Patient Information


How to Register

After days, maybe even weeks, of meeting with your physician and pouring over every question related to your procedure, the last thing you need is a sea of paperwork to generate more uncertainties. That's why we've worked to keep the registration process as simple and uncluttered as it can possibly be. On this page, you'll find all of the documents you need to generate your medical history, give consent for the scheduled procedure and provide relevant insurance information.

Surgery Center of Pinehurst is proud to offer their patients the convenience of One Medical Passport, which allows them to complete medical forms before walking through the door.

Simply access a secure website and complete your Medical Passport (demographic, insurance and medical history). The completed medical history will be automatically formatted into comprehensive Operating Room forms.

Click on the One Medical Passport icon below to get started.

One Medical Passport

We Protect Your Data

It can be unnerving to share the entirety of your medical history with anyone, even a recognized facility like ours. Rest assured, your personal information and patient data are protected according to all federal HIPAA laws and regulations. 

Insurance Verification

Please bring a photo ID, such as a driver's license or government-issued ID card, as well as your most current insurance or Medicare card. Upon receipt of your insurance information, Surgery Center of Pinehurst will verify your primary and secondary insurance carriers or government agency directly for surgery center services.

Please be aware of your insurance plan's policy on admission requirements, such as pre-authorization. You or your physician may have to adhere to certain requirements in order to ensure maximum reimbursement from your insurance carrier(s).

Failure to obtain pre­ authorization, physician referral, or a second opinion may greatly reduce or eliminate your insurance benefits.

We Accept the following Insurers:

Insurance Contracts:

  • BCBS
  • BCBS – BlueValue
  • BCBS Medicare Replacement
  • BCBS – UNC Health Alliance
  • Multiplan
  • Cigna
  • Corvel
  • Employers Choice Network
  • Employers Direct Healthcare
  • Employers Direct Surgery Plus
  • First Carolina Care
  • First Medicare Direct
  • Humana - Commerical/Medicare
  • Medcost
  • Medicaid
  • Medicare
  • Mountaire Corp
  • Tricare
  • US Dept of Labor W/C
  • Workers Comp
  • Amerihealth Caritas Medicaid
  • Healthly Blue Medicaid – BCBS NC
  • Carolina Complete Health Medicaid
  • Wellcare Medicaid
  • United Healthcare Commercial / Medicare
  • UHC Medicaid
  • Optum VA

Carrier Not Contracted:

  • BCBS - BlueLocal with Atrium Health
  • BCBS - BlueLocal with Wake Forest Baptist Health
  • BCBS - BlueAdvantage

How to Pay Online

We've kept registration, consultation and even surgery as simple and streamlined as they can be-why let bill paying complicate or frustrate your experience? With our convenient online bill pay system, we're keeping that simple, too.

Our online bill payment system is designed to eliminate misunderstandings and questions, while keeping the payment process clear and easy-to-follow. Not to mention, it's nice to forego paper checks and postage, and to have the convenience of 24/7 service. Online bill pay utilizes a secure online portal that integrates with our system in real time, so your account and payment information are kept safe and your payments are processed quickly.

For your convenience, you can make your payments online with a credit card or bank transfer. Please click the link below to be directed to Surgery Center of Pinehurst's secure online payment page:

Make Online Payment

However, be advised that making an online payment does not immediately change any disposition related to your account. Any payment made after normal business hours will not be posted until the next business day. We reserve the right to decline an online payment if your account is in default for any reason. In addition to printing your receipt, we encourage you to verify with us by phone or email that that your payment has posted, particularly if your payment is made after normal business hours. Regular business hours are listed on the main contact page. Feel free to contact us directly with questions relating to your account or online payment: 910-235-5000

Billing Process

Facility Fees

Surgery Center of Pinehurst fees cover only the use of the facility, and do not include laboratory, pathology, surgeon, anesthesiologist or certified nurse anesthetist fees, nor does it include the cost of any implants used for your surgery. You will be billed separately for these fees.

Please let us know prior to your surgery if you need help making special financial arrangements; we're happy to discuss alternative payment methods with you.

Collections and Payment Policy
  • Co-pays and deductibles will be due on the day of your surgery.
  • For patients with no insurance coverage, or for those having cosmetic surgery, all fees will be due in advance.
  • We're happy to accept cash, cashier's checks, credit cards and personal checks with valid identification.
  • CareCredit is a patient payment plan with eligibility determined by the patient's out-of-pocket expense. Plans extend up to 48 months and allow up to 12 months of interest-free payments. Apply at our facility, by visiting, or by calling (800) 365-2895 for an Automated Phone Application.


Surgery Center of Pinehurst welcomes Medicare beneficiaries for treatment; we are Medicare certified and comply with all specified physical plant, staffing, safety and governance standards.

"Facility fees for approved services at an Ambulatory Surgery Center (facility where surgical procedures are performed, and the patient is released the same day). You pay co-insurance, and Part B deductible applies."
- Medicare & You Handbook (regarding Part B-Covered Services)

For more information on your Medicare benefits, please visit

On the other hand, if you have any questions regarding facility payments, insurance or other financial issues, please feel free to contact us directly.

Patient Medical History Portal

Click here for online patient medical history. Feel feel to call us anytime at 910-235-5000 and ask for pre-admission testing.

One Medical Passport


No Surprises Act

Good Faith Estimate

Notice of Privacy Practices - HIPAA

Disclosure of Physician Ownership

Patient Bill of Rights

Surgery Center of Pinehurst complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.