Thank you for choosing Physicians Surgery Center for your upcoming surgical procedure. Surgery centers are designed exclusively for same-day outpatient surgery. We offer comfortable surroundings and an increased level of individual attention from our staff, minimizing the stress often associated with surgery. Your surgeon is supported by a highly skilled team of registered nurses and medical technicians specially trained in surgery and recovery care.


Unless explicitly instructed by your surgeon, all patients must visit the Physicians Surgery Center about one week before surgery to complete pre-admission documentation and perform any required pre-surgical testing ordered by the surgeon. At that time, we'll also be able to answer questions you may have.

If it is a week before your surgery and we have not yet called you to set up your pre-admission appointment, please call us at 731-661-6352.

Billing and Insurance

We accept most insurance products. The bills a patient will receive for surgery and the cost of the surgery will depend primarily on the following items. You will likely receive separate bills for each.

  • Physicians Surgery Center fee for the type of procedure. This fee includes nursing care, medications, standard supplies, and use of the operating and recovery rooms.
  • The surgeon’s fee for performing the surgery.
  • The anesthesiologist’s fee for providing anesthesia for the procedure, if applicable.
  • Depending on the procedure performed, patients also may receive bills for laboratory or X-ray tests prior to the procedure or bills from other care providers such as a pathologist, radiologist and/or surgical assistants.

As a courtesy, the surgery center verifies benefits and bills your insurer for your fee(s). Your estimated balance is due on the day of surgery. You must remember that you are ultimately responsible for your bill. All procedures not covered by insurance must be paid in full before admission for surgery.


Download and print patient form for physicians who may be out of network.

Monthly Payment Options

We offer Epic River Patient Lending, an affordable option for paying medical bills.

Developed in conjunction with Pinnacle Bank, Epic River Patient loans allow patients to make manageable monthly payments online at a fixed interest rate. The program requires no credit check and allows for more flexible payments. It also has no surprise fees, no interest penalties and no hidden risks.

In fact, payments made through the program reflect positively on a patient’s credit, even if the patient has no credit history or has had past credit challenges. Patients interested in an Epic River patient loan should contact a Physicians Surgery Center billing office representative at 731-661-6390.

Download the brochure.

We also accept Care Credit as a form of payment.

What to Expect

Preparation for surgery

Your physician will discuss your procedure with you and schedule the surgical appointment. Unless instructed by your surgeon, you must visit the Physicians Surgery Center one week before surgery to complete preadmission documentation and perform any required pre-surgical testing ordered by the surgeon.

  • Patients who are physically unable to visit the center to pre-admit may speak with a member of the nursing team by phone to review medical history, receive instructions and ask questions.
  • The anesthesiologist or physician may order an EKG or other tests that need to be performed before your surgery. These will be done when you pre-admit for your surgery. In the event you do not pre-admit, the timing and location of these tests will be arranged by your physician or the center and may further delay the procedure.
  • A minor (under 18) patient must be accompanied by a parent or legal guardian who can sign documents on his or her behalf. A parent or legal guardian also must remain on site during a minor patient’s entire stay at the center. Family members or friends may not serve as guardians without appropriate legal documentation.
  • Surgery schedules may be impacted by many factors. Delays are often unforeseen, and any changes to the surgical schedule are communicated to patients and families promptly. This is an ambulatory surgery center, so your surgery and recovery should be fairly quick. We respectfully request that patients suggest to their families and friends that no more than two people be in attendance during your procedure.
  • You may not drive yourself home after surgery. If you do not have a responsible person with a valid driver’s license to drive you home and remain with you for at least 24 hours after your procedure, your surgery will be cancelled.
  • Download and Print Patient Rights & Responsibilities, Ownership, Advance Directives and Grievance Policies.

Day of Surgery

  • Do not eat or drink anything after midnight on the day of surgery. This includes chewing gum, mints or the use of tobacco products.
  • If you take blood pressure, heart, seizure, breathing medications, stomach medications or Prednisone, please take with a sip of water when you wake, unless otherwise directed by your physician.
  • Do not take diabetic medications the morning of your surgery.
  • If you develop a fever or cough, or if you experience any other change in a medical condition, call your physician promptly.
  • Please take a bath or shower, using an antibacterial soap, the evening before or the morning of your procedure. Do not wear perfume, cologne, makeup, nail polish, body jewelry, contact lenses or deodorant.
  • Anesthesia may be harmful to the unborn. If you might be pregnant, please notify your surgeon immediately.
  • Failure to follow these instructions could result in delay, cancellation or serious complications, including death.
  • If you are unable to keep your appointment or are delayed, please contact the surgery center.

Morning of surgery

  • Brush your teeth.
  • Remove all makeup, jewelry, and contacts. If you must wear contacts, please bring your storage case for use during surgery.
  • Wear loose, comfortable clothing that can accommodate a bandage, cast, or other type of dressing where the procedure is being performed.
  • Arrive at the surgery center at the time given by your surgeon or the center's nursing team.
  • If you have experienced any health changes since pre-admitting, please notify your surgeon or the center.
  • Bring insurance cards, photo ID, payment and all paperwork from your physician and/or the surgery center.
  • Bring all current prescription medications to the center for the anesthesiologist to review.
  • Leave all valuables at home. The center cannot be responsible for lost or stolen items.
  • If possible, please leave small children at home. The center has very limited offerings for children for an extended period of time. Patients also are asked to bring no more than two family members or friends to the center.
  • The privacy of all our patients is very important; therefore, family and friends should not enter patient care areas unless specifically instructed to do so by center staff. Individuals such as friends and pastors who are not immediate family members will not be told about
    your care unless you provided direct, specific authorization for us to do so.
  • You are being provided care by an AAAHC-accredited facility. If you have concerns regarding your care while at this facility, you may contact AAAHC at (847) 853-6060.

The Surgical Experience

Upon arrival, you will check in with the receptionist and wait briefly until a member of our staff calls for you to move to the pre-operative holding area. No more than two people should accompany a patient to the center, and if possible, it is preferable for small children to be entrusted to the care of family or friends who do not come with the patient to the center.

Once brought to the pre-operative area, your medical information will be reviewed by both a nurse and your surgeon. Depending upon the procedure you are having, an anesthesiologist also may speak with you, and an IV may be started. Once properly prepared and sedated, members of the surgical team will escort you to the surgical suite for your procedure.

When your procedure is complete, you will be guided to a recovery bay and carefully monitored until you are fully alert. At the appropriate time, we will invite a family member or friend to be with you to assist with your discharge. The length of time your family member must wait to see you varies with each procedure.

Leaving the Surgery Center

For most procedures, you will be ready to leave the Surgery Center within two hours after your surgery. Every patient will receive specific discharge instructions, both verbal and written, before leaving.

Every patient must arrange transportation home, as you will not be allowed to drive yourself, regardless of your procedure. It also is important that you have someone stay with you for the first 24 hours following surgery. Follow your physician’s orders regarding activity, diet and medication, and contact your physician if you experience problems after discharge. A member of the center’s staff also will contact you after discharge to check your progress and answer any questions you may have.

Patient Guide

If you would like to save a copy of the Patient Guide on your computer or print the Patient Guide, you can download it here.