Here I will attempt to address our office policies as far as fees, insurance and other methods of payment are concerned. Please be aware that prices can vary from time to time due to reasons beyond our control! We will not sacrifice quality to lower our prices.

An important question that patients need to answer to themselves is the following: Why invest on your health? Investing in your health is just that/ “an investment”. Unlike other investment, health investment should provide you with gained energy, strength and stability, among many other benefits! Ask yourself what good are material things for without the one true gift of good health and feeling good about yourself?

WHAT WE WILL ATTEMPT TO PROVIDE TO OUR PATIENTS IN OUR OFFICE!

We will strive to achieve that goal for you- that goal of being healthy and active without pain and feeling good about yourself. There are not rush-rush rat-race office visits here like you may have experience at many other medical offices now a days! 

However, for high end therapies, like Prolotherapy and Orthobiologic therapies such as Platelet Rich Plasma (PRP), Bone Marrow Aspirate Concentrate (BMAC) and Micro Fragmented Fat (MFAT) injections, not covered by any health insurance, only you can decide what is fair and “worth the investment” when it comes to out of pocket cost for your health care. We will strive to instill in you the feeling of “that was worth it” when you come to our office to see Dr. Dieguez for your care. You will receive the same personalized care for both insurance covered care or self-paid care.

OUR PAYMENT POLICY.

At our office all prices are explained up front and neither treatments nor lab-work, therapy, or any other intervention are initiated or ordered without the patient’s prior approval. We respectfully request that patients pay in full the portion they are responsible for at the time of service. Our office accepts all major credit card, and we also accept cash (or any combination of the above). If we are participating providers with your health insurance company and the services that we provided to you is a covered service, we will bill your insurance company, and you will only be responsible for any copay, co-insurance or deductible you may have.

THE THREE GROUPS OF PATIENTS WE ENCOUNTER NEEDING SERVICE.

1. Patients with or without insurance looking for treatments modalities not covered by any insurance, like for example treatments using Prolotherapy, Platelet Rich Plasma, Micro Fragmented Fat and Bone Marrow Aspirate Concentrate. The initial consultation, if we participate with your insurance is usually cover by your insurance if deductible, and copays have been met. If the patient is a candidate for the actual procedure the patient’s options are:

• Pay cash

• Sign up for our Direct Specialist Care subscription program.

2. Patient with insurance we participate with:

•    If the service is covered by your insurance, you are only responsible to pay up front for the deductible, any copays or any coinsurance. We then bill the insurance company.

• If the service is not covered for whatever reason, you pay.

3. Patients with no insurance or insurance we do not participate with:

• These patients can ether take advantage of our very affordable cash rates.

• Or take advantage of our all inclusive “Direct SpecilistCare” subscription plan.

WHAT ARE OUR AFFORDABLE CASH RATES

This cash rates that Dr. Dieguez offers are basically for patient that have no insurance coverage whatsoever or have an insurance we do not participate with so that they can have access to basic care at our office at a very affordable price. These prices are not for Orthobiologic procedures like PRP, Progenekine, cell therapies, or Prolotherapy.  Please keep in mind that some of our supplies have quadrupled in price within the last two year.

1.- New patient consult (45 min) --------------------$ 190.00

2.- Established patient (30 min) Reg FU ----------- $ 135.00

3.- Established patient (20 min) & procedure FU-- $ 90.00

4.- Procedure minor (20 minutes) ------------------$ 150.00+ FL/US

          (Small joints: finger, toes, wrist, ankle, hand, trigger points)

5.- Procedure Intermediate (40 min) ---------------$ 260.00+FL/US

           (Major joints: Knees, Hip, Shoulder, elbow)

6.- Procedure Major (60 min)------------------------$435.00+ FL/US

           (Epidural, Thoracic/Lumbar Facets 3 levels per side, SI joints one side)

7.-Transforaminal Epidural (60 min) --------------$ 485.00+Fl/US

8.- Electro Therapy----------------------------------$ 75.00/session

9.- Ultrasound guidance ---------------------------$ 85.00

10.- Fluoroscopy Guidance ------------------------$ 85.00

11.- Supplies for all procedures (syringes, needles, Betadine, alcohol, Peroxide, 4x4, band-aids etc.) --------- $ 55.00

*12.-Ropivacaine 0.2% ---------------------------$ 25 per 10 ml

*13. Lidocaine 1% -------------------------------- $ 15 for 10 ml

*13.- Serapin --------------------------------------$ 100 up to 5 ml

*14.- Ketoralac ------------------------------------$ 36/15 mg vial

*15.-Depo-Medrol---------------------------------$ 31.00/40 mg

*16.- Celestone -----------------------------------$ 31.00/12mg

*15.- Supartz Syringe=---------------------------$ 135.00

 16.-Completing any work related or other forms, ins or school forms------$ 75.00 without a visit (Only for our established patients if I agree to do it)

OUR DIRECT SPECIALIST CARE SUBSCRIPTION PROGRAM.

This program is for patients again with no insurance  or  insurances we do not participate with . No emergencies and no controlled substance prescription! For additional information please call our office. You can also Click on the following link for additional information: https://www.theorthobiologicclinic.com/direct-specialist-care

 1.A free brief Pre-enrollment “Consult” is required to assess if we can be of help to you. Only an evaluation will take place. No test will be ordered until you enroll. 

 2. No enrollment fee.  

 3. Monthly membership. $350 Charge monthly to your credit card on file. This covers unlimited visits per month from enrollment date.

 4. Bracing and orthotics. For bracing and orthotics we provide you with the prescription and you buy it. We will do the fitting and train you on how to use it.

 5. Orthobiologic and Prolotherapy procedures are included.These are included for our direct specialist care members, if the patient stays with the practice for a 12 month period after each one of these procedures if more than one is done. If the patient leaves the practice before that, the credit card will be charged the full regular price of these procedures.

  6. Direct cell phone access and texting with the doctor. Intended for simple personal issues like refill medications we prescribed, questions regarding medications or need for non-acute diagnostic testing. These may come in handy, and provide expert advice.

OUR “CONCIERGE” SPECIALIST CARE SUBSCRIPTION PROGRAM.

This program is for patient either with insurances we participate or not participate with, that are wanting high end treatments not covered by any insurance companies. Specifically, Prolotherapy, Platelet Rich Plasma, Progenekine and Cell Therapy procedures such as bone marrow concentrate (BMC). Non-emergecies only! No control substance prescription. For stablished patient only! If you want additional information, please call our office and we will send to you or click on the following link: https://www.theorthobiologicclinic.com/concierge-specialist-care1 .

Here are your choices:

a) Direct Cell Phone Access to Doctor. Calls intended to resolve simple personal issues like refill medications we prescribed, questions regarding medications or need for nonacute diagnostic testing. These services may come in very handy at the time for expert advice! How many times have you wished you could ask a question to your doctor? A secure app will need to be used. Unlimited calls per month. Yearly payment and agreement required. $ 600.00 /year.

b) Texting with the Doctor. Texting may be all you need for simple questions. Chatting   will be done via text messaging using a secure app. Unlimited text. Yearly agreement required. $ 250.00/year

c) Gold package. Includes all of the above plus: a) blood test and imaging orders due to personal or work-related reasons, but that do not need a medical consultation with our physician.Copies of test will be provided as well as any recommendations if needed. b) Two Prolotherapy treatment a year if indicated OR One Platelet Rich Plasma Treatment (PRP) per year if indicated.c) Same or next day no wait appointment during normal business hours. Yearly agreement required. If yearly agreement not completed Prolotherapy and PRP will be calculated at regular price.  This package can be paid monthly. $ 5908.00/year

PROLOTHERAPY AND ORTHOBLOGIC PROCEDURES PRICES

a) Hypertonic Dextrose Prolotherapy charges:  

Please be aware these prices are per session. Price include sterile room use, Sterile suppleis, Fluoroscopy/Ultrasound, Medical waste fee, bandages, etc. You may need three to seven sessions separated 3 to 4 weeks apart. If Ropivacaine is used add $25.00 for ten ml. If Serapin is used add $100 for 5 ml

 1.TMJ (each) -------------------------------------- $1028.00

 2.Toes and fingers -------------------------------  $1143.00 for one ($55  each additional finger)

 3. Wrist/Ankle/Elbow(each)---------------------$ 1168.00

 4. Shoulder/knee/hip(each)---------------------$ 1318.00

 5. Tailbone------------------------------------------$1143.00

 6. Pubis/ischial tuberosity(each) ---------------$ 1243.00

 7. Lower/midback---------------------------------$ 1468.00

 8. Upper back ------------------------------------- $ 1618.00

 9. Heal each ---------------------------------------- $ 1293.00

 10. Foot and hand each --------------------------- $ 1593.00  

b) Platelet Rich Plasma (PRP) Charges:

Please be aware these prices are per session. You may need one to three sessions separated two and a half to three months apart.

 1. Pure PRP GS 30 ---------- $ 1575.00

 2. Pure PRP GS 60 ---------- $ 1975.00

 3. Pure PRP GS 120 --------- $  2450.00

c) Progenekine Fat transfer Procedure Charges: 

Includes  infiltrating and harvesting cannulas.

 1. Progenekine ------------- $ 4772.00

 2. Progenekine with a GS-60 PRP booster------- $ 6747.00

Bone Marrow Concentrate (BMC) procedure charges. This procedure is the most sophisticated of them all.

       BMC ----------------------$ 7927.00

ABOUT OUR FEE GUIDELINES

The above list has been provided as a guide for determining expected cost for various specialized services we provide. The actual price may be more or less depending on the exact areas being treated and what treatment you received. For example, two areas may need to be treated. At your New Patient Consultation Visit all the alternatives and costs will be explained to you and you will be able to ask and get answers to your questions.

NOTICE:

Please be aware that we are not one of those so called “pain clinic”! We treat the different musculoskeletal, orthopedic and spine conditions without pain medications. Having worked for the Florida Department of Health as an expert witness for the prosecution services unit reviewing pill mills type of operations, and being very aware of the addiction problem we have in our country, Dr. Dieguez rarely if ever prescribes narcotics and other controlled addictive medications. If he ever does, it is only if absolutely necessary after a minor surgical procedure and never for longer than three to five days. With that been said, if what you are looking for are narcotics or other controlled substances, don’t expect to get them in this office. Don't waste my time or yours. Or your money for that matter!This is not one of those places where you go and you exchange dollars for drugs. Here you will go out empty handed. And remember, we will not hesitate in reporting drug seekers to the authorities. We do not prescribe Marijuana or any of its derivatives either! 

(Pricing for treatments, medications or consultations are subject to change at any time)