Cost of Vasectomy
My goal is to reduce unnecessary barriers for vasectomy and to make vasectomy more available.
Two major vasectomy barriers are the number of office visits required and the cost of these office visits.
We all live busy lives and it is challenging to keep multiple appointments. It is especially challenging to make and keep appointments for things you are not thrilled to have done. The additive costs of these visits, the vasectomy procedure itself, time missed from work, and increased anxiety can create unnecessary barriers for what ultimately is a simple procedure.
The barriers to vasectomy are even more substantial when one understands either having a vasectomy or not having a vasectomy can have a profound impact upon a person’s life.
You choose: One or two visits?
In an effort to minimize these barriers to vasectomy, I allow patients their choice of either a single visit vasectomy procedure or the more ‘traditional’ pre-operative consultation visit followed by a vasectomy procedure visit at a later time. I do not require patients have a routine vasectomy follow up visit and we do not charge for the three (3) month post-vasectomy semen sample evaluation when done in our office.
Click on each section below for greater detail about the cost of vasectomy and health insurance information.
Vasectomy Consultation Cost
The cost for the vasectomy consultation visit is $250. This consultation visit is optional and not required for most patients.
Prompt Payment Consultation Discount
For patients who are paying out-of-pocket for the office consultation, I offer a prompt payment discount to help lower the cost associated with the consultation appointment.
To qualify for the prompt payment discount you must pay the day of your consultation or vasectomy procedure with cash, debit card, or credit card. Personal checks are not accepted.
With prompt payment discount the cost of the vasectomy consultation visit is $125.
Vasectomy Procedure Cost
The cost for the vasectomy procedure is $950.
Prompt Payment Vasectomy Procedure Discount
For patients who are paying out-of-pocket for their vasectomy, I offer a prompt payment discount to help lower the cost associated with the vasectomy procedure.
To qualify for the prompt payment discount you must pay the day of your visit/procedure with cash, debit card, or credit card. Personal checks are not accepted.
With prompt payment discount the (1) office visit charge will be waived and (2) the cost of the vasectomy procedure will be $690.
The above costs are all-inclusive and cover all procedure related medications, anesthesia, 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.
Appointment deposit
As a result of eliminating mandatory vasectomy consultation visits, patients will need to honor their commitment when they schedule either a vasectomy consultation or vasectomy procedure only appointment by paying a $100 deposit.
All patients, whether they use health insurance or the prompt payment discount, are required to secure their appointment by submitting a $100 deposit. This deposit can be paid securely, on-line and will be applied towards your total cost. If you have an insurance co-payment then your deposit will be applied towards your co-payment and you will be refunded the difference.
The $100 deposit is fully refundable if a patient cancels their appointment seven (7) calendar days or more before their scheduled appointment date.
The $100 deposit is non-refundable if a patient does not cancel their appointment or cancels within seven (7) calendar days of their scheduled appointment date.
Health insurance plans we accept for vasectomy
We accept the following health insurance plans for vasectomy and vasectomy related visits:
- Blue Cross Blue Shield
- Cigna
- Aetna
We are able to accept all Blue Cross Blue Shield plans except the Blue Value Health Care plan.
For patients who are paying the day of their procedure, we also accept cash, credit cards, and debit cards.
Most health insurance plans will cover the cost of vasectomy. It is important each patient verify with their health insurance company if vasectomy is covered and what payment is required. To obtain an answer, you should call your health insurance company following the 5 simple steps below.
Five simple steps to determine vasectomy coverage
Step 1. Call your health insurance customer care agent using the number on your health insurance card.
Step 2. Inform the agent you are calling to determine your coverage for vasectomy.
Step 3. Provide these codes: Diagnosis code Z30.2 and Vasectomy procedure code 55250
Step 4. Inform them Dr. Monteith is designated a specialist and the procedure is performed in the doctor’s office
Step 5. Have them clarify what you will need to pay the day of your procedure.
Co-payment only? If so how much?
Do you have a yearly deductible? If so then how much of your deductible have you met and how much needs to be paid for the vasectomy?
Based on the above information your health insurance agent should be able to tell you if you need to pay a office visit co-payment only or if you will need to pay more. You may need to pay more depending on your deductible and how much you have paid towards your deductible in the year you are having your vasectomy.
If you would rather our office check for you then we would need you to complete the on-line scheduling and then fax or email us the front and back copy of your health insurance card.
Insurance not in network
If we are not in network with your health insurance company then you will have to pay directly for your vasectomy on the day of your visit(s) and you will be receive the prompt payment discount.
You will be provided with a receipt and you will have to submit documentation to your insurance company for reimbursement. They will reimburse you directly for your vasectomy costs if your procedure is covered under your health insurance policy.
We are unable to accept Care Credit, Medicaid, Medicare, or Title X funding for vasectomy. We are unable to accept health insurance for vasectomy reversal, tubal ligation reversal, or Essure related surgeries.
Vasectomy follow up visit
I do not require a routine follow-up visit after vasectomy. All patients will receive my personal cell phone number to call me if they think they are experiencing a vasectomy related problem.
Vasectomy semen sample follow-up visit
My office will perform one (1) follow-up semen sample test at no charge for all patients within the first four (4) months of the vasectomy procedure.
Patients who take their semen sample to an outside laboratory for the vasectomy confirmation test will be charged for this testing. Your health insurance may or may not pay for this testing. The cost for a post-vasectomy semen sample at an outside lab ranges from $50 to $125 dollars.
