Five Things a Saavy Cosmetic Gynecology Consumer Should Know About Pricing & Fees

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Saavy consumers of cosmetic gynecology need to factor in the costs of everything that goes into the final tally.

First, ask if there is a consultation fee. If so, ask if the fee will be credited toward the surgery if you decide to go ahead.

Second, ask if your medical insurance will cover any related charges such as bloodwork testing, prescriptions, etc. In some cases, where medically indicated pelvic floor reconstruction is found to be necessary, the insurance might even cover the cost of surgery - don't get too excited, these situations are exceptions, but it never hurts to ask.

Third, ask if there is a facility fee. This is the cost of "renting" the operating room for your surgery. If the surgeon conducts the procedure in-house, the facility fee will be lower or absent. Don't forget to ask what the facility fee does and does not include (e.g. nursing, anesthesia, recovery). Ask if the cost is independent of the duration of the surgery or whether it's on the meter like a taxi (by the hour, by the 15 min block, etc).

Fourth, ask if there is a charge for anesthesia. These procedures are conducted via local, IV sedation, or general depending on the circumstances. Local is cheap, but not always an option. General is usually most expensive and not always required. Ask if the cost is independent of the duration of the surgery.

Fifth, ask if there will be a surgical assistant fee. This may be another surgeon, or a professional scrub tech.

The only thing left is the surgeon's fee. Of course, quality doesn't come cheap, but if you've done your homework on steps 1 through 5, you'll make the best use of your resources.

In my practice, I use a global fee that covers everything except the anesthesiologist.


Other considerations:

Don't forget to ask if there is a charge for followup visits to monitor your healing. Few if any surgeons would charge for this service, but if you don't ask...

Also, ask about your surgeon's touchup policy. If he/she does touchups that require a steep facility fee, you might get stuck the bill even if they don''t charge a surgical fee.

Have fun shopping!
Article by
Jersey City OB/GYN