NOTE: The above link is ONLY for patients who have had a surgery or procedure performed at the OUTPATIENT Inova Loudoun Ambulatory Surgery Center. Please check your bill before attempting to use this system.


Before the date of your surgery you will need to provide us with insurance information. Some insurance companies require pre-certification before surgery. It is your responsibility to ensure that all appropriate paperwork, provided by your surgeon, has been completed to allow our Business Office to obtain pre-certification from your insurance company. Your surgeon’s office staff should assist you in the process. You may also call your insurance company if you have any questions. If pre-certification is not obtained, your medical insurance may not cover the cost of your surgery.

When you arrive on the day of your surgery, we will ask you to sign a form stating you are financially responsible for any services rendered that are not covered by your insurance carrier. If you have questions or concerns before your surgery please contact our Business Office at 571-209-6443.

The following insurance carriers are contracted with Inova Loudoun Ambulatory Surgery Center:

  • Aetna (all types)
  • Amerigroup
  • Anthem BCBS
  • Carefirst (PPO, HMO)
  • Cigna (PPO, POS, HMO)
  • First Health (pending – accepting)
  • Great West
  • HUMANA – GOLD ONLY (Medicare leg of MCO)
  • Kaiser Permanente
  • Medicaid
  • Medicare
  • NCPPO Optima Health
  • PHCS
  • Southern Health
  • TriCare
  • United Healthcare (Optimum Choice, Mamsi, MDIPA, Alliance)

It is our policy to collect any co-pays, co-insurances, and/or deductibles at the time services are rendered.

We have entered into contracts with the above insurance companies, which will often result in a discount of the billed charges. However, we cannot guarantee that your insurance company will pay any or all of these charges, and you will be responsible for that portion of the allowed charge not paid by your insurance company. Since your insurance contract is an agreement between you and the insurance company, any unpaid balance remains the responsibility of the patient or person who signs for financial responsibility of the account. We appreciate your assistance in ensuring prompt payment from your insurance company.

Bills for Services

You will be charged a facility fee for all services provided by Inova Loudoun Ambulatory Surgery Center. This fee does not include fees for any of the following services that may be incurred during your stay at our facility, and you will receive separate billings for these services:

  • Surgeon
  • Anesthesiologist
  • Pathologist
  • Radiologist
  • Laboratory tests

Your Responsibility for the Balance

You should receive an explanation of benefits from your insurance company showing how our claim was processed and indicating your responsibility for any balance. You will also receive a statement from our facility reflecting any amounts paid and any adjustments to your account. Payment of the balance on the statement is due upon receipt. For your convenience we accept cash, personal checks, VISA, MasterCard, Discover, and American Express. Each Inova Surgery Center has an on-site dedicated business office staff to provide assistance for any financial questions regarding your surgery. Please call our business office if you have questions. We will be happy to assist you in any way possible.

If you are unable to pay the balance on your account you will need to make financial arrangements with our billing specialist. Please call 571-209-6428.