Financial Options

Healing Hands of Nebraska

Click here to make payments to Total Pain Solutions.

Click here to make payments to SpecOps Surgery for all procedures and surgeries.

Total Pain Solutions is dedicated to creating a system that restores your relationship with your doctor—keeping the focus on you and your health.

Many people mistakenly think that having insurance and seeing a network provider is the safest and least expensive option. Unfortunately, the reality is that two-thirds of personal bankruptcies are due to medical costs and 75% of those who went bankrupt had insurance.

At Total Pain Solutions, our pricing is affordable and transparent. We use time-based billing, just like many other professional services. Since we do not contract with commercial insurance, we are able to be transparent about our pricing and we charge exactly what we say we do.

Total Pain Solutions Now Accepting Cryptocurrency

Dr. Aguila and the Healing Hands team have an established reputation as innovators in the clinical and financial realms of healthcare. This latest news allows patients from all over the world to use cryptocurrencies as a form of payment. Healing Hands of Nebraska is one of only a few practices in the U.S to accept cryptocurrency.

Total Pain Solutions and HealthShares

Dr. Demetrio Aguila and the team at Total Pain Solutions work closely with HealthShares to make treatment affordable and accessible for all patients. Health-share plans are cooperatives – often faith-based – with members agreeing to cover a certain portion of each other’s medical costs. One of the reasons that health sharing programs are so affordable is because they are not technically insurance, which makes them unbound by the strict (& expensive) regulations. By paying a monthly ‘contribution’ to a Health Care Sharing Ministry, members can receive affordable coverage at about half the cost of an insurance plan.

Dr. Aguila is proud to partner with several HealthShares to help patients defray the cost of their treatment. HealthShares and Total Pain Solutions have a common mission of accessibility and transparency. Watch this video to learn more about HealthShares and Total Pain Solutions.

High-Quality Care for Less Money

Dr. Demetrio Aguila and the team at Healing Hands of Nebraska work closely with our patients to ensure the best financial options are found to meet their treatment needs.

Saving Money on Prescription Medication

We have set up an agreement with SlashRX to help save patients money on their prescriptions. You can access our portal here .


We accept all major credit cards and checks (which are processed via our merchant system), as well as CareCredit, MedPlan, and Proceed Finance.

For office-based visits and most office-based procedures, you have the option of paying by credit card or check for your visit at a significantly discounted rate at the time of your visit.

For surgical procedures, the discounted payment is required in full at least 10 days in advance of the procedure.


With reduced administrative time and expenses associated with managing insurance companies, we pass our savings on to you, the patient, by offering an up-front discounted rate.

NOTE: Pathology, when required, will require a separate Pathology fee. Prices are subject to change without notice. Our pricing guide is available upon request.


Q:  How does this work?

A:  Our approach is a return to a traditional fee for service healthcare, re-establishing the doctor-patient relationship. Historically, a doctor and a patient would work together to find out the cause of a medical problem, and then decide together how best to treat that problem. Because the relationship was between the doctor and the patient, the doctor would receive the compensation directly from the patient for the treatment provided, much as a plumber is paid by a homeowner for “diagnosis” and “treatment” done to a leaky faucet. There’s no insurance company deciding for you whether or not you have a leaky faucet, or whether or not the plumber gets paid for fixing it – the decision is yours.

Q:  How is this different from the typical conventional insurance-based approach?

A:  In the typical conventional insurance-based practice, the insurance company inserts itself into the middle of the relationship between the patient and the doctor. In this approach, the patient sees the doctor, the doctor and the patient come up with a plan, and then the patient and doctor request permission from the insurer to proceed with the plan.

In some cases, the insurer gives permission (also known as “Prior Authorization”) for the doctor to proceed with the treatment. The doctor and patient then proceed with the treatment, and the doctor sends a bill to the insurer for payment for the treatment.

We believe that these decisions should be made by the patient and the doctor together–not by an insurance company. Decisions regarding care can be made strictly between patients and providers without any insurance interference.

Q:  Why should I, as a patient, see a doctor who asks me to pay for my treatment myself rather than one who asks the insurance company to pay for treatment?

A:  There are many important advantages to using this approach including the following three: 1) Complete preservation of the doctor-patient relationship; 2) Cost savings; and 3)  Fairness/transparency.

Q:  What does it mean that “the doctor-patient relationship is re-established”?

A:  This means that healthcare decisions are between the doctor and the patient without any interference from an insurance company.

Q:  How does this approach decrease cost and save money?

A:  Our pricing guide allows us to cut out extra administrative costs, which allows us to pass that savings on to you.

Q:  What does any of this have to do with fairness?

A:  Too often patients are blind-sided by the costs that they don’t see coming as it relates to their healthcare. By eliminating barriers and restrictions imposed by insurance companies, we are able to give patients a line-by-line cost breakdown. There are no “hidden fees,” and patients can know exactly what they will pay before they walk out the door.

Q:  What if I agree with this approach, but I don’t have the cash to pay for treatment up front?

A:  All our patients have three options for saving on their healthcare costs. Each option offers a different level of savings:

  • CareCredit Payment Plan: Since they charge lower financing fees, we’re able to offer even more savings through CareCredit. Visit or talk to us to learn more.
  • Med Plan
  • Proceed Finance
  • Major Credit Card/Check: Using a check or a credit card offers you the highest level of savings possible by further reducing administrative costs.

Q:  What if I pay for treatment up-front, but there’s a problem or a complication that requires additional surgery. What options do I have in that case?

A:  CosmetAssure is an affordable complication insurance option that we offer through our practice. This is particularly helpful for patients who are uninsured or who are undergoing a cosmetic procedure. Visit or talk to us to learn more.

Q:  If I need surgery, how does this payment approach affect the cost of the surgery? Does it include the cost of the operating room and the cost of anesthesia?

A:  The pricing that we offer applies to the Professional fee, which is the surgeon’s portion of the cost. The Anesthesia fee and the Facility fee (the cost of using the operating room) are billed separately by the hospital or surgery center.

Please ask one of our team members, or e-mail us at for additional questions, or to learn more about our payment methods. We are ready and excited to help you navigate your experience with us, and look forward to taking care of you.

The Aguila Team Can Help

Dr. Demetrio Aguila and his team at Healing Hands of Nebraska can help patients suffering from unexplained nerve pain or other chronic pain. We urge everyone to not ignore symptoms when solutions may be possible. Take the first step to feeling better, come and see us about solutions for chronic pain, allergies, and reconstructive surgery

Call us at 1-402-370-9515 or fill out the form on this page to set up a consultation to determine your best options.

Contact Dr. Aguila

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