Our Dallas vasectomy clinic is committed to providing affordable quality of care to all our patients. We offer the no-scalpel, no-needle, open-ended vasectomy procedure.
Paying for Your Vasectomy
The cost for a vasectomy at Gentle Procedures Dallas is $585. That includes your initial consultation with the doctor, the procedure itself and support (if needed) during the healing process.
When you schedule your procedure, there is a $100.00 non-refundable deposit to hold the appointment, which is applied to the cost of the cost of the surgery on the day of the procedure. The remaining $485 is due the day you have the vasectomy done.
Please note that the deposit is non-refundable. If you do cancel and reschedule 7 calendar days or more from the date of your appointment, the deposit will apply to the cost of the procedure. If you cancel 6 days or less before the originally-scheduled appointment and you wish to reschedule the appointment then you will need to pay a new deposit. We have this policy out of consideration for other clients who may have wished to schedule in that time slot but did not have the opportunity because it was held for you. If you cancel very close to the appointment, someone else did not have a chance to schedule in that time slot.
Please call us at 469-931-0684 to confirm your appointment for a no-needle, no-scalpel vasectomy.
We are available by phone during regular clinic hours, and this is the best way to reach us for quick questions and appointments.
We offer the option of either a single visit for consultation and procedure, or you can choose to have separate appointments for the initial consult and the vasectomy surgery.
Can I Use My Insurance?
Yes. We are in-network with most insurance companies and we take insurance for vasectomies.
Health insurance often covers vasectomy. Health insurance companies sell a variety of health insurance plans. Within the same company, some plans may cover vasectomy, others may not, and others cover part.
If you want to use your health insurance, first look at the bottom of the card to determine whether it says PPO, HMO, or ACO. Lone Star Proceduralist, PLLC, is a contracted provider under many plans offered by commercial insurance companies such as Blue Cross/Blue Shield, Cigna, Aetna, and United HealthCare. It is not contracted with any HMOs or ACOs. HMOs and ACOs are among the various plans offered by commercial carriers.
If you are insured by a carrier not contracted by the medical group, you may receive the procedure for the discounted price of $585. It is the medical group’s policy that, if a patient pays cash for the procedure rather than filing an insurance claim, then the cost of the procedure is discounted to $585. The retail price is actually much higher than the discounted cash price.
If your card says PPO, call your insurance company to verify whether your particular plan gives coverage. (The phone number should be on the back of your card.) We do not verify coverage because you are the owner of the insurance policy and that is your responsibility. For your records, obtain and save the name of the representative.
Here are the important questions to ask the representative:
- Is my plan a PPO, an HMO, or an ACO?
If the answer is that it is a PPO, then proceed to ask the following questions:
(If the plan is an HMO or ACO, you don’t need to proceed with these questions and your option is to pay the discounted cash price of $585.)
- Is Lone Star Proceduralist, PLLC, (the medical group that offers the vasectomy procedure at the clinic) in network with my plan?If the insurance representative needs it, the NPI of the provider is 1922435239.
- If Lone Star Proceduralist is in network, then ask if vasectomy is covered by your plan.procedure code is 55250; the diagnosis code is Z30.2. Be sure to make it clear that this is an “OFFICE procedure”, NOT an “office VISIT”, and NOT an “OUTPATIENT procedure” (to insurance companies, “outpatient” means done in an outpatient operating room facility).If vasectomy is NOT covered under your plan, you may cover the discounted cash cost yourself, which is a total of $585.If the representative says the plan does cover vasectomy, then ask, “Do I have a deductible and how much of that have I already met this year? You may be told by the insurance company rep that “it is a covered procedure with just a copay”. You MUST ASK about a deductible; otherwise, you may be disappointed to have to pay more than you expected.
- Next, ask, “Is prior authorization required?” and “Do I need a referral?”If the answer to either of these questions is yes, be sure to obtain the prior authorization (the insurance rep can tell you how to do this) and/or be sure to have your doctor give you a referral to Dr. McAuliff, who is employed by Lone Star Proceduralist PLLC. (Remember, however, that if your card says HMO or PPO, these questions do not apply to you because your insurance will not pay a provider who is out of network with your plan.)
- Again, get the name of the person with whom you speak.If you are told that you have coverage under your plan, we will bill your insurance company directly. When the insurance company makes a determination of your benefits and sends an EOB (Explanation of Benefits), we will reimburse you according to what the insurance company requires from us.
Sometimes the insurance company denies payment even after the insurance company rep (a person or website) has indicated beforehand that vasectomy is a covered procedure. Although this does not seem fair, in this instance the insurance company will require that the patient is responsible to pay for the insurance company’s contracted amount.
We ask our patients to pay the fee for the procedure at the time of service. Any reimbursement of what you have paid us will be based on your insurance policy, your insurance coverage, and what your insurance company might pay us for doing the procedure.
How do I pay for a vasectomy procedure?
We ask that our patients pay us at the time of service. All costs will be explained, helping you to make a well-informed decision about your care.
Because we offer such a high quality procedure and our prices are so low to begin with, we offer the same price to everyone.
We have found a lot of people do not have insurance coverage for our procedures, thus we have intentionally held our price much lower than the going rate. At the same time, we know that individuals with insurance often pay exorbitant monthly premiums to have health insurance so it only makes sense to be able to use it. Therefore, our clinic’s philosophy has been to offer the double advantage of low prices while still being able to use your insurance if you have it.