They do not participate with your insurance, they do not tell you prior to surgery and only tell you AFTER your first follow up visit! I made sure to go to a hospital emergency room in network and I still owe over $2k (even though insurance paid over $8k) And then any visit for follow up can be a 2 hour or more wait and like the others is mostly done by a PA who does very little. They look at it, cover it and send you on your way. I never sat in the waiting room less than 1 1/2 hours each visit. You feel like a number and a dollar sign and follow was terrible. I did two follow up visits and then removed my own stitches (as I think I could do it as well and save myself a 2 hour wait!!)