRIs, CT, or other imaging studies. Our surgeons will review the case and accept or decline the case. If they accept the case, they advise any other testing that may be required and offer some surgery dates and times.
If you agree to cover the cost of the surgery, (in- or out-of-network) a date and time is booked and a pre-authorization form is signed by the Plan Administrator. Your signature is regarded as a Purchase Order.
Many employers also cover the travel/transportation costs for the patient and a companion, and accommodations at our pre-arranged, exclusive discount rates for their entire stay (Usually two business days prior and 1-3 days post-surgery.) Airfare is often covered as well, flying directly into St George from Denver, Los Angeles, Salt Lake City, Phoenix, and Dallas, using American, Delta and United and soon Allegiant, through Tempe. Or alternatively into Cedar City (CDC) or Las Vegas, 2 hours south of our location. We will help arrange all the travel upon request. All air travel, per diem and accommodation can be paid by ACH, credit or debit card, or a single check along with the pre-payment for the surgical case rate. Self-drive patients can simply submit their mileage record and other receipts to you for reimbursement.
Our program for domestic surgical travel launched in 2015 and has grown in popularity. We’ve received patients from 40 states and from parts of Canada. Surgical savings are substantial enough that many employers waive plan deductibles and co-pays, cover travel expenses, and still save a huge amount of money. They saved on the surgery case fees, they saved on reduction of presenteeism, they saved on TPA line-item fees and embedded kickbacks, they saved on repricing, audits and per check fees for provider settlement costs. Their plan participants accessed care sooner and easier and at a lower out-of-pocket expense. They even saved on workers’ comp cases. They saved on healthcare expenses for lasered plan participants. They enjoyed predictable, reliable and transparent costs that were significantly lower than in-network prices. They accessed care in accredited facilities with lower than national average infection and complication rates and very high patient satisfaction and clinical outcomes scores.