Do All Surgeons Charge the Same Amount for Operating Room and Facility Fees and Anesthesia?

I was wondering if surgeons profit from the general anesthesia and operating room facility, These two things seem to dramatically increase the cost of the procedure and seem to be different for everyone shouldn't these be a standard cost?

Doctor Answers 6

Surgery costs

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That depends on which surgeons you are comparing and the particulars of the operating facility. Some doctors make the money off the surgery and do the surgery in office operating rooms which are run at cost. Some surgeons charge less for surgery and make up the difference in their office operating room chargess. Some surgeons operate in surgery centers or office operating rooms for which they are charged hourly and they cannot control that hourly charge. It also depends on the part of the country. As you would expect some parts of the country are more expensive than others. That can be do to local differences in the cost of living and/or varying state regulations that impose costs on the surgical facility that must be charged to patients.

In densely populated areas like Los Angeles with many surgeons and surgical facilities in close proximity the difference in price does not vary that much within that area. It may vary 10 or 20% which can still be significant to the patient but it should not be 50 or 100% different. If it is then there is something wrong. If most of the local operating rooms are charging $600 an hour and your surgeon is charging $250 that is a red flag that something is wrong. The costs are that much less usually because something is not being done at that facility that should be done thereby compromising the safety of the procedure.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Los Angeles Plastic Surgeon

Operative and Anesthesia Costs

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There are three main components to the cost of the procedure - Surgeon Fee, Operating Room Fees and Anesthesia Fees.  In most cases, the surgeon only profits from the surgeon fee.  If they own the operative facility, they may make money on this as well, but it is to their advantage to have competitive rates.  If you are being seen by a board certified plastic surgeon, treated by a board certified anesthesiologist and having your procedure in an accrediated facility, tne you can rest assured that you are having the highest level of care.  


Good Luck.

Accredited operating room and recovery room cost more to run.

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Also a board certified anesthesiologist charges more than a nurse anesthetist.  These are crucial safety issues. This is not the place to save money.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

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Operating room and facility charges vary widely, are not standardized

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Operating room and facility charges vary widely and are not standardized. Surgeons who run their own office OR or surgery center have complete control over the surgeon and facility charges. Surgeons who operate in a surgery center that they do not own (or an academic hospital) have less leeway for setting these prices. With regard to anesthesia charges these are most often set by the anesthesia provider or group that they belong to. In addition, different markets have different price ranges for each of these fees.

If you are concerned about cost, you can seek out multiple quotes to determine the price range. The most important factor to consider is the quality of care/ service that your plastic surgeon can provide. Price is obivously very important. However, please don't compromise on quality to save money. If you cannot afford the services that your chosen surgeon provides, wait and save until you're able to.

Thank you for your question.

Stephen Weber MD, FACS

Costs of Operating Room, Anesthesia and Recovery

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RE".."general anesthesia and operating room facility... seem to dramatically increase the cost of the procedure and seem to be different for everyone shouldn't these be a standard cost?"

Cost of living, salaries and expenses vary widely according to geographic area. The charges in Los Angeles would be comparable to those in New York and much cheaper than in Memphis, for example. For this reason facility and anesthesia charges would depend on the area of the country. However, do NOT sell your safety for a better "deal". You usually get what you pay for. If your quoted charges in YOUR AREA are much cheaper than the going rate you are probably dealing with someone who is cutting corners at your expense.


Peter A. Aldea, MD
Memphis Plastic Surgeon

Cost of operating room

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Typically not for cosmetic cases. Surgeons with office OR's try to keep the costs at a minimum.  Free standing surgicenters and hospitals typically set their own fees based on time and supplies and are independent entitiies. Anesthesia personnel set their own fees in all types of facilities, office or hospital. MD anesthesia will typically be more expensive then only CRNA. 

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.