If a cut will not stop bleeding, or is deep enough that fat or other structures can be seen, stitches might be needed to aid healing and reduce scarring.
Typical costs:
Stitches typically are covered by health insurance. For patients covered by health insurance, the out-of-pocket cost typically would include a doctor visit or emergency room copay and possibly coinsurance of 10%-50% for the procedure.
For patients without health insurance, stitches typically cost $200-$3,000 or more, depending on the provider, the injury and the complexity of the repair. Urgent care centers, which typically charge a flat rate that includes the doctor fee and materials, fall on the lower end of the spectrum, while emergency rooms, which charge separately for the procedure, facility fee, materials and doctor fees, fall on the higher end.
For example, Doctors on Demand, an urgent care group in California, charges $150 for repair of a minor laceration, $200 for a moderate laceration and $250 for a serious laceration. Solantic Baptist Urgent Care in Florida charges $239 for a repair of a laceration that requires stitches or adhesive. Playa Vista Medical Center, an urgent care center in California, charges about $266 with a cash discount for a moderately complex repair of a two-inch laceration. Health Quest Family Medicine in Arizona charges $210 for repair of a laceration up to 3 centimeters, $250 for a laceration of 3-6 centimeters and $310 for a laceration longer than 3 centimeters. Salisbury Urgent Care & Injury Center in Maryland charges about $365 for suturing a complex wound. At Saint Elizabeth Regional Medical Center, laceration repair typically costs $400-$650, depending on complexity, not including doctor fee, which can add hundreds of dollars, or the emergency room fee, which can cost $200-$1,200 or more.
According to a recent study done in Washington state, the average emergency room charge for repair of an open wound of a finger was $927; of a hand was $1,063, of a forehead was $1,665 and of a scalp was $1,869. According to the Minnesota Council of Health Plans, a trip to the emergency room for a knife cut to the hand with tendon damage, including the emergency room fee, doctor fee and hospital fee and supplies could total $3,000 or more.
What should be included:
The patient typically receives a local anesthetic, and the doctor assesses the wound to determine what type of closure material to use. If using sutures, the doctor might use a special needle pre-loaded with suture filament, and will place the stitches so as to minimize scarring as the wound heals. Adhesive or staples might be used. MedicineNet.com has an overview of wound closure.
If the doctor used dissolvable stitches, they do not need to be removed. However, with standard stitches or staples, the provider will use a special tool to remove them, usually after about five to 10 days.
Additional costs:
A Tetanus shot typically costs $30-$70 at an urgent care center or more in an emergency room.
In some cases, there is a doctor fee of up to a few hundred dollars to have the stitches or staples removed after the wound has healed. Many urgent care centers and doctors include removal in the original price, but if the stitches were placed in an emergency room it would be necessary to pay another doctor to remove them.
Discounts:
Many doctors and hospitals give discounts of up to 30% or more to uninsured/cash-paying patients. For example, Washington Hospital Healthcare System in California offers a 35% discount.
The U.S. Department of Health and Human Services offers a locator for clinics that provide discounted care on a sliding scale based on income.
Shopping for stitches:
Wounds must be stitched within 12 hours, so it is recommended to go to an emergency room or urgent care center, unless an appointment can be made within that time frame at a family doctor or clinic. The U.S. Department of Health and Human Services offers a hospital-comparison tool that lists hospitals near a chosen zip code, how far away they are and whether they offer emergency services. And FindUrgentCare.com offers an urgent care center locator by zip code.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.
Cut my hands on glass late at night so only option was ER. (Now I wish I just taped it up with electrical tape!) No insurance, paid cash (no discount given) and holy cow, $3000 for 7 stitches! Uneccessary xrays were done on hands.
I was cut open on my forehead by the scope on a gun. I didnt want to the ER but Im a woman and was worried about scarring. They made me wait in an empty lobby for an hour then in the room for 45min. After that the doctorsaw me for about 15 min. He simply wiped my head with an alcohol wipe and put some adhesive over the wound. I cant believd they want $1500. My insurance paid some but I owe $780. Im trying to fight this. How do I start? Can a lawyer help or are hospitals just able to victimize people?
We waited in the ER waiting room for about 35 mins. Waited in the patient room for about 20 minutes after nurse asked us a few questions and entered history into computer. The doctor then came in and looked at it for about 2 mins. We then waited another 10 minutes. Doctor then spent less than 5 mins putting in 2 staples. Only other thing he did was clean the wound with a wipe and alcohol.
Two-inch laceration down to the subcutaneous fat on the front of the leg, about a centimetre away from the tibia (shinbone). Waited about two hours in the waiting room (triage after the first hour, then sent back to waiting room). Waited another half-hour after being admitted to the examination room. Received local anaesthaesia with shots, then had sutures and staples. A later visit to the ER to get an infection checked out added $343. After that, I visited a personal provider.
Fell from bike and got two cuts near my elbow. Had 6 stitches in total (4+2). The service was okay. They cleaned the wound right away and I had to wait 40 min for the doctor to come and do the stitching which took him around 15min.
I had insurance but still have to pay $500. Since it was my first encounter with emergency rooms in US, I thought I was being ripped off. But now I see that this is typical in US!
Laceration to the forehead. The wound was cleaned with Betadine and irrigated copiously and prepped and draped in a sterile manner. The laceration was closed with 6-0 prolene. The laceration was 4cm in length. Dressing was then applied. Codes 12013 for wound repair costing $457 and 99283 for the Evaluation and Management costing $284.
Physician Bill Total: $741, offered 20% quick pay discount.
Emergency Room Bill Total: $1837.49, offered 50% quick pay discount.
Review: PA was competent and smooth. Total bill seems excessive. Will wait until the morning to get stitches next time. $359.59 total for tetanus shot is aggravating. Less than $100 at Walgreens or CVS. I would pay $500 cash for this procedure without complaint.
My stepson had to wait 3 hrs for 4 stitches and we were billed over $1000 from the hospital and about the same from the physician. We are appealing these exhorbitant charges.
Posted by: Socked in the head...twice in Sherman Oaks, CA.
Posted: November 26th, 2012 07:11PM
Medical Center: Sherman Oaks Hospital
Physician:
I got a Laceration on my head in a martial arts class, and everyone thought I should go to the ER since I have insurance. Turns out my "insurance" has a $4500 deductible I must cover before any benefits kick in. Anyway less than an hour later I had 7 stitches and was on my way home. Only to receive a $2194.20 bill from the ER and another $757 charge from the doctor. So far no reduction has been offered, but I will keep fighting.
Dell pediatric likes to seriously over charge for services. They spent 15 minutes and used dermabond on a minor head laceration. Dermabond is 125$ for a single ampule. This should have been about 1000$ tops. The physician had shaky hands and skills were not all that impressive. This same treatment is less at johns hopkins and Children's in dallas and they offer superior care.
I had 1 stitch put in. I took up space in their precious ER for 1.5 hours.rnLuckily, I have useless Anthem Blue Cross, that entitles me to some discounts that bring the grand total down to: $2913.52. Presumably that is what they would pay if they weren't so useless. However, since I have yet to reach my deductible ($2500, don't even ask me how that works) the hospital has sent the entire bill onto me. rnI'm still contesting this, so who knows... maybe they'll realize how ridiculous they are. They can't charge me for dreaming, can they?
4 easy sutures in left hand, patient is a retired physician
Amount: $3,200.00
Posted by: lhb in Glendale, CA.
Posted: May 10th, 2013 06:05PM
Medical Center: GLENDALE MEMORIAL HOSPITAL
Physician: nurse practitioner
Seen for a clean cut kitchen knife laceration in the intertriginous area (web) area between my thumb and forefinger. Seen, treated, and sutured by NP. NO doctor in sight or listed on paperwork! Also received (unnecessary, but they insisted)tetanus shot. Service and people were pleasant, but ER was grungy. NP donned huge latex gloves (looked like she was cleaning toilets), touched equipment and papers, bedding, hair, face...then opened the 'sterile' packet and pawed through the sutures, equipment, etc as she repaired the wound. "Flushed' the wound with a syringe, a process that seemed ineffectual. Lidocaine, more than necessary. Placed 4 sutures, one the unraveled later. Sutures never really apposed the laceration. About 4 days later, the wound became red, swollen, draining some pus with skin around the wound moist and friable. Luckily as a health professional, I treated the wound aggressively, cleaning, antibiotic ointment. After 10 days as instructed I removed the sutures. Of course, the wound dehised/separated...and continued to drain for another day or two. The wound had to heal by secondary intention. IT took over three weeks for the wound to completely heal. Received a bill from a doctor who was never seen/consulted/sutured for 800 dollars and an ER charge for 2500. 00 dollars. I have thousand dollars deductible and 100 dollar copay. After insurance 'coverage,' and copay, I owe #325 to the doc (that I never saw), and the hospital (Insurance paid the hospitalabout #700 and hospital gave me an insurance discount) 1,150.
Seems to me, the hospital should take its 1350 and call the case closed! I am appealing both hospital (the amount) and doc fees (the amount and the fact that I was even charged).