Patient financial information
Fees, payment, refund and cancellation policy.
This page lists current standard self-pay, time-of-service fees, explains what Padela Health PLLC accepts payment for, and describes how to request a correction or refund.
Published standard self-pay, time-of-service fees
Current as of August 2, 2026. These prices apply to uninsured patients and other patients for whom the practice confirms a self-pay arrangement before service. They apply only to the listed Padela Health PLLC professional service and do not apply to claims submitted to insurance, workers' compensation, or employer contracts unless agreed in writing.
| Service | Standard fee |
|---|---|
| Comprehensive new-patient orthopedic consultationSpine, hip, or knee history, examination, review of available relevant imaging, and care plan | $300 |
| Established-patient follow-upFollow-up evaluation for an established self-pay patient | $175 |
| Complex spine or joint surgical second opinionClinical evaluation with focused review of relevant outside records and actual imaging | $450 |
| Employer-authorized work-injury evaluationClinical history, examination, treatment recommendations, and a standard work-status note when applicable | Starting at $350 |
| X-ray studyPer anatomic study, when available at the confirmed clinic location and clinically indicated | $100 |
What the practice accepts payment for
Padela Health PLLC accepts payment only for its own professional medical services:
- Copays due under a health plan;
- Deductible or coinsurance amounts assigned to the patient;
- Balances remaining after insurance adjudication;
- Confirmed self-pay consultations, evaluations, follow-up visits, or other professional services; and
- Other documented amounts shown on a statement, invoice, or written estimate from Padela Health PLLC.
The practice does not sell medications, supplements, prescription products, medical devices, memberships, subscriptions, concierge access, gift cards, or third-party services through this website.
Secure payment access
Online card payment access is provided only through an invoice or a practice-approved secure payment link. Do not submit a payment unless the patient name, amount, and purpose of payment are accurate. Do not email card information.
Insurance, workers' compensation, and employer-direct care
Eligibility, benefits, network status, authorization, and quoted patient responsibility are estimates and are not guarantees of payment. The final responsibility is determined by the applicable payer contract, authorization, explanation of benefits, employer arrangement, and law. The practice may issue an additional bill or a refund after adjudication.
Good-faith estimates for uninsured or self-pay patients
Patients who do not have insurance or who choose not to use insurance may request a written good-faith estimate of expected charges. A separate estimate may be needed from each facility or other provider involved in care. Federal law may permit a patient to dispute a bill from a provider when it is at least $400 more than that provider's good-faith estimate. Learn more at CMS Medical Bill Rights.
Refund policy
- Prepaid visits cancelled before care is provided: refunded in full unless a specific lawful nonrefundable fee was disclosed and accepted in writing before payment.
- Procedure prepayments or deposits: refunded if the procedure does not occur, less any professional services already provided and any other amount expressly authorized in writing.
- Duplicate, mistaken, or excess payments: reviewed and corrected, including a refund when due.
- Services already rendered: generally not refundable merely because the clinical outcome or insurance benefit differs from expectations.
To request review, contact the practice within 30 days when practicable. Include only the patient name, date of payment, amount, and a callback number. Do not email full card numbers, medical records, Social Security numbers, or sensitive health information.
Approved card refunds are returned to the original payment method. The practice generally initiates an approved refund within 10 business days, although the bank or card issuer may require additional time to post it.
Cancellation and rescheduling
Please cancel or reschedule as early as possible, preferably at least 24 hours before the appointment. Any late-cancellation or missed-appointment fee must be disclosed by the practice before it is charged and will be handled in accordance with applicable payer requirements and law.
Billing questions and disputed or unauthorized payments
Contact the practice promptly so the transaction can be investigated. The practice may request reasonable documentation to identify the payment and protect patient privacy. Nothing in this policy limits rights available under card-network rules or applicable law.
Payment security
Card details should be entered only on the secure checkout page linked from an official practice invoice or this domain. The practice does not request complete card numbers by ordinary email, text message, or voicemail. Secure online payments, when enabled, are processed by a third-party payment processor subject to that processor's privacy and security terms.
Contact
Padela Health PLLC
doing business as Padela Spine and Joint
1919 FM 1092 Rd Ste 10
Missouri City, TX 77459-5787
Administrative and business mailing address; not a patient clinic.
Phone: (212) 960-3997
Fax: (713) 832-2101
Email: tpadela@gmail.com
Policy last updated: August 2, 2026