Financial Policy Overview

Quick Facts

  • Payment Due: Co-pays, co-insurance, deductibles, deposits, and past balances are due before your visit.

  • Payment Options: Visa, MasterCard, Discover, ACH, debit cards, personal checks (with $25 return fee), or cash.

  • Insurance Coding: Diagnosis codes cannot be changed to secure insurance reimbursement.

  • Refunds: Processed within 45 days after overpayment; contact billing if delayed.

  • Worker’s Compensation: Treated as private pay and not billed to insurance.


Missed Appointments


Salem Gastro (Office Visits):

  • 24-hour notice required to cancel or reschedule.

  • $25 fee for missed appointments.

  • After 3 missed appointments, you’ll be redirected to your primary care physician.

Salem Endoscopy Center (Procedures):

  • 72-hour notice required for cancellations or reschedules.

  • $100 fee for missed appointments or a third reschedule.

  • Fees must be paid before rescheduling and are not covered by insurance.


Billing and Payments



For Patients with Medical Insurance

  • Salem Gastro accepts most major health plans (check Insurance Accepted).

  • Patients must provide current, accurate insurance information.

  • Payment (co-pays, deductibles, deposits) is required before your appointment.


For Patients without Medical Insurance

  • You will receive an estimate before your visit, payable on the date of service.

  • A self-pay discount is applied after services are rendered.


Important Note

Your insurance coverage is an agreement between you and your insurance company. The patient is responsible for deductibles, co-insurance, and non-covered services.