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What to Expect



  • Cascade Endoscopy Center is a separate and independent business from Oregon Medical Group (OMG).
  • Our facility charges are separate from your physician’s office (OMG). Please be aware that you may be receiving up to three bills; one from the facility, one from the physician (OMG), and one from the lab, if specimens are removed.
  • YOU MUST BRING IN YOUR INSURANCE CARD(S) AND PHOTO ID when you arrive for your procedure.
  • Co-pays and coinsurance amounts are due on the date or service. We accept major credit cards, cash, and checks. Additional balances must be resolved within 120 days of your date of service. Payment arrangements can be set-up through our billing office. Billing questions? Call 541-726-8882 Ext 202.
  • Regardless of insurance coverage, you are financially responsible for this procedure cost. It is your responsibility to contact your insurance carrier and know your plan benefits and requirements.
  • As a courtesy, if time permits Cascade Endoscopy Center may contact your insurance carrier to verify your benefits.

Scheduling and Prep Questions:

  • All appointment changes are done through OMG, NOT through Cascade Endoscopy Center. Please contact 541-284-1600 to make changes to your scheduled procedure.
  • All questions regarding procedure preparations are done through OMG. Please contact 541-284-1600 if you have questions regarding preparation.

Procedure Day Information:


  • If you arrive without a person to drive you home, or ride with you on public transportation- your appointment will be rescheduled.
  • Your driver needs to be here to speak with the physician after your procedure, as you may not remember this conversation. Your driver will also have to sign you out and receive discharge instructions. (If there are concerns regarding information, please discuss with a nurse upon your arrival).


  • You should plan on being at the Center for a total of 2 hours; this is from check-in to discharge time.
  • Your arrival time is not the actual time of your procedure. You will be arriving 1 hour prior to your procedure time. This allows us time to complete paperwork, answer questions, sign consent forms, and start your IV.
  • Please help us prevent falls when you arrive:
  • Please wear your glasses and or hearing aids
  • Please use your walker, cane, or wheelchair


  • Please let us know if you are feeling dizzy or weak
  • Please let us know if you have fallen in the last year
  • Please let us know if you need assistance.


  • Wear shoes (no boots, no heels) that slip on and off easily and clothes that are comfortable.
  • The Center does not have lockers. You may leave your valuables at home, with your driver, or your items will remain with you while you are at the Center. Cascade Endoscopy Center is not responsible for any personal property that is lost during your time at the facility.

Procedure/Sedation Expectations:

  • Unless you and your physician have another plan, you will be receiving medications for moderate sedation for your procedure. Typically these medications are Fentanyl or Demerol, and Versed.
  • Moderate sedation uses medications given through your IV to help you relax and feel an altered state of consciousness. Moderate sedation can cause memory gaps, this affects the time you begin receiving the medications and sometimes through your recovery period. Moderate sedation is NOT general anesthesia. We do not put patients “to sleep”. You may be somewhat aware during your sedation. Our #1 goal is your comfort, not that you are asleep.
  • Moderate sedation tends to have patients feel little to no pain when given for procedures, it is important to remember that the procedures do not relieve pain, but may help determine the cause of pain symptoms.
  • Procedures typically take 20-30 minutes and then you will be moved to the recovery room. Recovery time after a procedure with sedation is typically 15-30 minutes.
  • Discharge instructions will be given to you and the accompanying driver after your procedure.
  • We ask that patients call in to our post-procedural line the next day. We may also contact you to see how you are doing.

Advance Directives:

  • The Center respects and upholds the right of a patient to participate in their health care decisions and to make advance directives. However, it is the policy of this facility that, regardless of the contents of any advance directives or instruction from a health care surrogate or attorney, if an adverse event occurs during treatment at the surgery center, resuscitative or other stabilizing measures will be taken and the patient transferred to an acute care facility for further evaluation and treatment.
  • In advance of the procedure/surgery, the patient is given information verbally and in writing regarding Advance Directives, applicable state health and safety laws, and the Center policy regarding those directives.
  • If the patient has an Advance Directive document, they are asked to bring a copy on the date of procedure.
  • If the patient does not agree with the facility policy, assistance is giving in rescheduling the procedure to an alternate facility.

We are here to help you! Please contact us at 541-726-8882 if you have any questions or concerns and we are happy to assist.