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Cost of Vasectomy

We all live busy lives. It is challenging to keep multiple appointments, especially, for things you are not thrilled to have done.
The additive costs of these visits; money, time missed from work, and increased anxiety from waiting all create unnecessary barriers for what is really a very simple procedure.

A major barrier to getting vasectomy is the number of office visits required.

To help decrease this barrier, we offer single visit vasectomy procedures.

You choose: One or two visits?

We allow patients to choose either 1) a single visit vasectomy procedure or 2) the more ‘traditional’ consultation visit first followed by a vasectomy procedure during a second visit.

Men are required to have a consultation appointment before they can schedule their vasectomy when they:

  • Have a history of undescended testicle (either surgically corrected or uncorrected)
  • Take prescription blood thinners
  • Have bleeding disorders

Most men will choose to have a single visit vasectomy procedure. Some will choose to have a consultation visit first.

Click on each section below for greater detail about the cost of vasectomy and health insurance information.

The total charge for the single visit vasectomy procedure is $1,250 .

The $1,250 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

Most men will schedule a single visit vasectomy procedure. If you would like more information about having a consultation visit first then click on the link below for more information about consultation first visits.

seeking-volunteers-for-free-vasectomy-proceduresWould you like a free vasectomy? Yes we said free!

Dr. Monteith is offering free vasectomy procedures to patients who are willing to volunteer to allow qualified US doctors perfect their minimally invasive vasectomy skills.

For more information: Volunteer for a free His Choice Vasectomy 

In exchange for participating, volunteers will receive a vasectomy at no cost.

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 $1,250 for the vasectomy procedure or $2,885 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.

Sedation is an option that may be appealing to some men. If you would like to consider sedation vasectomy then click on the link below for more information about sedation vasectomy. You will need to call our office to schedule a sedation vasectomy.

If you request a sedation vasectomy procedure then the total charge for a vasectomy procedure under sedation is $3,150.

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.

What if you have a problem? Serious problems are very uncommon after a vasectomy procedure.

  • If you believe you are having a problem within the first three (3) months of your vasectomy procedure, then, if it is required, I will see you in the office at NO ADDITIONAL COST!
  • If you believe you are having a problem three (3) months or more after your vasectomy procedure then you will need to pay for a consultation appointment to be evaluated.

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'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 personal checks, cashier's checks, or money orders.

Vasectomy Financing


CareCredit is a leader in the field of medical financing. CareCredit is a healthcare credit card designed for your health and wellness needs for you, your entire family and your pets.

More information: Apply for the CareCredit card

You can use your CareCredit card to pay for out-of-pocket expenses not covered by medical insuranceuch as tubal reversal, Essure reversal , and special financing options are available that you may not be able to get with other credit cards.

CareCredit offers a variety of financing options. You will need to apply for CareCredit directly from their website. You will need to go through a credit approval process to see if you qualify.

Advance Care

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.

vasectomy-financing-with-advance-careApproved 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.

Mandatory $150 appointment deposit

Most men absolutely dread the thought of getting a vasectomy. No man eagerly looks forward to their vasectomy appointment.

As a result, appointment no show rates can be high….so this is why we require a $150 deposit before you can schedule.

All patients are required to secure their appointment by submitting a $150 deposit.

  • The scheduling fee is fully refundable if a patient cancels their appointment seven (7) calendar days or more before their appointment date.
  • The scheduling fee is non-refundable if a patient cancels or reschedules within seven (7) calendar days of their appointment date.
  • For sedation vasectomy only, the scheduling fee is not applied towards the total cost of sedation vasectomy and the fee is non-refundable.

Vasectomy follow-up visit

We do not require a routine vasectomy follow up visit because this visit is usually a waste of time for myself and the patient. All patients receive Dr Monteith’s personal cell phone number to call if they think they are experiencing a vasectomy related problem.

Vasectomy semen sample follow-up visit

We 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.

More information: After Vasectomy Semen Sample Testing

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 $150.

Scheduling your vasectomy procedure: 3 simple steps!

Scheduling a vasectomy procedure is easy and can be completed in 3 simple steps!

  1. Decide if you want a consultation or a single visit vasectomy procedure
  2. Complete the on-line registration form, pick a date, and pay scheduling fee on our website.
  3. Read before and after vasectomy instructions

Get started with scheduling vasectomy!

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 His 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) 977-5060.

His Choice Vasectomy Raleigh
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