How much will it save me on my cost for rhinoplasty, with Medicaid covering septoplasty? Rough estimate out of pocket (Photos)

I do a fair number of combination functional/cosmetic rhinoplasty.  For a couple of reasons you may find that the cost difference to you between these 2 options is negligible.
A surgical center or a hospital charges the patient a fee just for coming through the door. Insurance will cover this in cases of functional surgery, like septoplasty. If it's a cosmetic procedure, the patient pays that fee. Even if you're already in the OR for a functional surgery, if you are also having a cosmetic procedure performed, you (the patient) are charged an additional facility fee which insurance will not pay. You will also pay out-of pocket for anesthesia for the cosmetic portion of the procedure, just as you would've at the office. So you have two options:
1. Have your surgery at the office if the surgeon is able (some surgeons do not have in-office surgical suites) and willing. Pay out-of-pocket for the septoplasty and leave the other facility (and their additional fees) and anesthesia group out of it.
2. Have your surgery at the facility and bill insurance for the functional part, but then you're responsible for an additional facility fee at that facility as well as anesthesia fees during the cosmetic portion of the surgery. 
I've found that the difference in the patient's costs between these 2 options is often negligible. So in that case patients often choose to have their surgery where they are most comfortable, which is invariably at the office.
Best wishes!  Harry V. Wright MD, Sarasota, Florida

Doing the septum is a smaller part of the rhinoplasty, so it doesn't really save a lot. Many surgeons will not combine these because of the difficulty of getting paid when combining cosmetic and insurance procedures. Out of pocket will still likely be $6-8k for the rhinoplasty. Best of luck!