Cost of Vasectomy

The total charge for the single visit vasectomy procedure is $950 .

***Starting January 1st 2023 the total cost of vasectomy will increase to $985.***

The $950 costs is all-inclusive and covers the entire vasectomy procedure and the three (3) month post-vasectomy semen analysis when performed in our office. If you prefer to take your semen sample to a local lab for evaluation then you will have to pay for the cost of an independent semen analysis.

Ready to get started?

Use this link to start scheduling: Scheduling a single visit vasectomy procedure

The cost for the vasectomy consultation visit is $250. You will have to call our office to schedule a consultation visit.

The consultation visit is optional and not required for most men. The consultation visit is only required for men who have a history of undescended testicle (either surgically corrected or uncorrected), who are on prescription blood thinners, or who have a bleeding disorder.

• If you would like a vasectomy consultation then the cost of the consultation will be $250.
• When you return for a vasectomy procedure you will be expected to pay $850 for the vasectomy procedure or $2,750 for the sedation vasectomy procedure.

Why is the consultation optional?

Over 95% of men will choose to have a single visit vasectomy procedure because 1) they are confident in their decision to not have any children or any more children and 2) our website has detailed information on the risks and benefits of vasectomy.

Some men don’t feel comfortable with a single visit and would prefer to meet with Dr. Monteith before their vasectomy, discuss the procedure in person, and have specific questions answered. If you are one of these men, then we encourage you to schedule a consultation visit first.

The consultation visit is recommended when:

• Men have not fathered children
• Men are uncertain about their decision to have a vasectomy

Then two situations above increase the chance you may regret your vasectomy in the future. Talking about it with Dr. Monteith may help your decision making process.

The consultation visit is required when patients:

• Have a history of undescended testicle (either surgically repaired or not repaired)
• Are taking prescription blood thinners or history of bleeding disorders

Undescended testicle. This condition requires more complex medical decision making. Each patient’s situation can be different. A scrotal exam can allow me to better predict the difficulty and risk of a vasectomy procedure. In some cases, the vasectomy may be more difficult on the surgically corrected side. In some cases, successful vasectomy may not be possible on the surgically corrected side.

Prescription blood thinners or history of bleeding disorders. These situations increase the risk of a bleeding complication (scrotal hematoma) during vasectomy. You may be able to avoid a consultation appointment if your doctor faxes their recommendations on how to manage your blood thinner before and after your vasectomy.

Patients who are on blood thinners can contact the doctor who prescribes the blood thinning medication and inform them they would like a vasectomy. For patients at low risk of forming a blood clot, your doctor may be able to complete a standardized form letter with recommendations about stopping your blood thinner and fax it to our office. Hematologists are very accustomed to these requests from their patients.

Ideally, patients should not be on a prescription blood thinner for 48 hours before their vasectomy. Some medications may require a longer time to clear your system before having a vasectomy.

Some medical conditions are minor and you can safely stop your blood thinner…some medical conditions are so serious that stopping your blood thinner, even for a short time, could cause you to form a life-threatening blood clot.

***Never stop your prescription blood thinner without consulting your prescribing doctor.***

If your doctor is uncomfortable providing you with a recommendation before vasectomy or you have a very high risk medical situation then a consultation appointment before the vasectomy is mandatory to decide if vasectomy is safe for you.

Ready to get started with a consultation?

If you want a consultation appointment then call our office to schedule.

If you request a sedation vasectomy procedure then the total charge for a vasectomy procedure under sedation is $2,850.

More information: Sedation Vasectomy Explained

You will need to pay the entire cost at the time you schedule your procedure. 

The above costs covers the single visit Deep Sedation Vasectomy Procedure, surgery facility fee, nursing time, anesthesia staff time and anesthesia medications, and the three (3) month post-vasectomy semen analysis when performed in our office.

If you would like a consultation prior to your Deep Sedation Vasectomy Procedure, then there will be an extra cost for the consultation (see Cost of Consultation below).

Please be aware of the following items regarding Sedation Vasectomy:

• Single visit sedation appointments are available
• The consultation visit is optional
• If you have one of the conditions listed above the consultation appointment is required
• The sedation scheduling fee is not refundable
• The entire sedation vasectomy fee must be paid at the time of scheduling
• A driver is required on the day of your procedure
• We arrange our surgery schedule to accommodate your procedure. If you attempt to reschedule or cancel your procedure within seven (7) days of the scheduled date you will be charged a $500 rescheduling/cancellation fee.

Sedation vasectomy is not required for men to have a vasectomy, but neither is flying first class nor sitting in a luxury box at a sporting event!

Some men prefer sedation vasectomy for an additional guarantee of comfort during their vasectomy.

Ready to get started with Sedation Vasectomy?

If you want a Sedation Vasectomy Procedure then call our office to schedule.

We DO NOT ACCEPT health insurance as payment for vasectomy. Not a single plan.

More information: Instructions on obtaining vasectomy reimbursement from your health insurance company

We will show you how to obtain reimbursement from your health insurance company after your vasectomy procedure has been completed.

It has simply become too burdensome (in time and emotion) to be in the middle of you and your health insurance company….it’s a tough place to be….kind of like being a bull in a bull fight. How is it like a bull fight? Watch this video below to understand.

You will need to pay for your vasectomy on the day of your visit. We will provide you with a receipt and the billing paperwork and you can submit these directly to your health insurance company for reimbursement.

If you are uncomfortable with us not accepting your health insurance then you have (3) three options:

• Option #1.
  Don’t get a vasectomy. If you have an unplanned pregnancy then the next two options will not seem so bad.
• Option #2.
  Have your vasectomy with us. You will have a great vasectomy done in a single visit with a skilled provider offering the most minimally invasive vasectomy procedure. You can submit your receipt directly to your health insurance company after your procedure has been completed and be reimbursed directly by your health insurance company.
• Option #3.
  Go to another vasectomy provider. You will have two visits, may wait 1 to 4 weeks before each visit. You may have an office co-pay for each visit. You may have a group counseling session. You may be charged more for your vasectomy procedure. The average charge for a vasectomy procedure is $1,200 in North Carolina and $2,500 in Virginia. You may not have vasectomy coverage or you may have coverage but a high deductible. If you have a great health insurance plan, you will have two visits and at least 1 or 2 office co-pays. If you have a high deductible plan, have no vasectomy coverage, or don’t have health insurance then you will have 2 visits and you will pay the full amount.

Why don’t we accept health insurance for vasectomy?

Health insurance companies have consistently provided us with inaccurate information regarding an individual’s coverage and how much a patient may owe. After the procedure has been completed, health insurance companies will occasionally inform us the information they provided during pre-verification was inaccurate; for example, they will say a person is fully covered or has to pay a specific amount. Several weeks after the procedure, the health insurance company will then tell us they made a mistake, the procedure was not covered and the patient needs to pay more.

Our office is then put in the awkward position of having to contact the patient and ask for more money. Often these calls are not well received. We are usually placed in the middle and the health insurance companies try to distance themselves from the problem they caused because their staff provided inaccurate information. Our office is then usually required to take the loss…even though we had nothing to do with the confusion.

We consistently have good reviews from patients. When we do have dissatisfied patients it is usually because their health insurance company provided inaccurate information. These patients often unfairly blame our office for the mistakes made by their health insurance companies.

Please keep in mind… health insurance is a business. You, the patient, are their client. You pay them money every month. They are more likely to be responsive to you, their client, rather than to me, the doctor.

You will need to pay for your vasectomy on the day of your visit. We accept all major credit cards*, debit cards*, Flexible Spending Account (FSA)*/ Health Savings Account* (HSA) cards, AdvanceCare card* (see below) and cash.

*Please be aware there is a 3.99% credit card processing fee charged to any card payment swiped on our office terminal. This fee is charged by the credit card processor.

We do not accept CareCredit, personal checks, cashier’s checks, or money orders.

Vasectomy Financing

We accept the Advance Care card if you would like to finance your vasectomy.

The Advance Care card is a great way to get your vasectomy now and pay later. The application is simple and you can schedule your vasectomy as soon as you receive your card. The card looks and works just like a credit card.

Approved applicants may receive up to 14 months of interest free financing at very competitive interest rates.

More information: Apply for the Advance Care Card

Please be aware the Advance Care card looks and acts just like a credit card but can only be used at approved medical providers.We do not accept CareCredit financing.