Vasectomy Cost Details

When determining the vasectomy cost that may need to be paid when undergoing this procedure, it's important to know that the majority of health insurance plans cover vasectomies and the office visit (consult) required prior to the vasectomy procedure/surgery.

If you're not sure if your insurance covers the cost of a vasectomy, you can verify your insurance coverage for this procedure by calling the phone number on the back of your insurance card. The "CPT code" for this procedure is 55250. Washington Urology Associates Urologists perform vasectomies in our State Licensed and Medicare Certified ambulatory surgery centers, located in Bellevue and Kirkland.

Ask your insurance company the following questions to determine your out-of-pocket cost:

a. Do you cover the full vasectomy cost (CPT code 55250) in an ambulatory surgery center?
b. What do you pay Washington Urology for the Vasectomy? There will be two rates; 1. Surgery center (facility fee), and 2. Professional fee (physician fee)
c. What is my deductible?
d. How much of my deductible have I used? (to determine the balance)
e. Do I have a coinsurance?  If so, what is the percentage?

As an example, using the information above, your insurance company might supply the following answers:
a. "Yes we cover vasectomy’s performed in surgery centers."
b. "We pay Washington Urology Associates $1,000 for the facility and $700 for the physician."
c. "Your deductible is $500."
d. "You have used $400, therefore, you have a balance of $100."
e. "After your $100 balance, you have a 10% coinsurance responsibility. Your Out-Of-Pocket expense would be: $270."

Paying cash? No problem.

If you do not have health insurance, the vasectomy cost would be $950, plus $150 for the pre-vasectomy office visit. After the consult, if a decision is made to go forward with the vasectomy procedure and insurance is not used half is paid at the time of scheduling and half the day of the vasectomy. We accept cash, checks, Visa, Mastercard, and American Express. 

Call us today at 425-4548016 (Kirkland) or 425-454-8016 (Bellevue) to schedule an appointment.