Surgery Procedures that are scheduled in advance require a patient to make a pre-payment. Even if a patient has a medical insurance there are often deductible, co-payments or other cost-sharing provisions associated with your surgical procedure. The hospital will collect your pre-surgery payment portion for the surgeon’s services in advance of your procedure. For non-emergent cases, if a required pre-payment is not provided it may be rescheduled for your procedure and postponed to a more convenient time.