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What is the cost of Essure and tubal ligation?

Tubal Sterilization > Tubal Ligation > Essure > USA > Indiana > Indianapolis > Greenfield

Dr. Donald Snyder

Tubal Sterilization Doctor (ligation and Essure)
in Indianapolis, Indiana (Greenfield)

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Tubal Sterilization Cost

Dr. Donald Snyder

  • Invaluable Advice from An Impartial, Highly Experienced Physician
  • Expert At Performing All Permanent Birth Control Options
  • Tubal Ligation - Essure - Vasectomy

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Dr. Snyder's
No-Needle, No-Scalpel
Vasectomy Clinic

Essure and tubal ligation are billed differently from one another and differ in cost, sometimes by a considerable amount. Different factors go into the costs of an Essure procedure or a tubal, and the details will be reviewed here for your education. Most patients are really only concerned with what their particular out of pocket expense will be, rather than how much the entire bill is for Essure or tubal ligation. cost of tubal sterilization Dr Snyder's office (and likely your doctor) can help sort through your particular situation to get an out of pocket cost estimate.

The tubal sterilization cost can be as little as a $20 co-payment. For those without insurance coverage, an Essure procedure in the doctor's office can cost up to $4000. For a tubal ligation procedure, the cost can be as much as $10,000 to $15,000 without any contribution from insurance. The cost to you, for either procedure, therefore depends on your particular medical insurance coverage and how much of your deductible has been met.

Comparing Essure Cost to Tubal Ligation Cost

Only the Essure procedure can be performed in a doctor's office which saves on cost. Tubal ligation must be performed in an operating room, which will add to the cost. Some doctors choose to perform Essure in an operating room, which generally is just as costly as doing a tubal. So the first thing that must be considered is where the procedure will be performed.

Insurance Coverage Calculation Comparisons

Most insurance policies require that a patient pay for a portion of the entire cost of either type of tubal sterilization out of pocket. The term "co-pay" or copayment usually refers to a set amount the patient is required to pay for an office visit, and many times Essure can be done in (the doctor's office) Doctor Snyder's office for only "co-pay". For other insurance plans, the out of pocket expense is related to deductibles and co-insurance and limited by an out-of-pocket maximum for each plan year. When a deductible applies, it is the amount paid by the patient before insurance covers anything, whereas co-insurance is a percentage of the amount over the deductible that the patient pays (in addition to the deductible) up to a predefined maximum, after which insurance pays 100% of the remainder. So if a patient is responsible for $1000 deductible plus 20% coinsurance up to a maximum out of pocket expense of $2500 per year, and an Essure was billed at $4000, the patient would need to pay $1000 (deductible) plus $600 (20% of $3000 remainder as coinsurance) for an out-of-pocket total of $1600 if there has been no prior claim activity that policy year. If her deductible was paid toward an earlier claim (deductible met), then only $600 would be owed. If the entire out-of-pocket maximum for the plan year has already been reached, then there is no out-of-pocket cost for the patient for the Essure procedure done in the office.

Operating rooms and anesthesia add significantly to the cost of tubal ligation and Essure. If the doctors' and hospital bill total $10,000 for a tubal ligation for the same patient and plan as above, then $1000 deductible is applied, as well as $1500 coinsurance (20% of $9000 is $1800, but limited by out-of-pocket max to $1500), so the total is $2500. This, of course, varies depending on how much deductible Essure micro insert and coinsurance is expected with your plan, as well as by how much has been paid previously for other health care claims the same policy year.

As if that is not confusing enough, each doctor and hospital has a contract with each insurance company for a contracted price for procedures, including Essure and tubal ligation, which usually results in a discount from the billed charges to start all the calculations. This discount is different for each insurance company. Furthermore, although doctors generally have a set price they charge for services such as tubal sterilization procedures, hospitals, surgery centers and even anesthesiologists charge different amounts for different patients depending on use of devices, medicines, operating room times and medical complications. The only way to really know what the charge from them will be is to wait until the procedure is over and look at the bill!

The new Affordable Care Act (Obamacare) has proposed that birth control be covered without any out of pocket expense. Whether and when this will apply to permanent birth control such as Essure, tubal ligation and vasectomy, remains to be seen.


In summary, Essure generally costs less than tubal ligation because it is usually completed in the office and not at a hospital. Cost of tubal sterilization, like all surgical procedures, is not straight forward. Health insurance usually covers the procedure, but deductibles and coinsurance often apply. There are costs of tubal ligation such as anesthesia and the use of an operating room which significantly add to the charges as compared to Essure procedure done in (the doctor's) Dr Snyder's office, which often is covered with just an office co-payment. (Your doctor's office) Dr Snyder’s office can help you get an out-of-pocket cost estimate. Knowing the cost of Essure and the cost of tubal ligation will be helpful to know before you commit to either.

Questions for Dr. Snyder?

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  • Call toll free at (888) 667-8675 (888-NOSTORK) or at (317) 462-6990
  • Visit his website:
Vasectomy Indianapolis, Greenfield, Carmel, Fishers & Noblesville, Donald Snyder Main office:

Dr. Donald Snyder

400 W Green Meadows Drive
Suite #106
Greenfield, IN 46140-3205
Phone: 1-888-No Stork (667-8675)

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Other Contributions from Dr. Snyder

Vasectomy vs. Tubal Ligation
Dr. Snyder's Vasectomy Practice
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