Many services associated with hip or knee replacement are covered by Medicare, including hospitalization at Holy Cross Health, prosthetic costs, anesthesia, first assistant, radiology, physical therapy, home health services and supplies. All of these services will be billed directly to Medicare. It is only Dr. Leone’s service fee(s) that will not be covered by Medicare. His services are available to Medicare beneficiaries only under a private pay arrangement and will be billed to patients directly as a fee for service. This includes a consultation fee and, if surgery is required, a separate surgical fee.