Price includes the base cost of hospital/surgery fees including general labs, epidural, hospital stay, doctors fees, etc. Prices do not include travel expenses. **Additional services/fees may result if you have health issues or specific requests. See below.
A $250 scheduling deposit is required when you schedule (750 for cosmetics surgery). The deposit is deducted from your total costs.
All of these issues will be determined on a patient by patient basis.
Anesthesia Prices: The surgeon will determine the method of anesthesia; you will have an epidural unless there is a medical reason not to.
Other fees & surgeries that may apply:
There are cost benefits for doing certain procedures together, but doing them as ‘individual’ procedures will have a higher cost.
HEALTH REVIEW: All patients will be sent a health history / cost evaluation email to be completed by the patient and reviewed by the doctor in advance. This form, in addition to your tubal ligation records if you have them (records are not mandatory but can be helpful), will be reviewed to determine if any additional fees may apply.
You should always bring a minimum of $300-500 for emergency funds.
SCHEDULING FEE: Your scheduling fee will be paid at the time of making your appointment – we will send an invoice for your payment.
ADDITIONAL COSTS: Any pre-determined additional costs for services will be paid in cash at the hospital, in addition to your surgery cost. We cannot accept payment in advance, except under certain conditions. Please email the office for more information.
BALANCE: The only method of payment at the hospital is cash (US dollars). Traveler’s checks, cashier’s checks, money orders, credit card payments are no longer accepted due to the high number of fraudulent payments made to the hospital by patients. Payment is made in advance of surgery for this reason.
INSURANCE: the hospital cannot accept or file insurance claims. You ‘may’ be able to get a reimbursement from your insurance company for your payments here, but you will need to check with your provider to find out if this is possible and what information would be needed.
FLEX PAY/EMPLOYEE MEDICAL ACCOUNTS – Most of these cards do not work on our system because we are not in the US and not in the flex network. You are welcome to try your card to determine if it works. If not, you can pay for your surgery out of pocket, and request reimbursement from your FSA company by providing your hospital receipts and records. Please check with your company and find out what your company’s options are.
FMLA/ SURGERY VERIFICATION/ RELEASE TO WORK -we have volunteers that may be able to assist you with this, but it can take several weeks so please be sure to check with your employer to find out what you need in advance and make your request to our office as early as possible. There are no time guarantees on any paperwork, but we will try to get them done as quickly as possible. Please note FMLA forms are a courtesy service and cannot be demanded from our office. Only one set of paperwork will be done free of charge. For duplicate sets of paperwork, or follow up paperwork, a fee will be charged. Contact our office for details. Surgery verification and release to work letters can be provided on request from our office.
Insurance codes, assistance with funding or reimbursement:
Flex Pay and other employer funded programs / insurance refunds: If you are seeking a reimbursement from your insurance carrier or a medical plan from your employer, please bring your forms with you to be filled out while you are at the hospital. Getting them after you leave could be a lengthy process.
The diagnosis code (ICD-9) that insurance companies use for bilateral tubal occlusion is 628.2. (New code ICD-10 – (N97.1) Diagnosis – Female infertility of tubal origin.
The procedure code (CPT) for tubal reanastomosis is 58750.
last updated Jan 01, 2026