Combining saves real money. It does not make surgery half price. Both halves of that sentence protect you.
Net effect: a combined operation typically costs meaningfully less than the two procedures priced separately — commonly saving a substantial share of the second procedure's standalone price once travel is counted.
Surgical time and implants/materials scale with what's actually done — the second procedure still takes its minutes and its resources. A quote that looks like 'buy one, get one half off' is advertising accountancy, and in surgery, suspicious accountancy is a clinical red flag: something (time, staffing, aftercare) is being compressed to make the number work.
Diagnosis and combination design first; then one written all-inclusive figure — and where staging is a live option, the two-trip figure beside it so the economics are yours to weigh, not ours to frame. Savings are real here precisely because nothing about the surgery was shrunk to create them.