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 (if you request we bill your health insurance).
If you have a consultation appointment and pay in full the day of your consultation then you will qualify for our Prompt Payment Discount.
The consultation visit is optional and not requiredfor 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 in full the day of your consultation or vasectomy procedure with cash, debit card, credit card, or Health Savings Account (HSA) 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 (if you request we bill your health insurance).
If you are paying in full on the day of the procedure then you will qualify for our Prompt Payment Discount.
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 in full the day of your visit/procedure with cash, debit card, credit card, or Health Savings Account (HSA) card. Personal checks are not accepted.
When choosing to have a single visit vasectomy appointment using our Prompt Payment Discount, your (1) office visit charge will be waived and (2) the cost of the vasectomy procedure will be $750.
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 appointment date.
The $100 deposit is non-refundable if a patient cancels or reschedules within seven (7) calendar days of their 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
*The following Blue Cross Blue Shield plans will not cover vasectomy in our office:
Blue Value
Duke Select
Blue Local
South Carolina Blues
**The following Cigna plans will not cover vasectomy in our office:
UNC Health Alliance
UNC Health Care (Connect Network)
For patients who are paying the day of their procedure, we accept cash, credit cards, debit cards, and Health Savings Account (HSA) cards.
Most health insurance plans will cover vasectomy. It is important each patient verify vasectomy coverage with their health insurance company 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: Vasectomy office visit code 99205, 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. If they ask place of treatment code = 11. Step 5. Have them clarify what you will need to pay the day of your procedure.
Is vasectomy covered?
Do you have a 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 (1) if vasectomy is covered, (2) if you need to pay an office visit co-payment and (3) if your vasectomy is fully covered or how much will you need to pay to meet your deductible (if any).
Please keep in mind if you have a deductible, the amounts they quote could change throughout the year as you make health care payments that will contribute towards your yearly deductible.
Occasionally, both you and our office will be given incorrect information during your pre-verification process. Health insurance companies reserve the right to make the final determination on what you owe after the service has been provided.
If you are trying to use your health insurance for vasectomy, you should do your home work and pre-verify with your health insurance company using the steps above. Document everything!
If you are in network our office will attempt to pre-verify your coverage at the time of scheduling. After scheduling, we will ask you to fax or email our office the front and back copy of your health insurance card.
Insurance not in network: Health Insurance Plans We Don't Accept
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.
If we are not in network with your health insurance company, you may find it easier to have a vasectomy with our office. Why?
We allow single visit procedures; less time and less hassle.
If you have a high deductible you may pay a lower fee with us rather than having to meet your entire deductible with a higher priced provider.
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:
United Health Care
Humana
Tricare
Care Credit
Medicaid
Medicare
Title X
The following Blue Cross Blue Shield plans will not cover vasectomy in our office:
Blue Value
Duke Select
Blue Local
South Carolina Blues
**The following Cigna plans will not cover vasectomy in our office:
UNC Health Alliance
UNC Health Care (Connect Network)
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.
Gentle Touch Vasectomy: Health insurance coverage and cost?
Determining if your health insurance plan covers vasectomy requires you do a little homework.
It is in your best interest to pre-verify your coverage with your health insurance plan before you schedule vasectomy. This six minute video explains how to determine if you have vasectomy coverage and how much of the procedure will be covered.
Health insurance companies are not required to honor pre-verification promises made to doctor’s offices. Health insurance companies reserve the right to make final determination of how much they cover and how much you owe after the procedure has been provided.
What Our Patients Are Saying
"Dr. Monteith prepared me mentally for the pre, during and post procedure journey. He also provided me with all the tools necessary for a comfortable recovery. I'm definitely confident in this Dr's work, and especially glad at how little pain I experienced throughout the process. It would be worth it to visit Dr. Monteith no matter what state you have to travel from, I drove from Virginia."
- J.R.
"Very comforting and knowledgeable experience not only was the staff pleasant so was the atmosphere! I drove 3 hours so i did my research. I was impressed with the information, visuals, and on hand knowledge about what the procedure was all about. I felt like an expert after i left! Not to mention the 45 min in and out time. I will be recommending this to all my colleagues thank you!"
- J.W.
"Dr Monteith, and his staff, were all very professional about my decision to have a vastectomy. They informed me of the risks, the surgery procedure, and the post-surgery care. The procedure itself was relatively painless. I would rate this as a 2/10. I highly recommend Dr Monteith; he even sent me a text message after the surgery to give me a personal update on my procedure. The procedure was quick."
- S.E.
"If you're in the market for a Vasectomy you need to give Dr. Monteith a serious look. Just compare the information on his website to the information you'll get from other options around the triangle. It's hard to get solid answers on cost, procedure and expectations up front from other offices but A Personal Choice plays no games and has great informative well designed website. Dr. Monteith makes it easy!"
- J.P.
"Excellent care. I visited Dr. Monteith for a single visit appointment on a Friday. Very clean, comfortable office. Pleasant staff. The procedure was quick and I went back to work for a little while. The only pain I experienced was soreness beginning about 4 hours post procedure, lasting for 24 hours, then subsiding rapidly. I was fine by Monday. The office checked on me twice, no problems. I would recommend Dr. Monteith to anyone.
- M.D.
Ask Us A Question!
Your questions about our services will be answered directly and promptly by our staff or Dr. Monteith. We will not respond to general medical questions or if you are a patient of another practice and are contacting us because you are not getting answers from your physician.
If you have been a patient at our center and have specific questions about your medical care you should contact the staff directly at (919) 977-5050.
