Insurance & Billing

Dr. Mast participates as an “in-network” provider for a few insurance plans. As an “in-network provider” the cost of Dr. Mast’s care is dictated by the terms of your plan’s in network benefits.  Please check with your insurance carrier to determine coverage.

Dr. Mast can still provide care to patients that are “out-of-network” or have high deductible health plans. With escalating costs for health care insurance plans, more and more patients are faced with this scenario. The good news is that in many cases with cash pricing there is less administrative cost, so we can offer lower prices for a variety of services. Dr. Mast will submit billing to insurers on behalf of the patient, but it will be the patient’s responsibility to collect from the insurer.

Effective July 1, 2022, Dr. Mast will no longer participate with Medicare and Medicare Advantage Plans. We will contract directly with you ONLY for Dr. Mast’s care based on the fee schedule below. Other aspects of your care, including but not limited to: the facility fee (hospital or surgery center), anesthesiology, medications, physical therapy, and durable medical equipment are not affected by Dr. Mast no longer participating with Medicare and Medicare Advantage Plans. The coverage for these aspects will be covered based on your benefits as dictated by your plan for each of these separately. You will be asked to sign this contract to acknowledge that Dr. Mast is an opted out provider.

Click here for more information on why Dr. Mast has opted out of the Medicare system.

Do you take insurance at the Hip & Pelvis Institute?

Fee Schedule

ProcedureEstimated Cash Price
Initial Consultation$325
Annual/Routine follow up$150
Hip Arthroscopy$6000 – $7000
Primary Total Hip Arthroplasty$6500 – $7500
Simultaneous Bilateral Total Hip Arthroplasty$12,000
Conversion of prior surgery to Total Hip Arthroplasty$7000 – $9000
Revision of Total Hip Arthroplasty$9000 – $11,000
PAO (periacetabular osteotomy)$12,000 – 16,000
Proximal Femoral Ostetotomy/
Surgical Dislocation and associated procedures.
$9000
Abductor tendon repair +/- tendon Transfer$ 12,000 – $18,000

Prices quoted are for cash based services only, payment in full is required prior to service. Certain limitations and restrictions apply. Complexity of case and patient comorbidities will factor into final cost calculations. Facility charges are billed separately and may/may not be covered under insurance plan.

Cash Pricing

For many procedures, an “all-in” cash price can be offered prior to the procedure. Inclusive in these prices are Dr. Mast’s services, anesthesiology, and facility charges. For example, routine primary hip replacement in a generally healthy individual can be done in the range of $30,000.00 to $35,000.00.

Post op visits

Post op office visits in Dr. Mast’s office will be covered up to 90 days following surgery as this fee is included in the “global package”.

Good faith estimate

If you are a self-pay patient (and this includes all Medicare patients since Dr. Mast does not participate in Medicare), you have the right to receive a good faith estimate of the expected charges upon scheduling a visit or procedure or upon request.

  • A good faith estimate will be provided no later than 1 business day after scheduling if services have been scheduled to occur at least three business days after the date of scheduling.
  • The good faith estimate will be provided no later than 3 business days after scheduling if the item or service is scheduled to occur at least 10 business days after the date of scheduling.
  • When the good faith estimate is expressly requested by the patient, it shall be provided no later than 3 business days after the request.

Payment/Financial Policy – To download a PDF of our financial policy please click here.

Questions – If you have any questions regarding Billing or Insurance for Dr. Mast please contact his billing office at (415) 530-5330 extension #3.