A broken nose can be a serious injury and can cause cosmetic issues if not treated immediately. Symptoms can include bruising, swelling, pain, bleeding, difficulty breathing through the nose and a crooked nose. Treatment varies from non-invasive, if the bones are not displaced, to invasive if surgery is required for a severe break.
Typical costs:
Without health insurance, diagnosis and treatment for a broken nose typically includes the cost of the X-ray, a facility fee and a doctor fee for a typical total of $500 or less if realignment of bones is not required; between $2,000 and $5,000 if non-surgical realignment is required; and up to $8,000 or more if surgery is required. A nasal X-ray costs an average of $180, according to NewChoiceHealth.com[1] , but some facilities charge $1,000 or more. Treatment of a broken nose without realignment typically would consist of a doctor visit, an X-ray, pain reliever, ice and rest at home. And treatment with realignment can range from about $1,600 to $4,500, not including the doctor fee, according to Saint Elizabeth Regional Medical Center[2] in Lincoln, NE. If surgery is required, the cost could reach $7,000 or more, according to a plastic surgeon at RealSelf.com[3] . The average cost for treatment of a nasal fracture is $7,651, according to the health care cost calculator from Baptist Memorial Health Care in Memphis, TN. A typical doctor fee for non-surgical treatment of a fracture would include $90 to $200 for an office visit and could also include $250 to $950 for a procedure, such as realignment, or $2,000 or more for surgery, according to Carolina Orthopaedic Surgery Associates[4] .
Treatment for a broken nose is typically covered by health insurance. A patient with insurance pay an X-ray copay, an office visit copay and coinsurance of 10% to 50% for the procedure. The cost could reach the yearly out-of-pocket maximum if surgery is required.
A broken nose in which the bone is not displaced can sometimes be treated with ice, pain relievers and a decongestant. For a broken nose in which the bone or cartilage is displaced, a doctor typically would use local anesthesia and perform realignment, using special instruments, under local anesthesia. In non-surgical realignment, also called a closed reduction, which should take place within two weeks of the fracture, the doctor will use a nasal speculum to open the nostrils and then insert special instruments to move the bones and cartilage back into place, according to the Mayo Clinic[5] in Minnesota.
For an especially severe break or a break that has healed improperly, general anesthesia and surgery might be required.
WebMD[6] offers an overview of diagnosis and treatment of a broken nose.
Additional costs:
An ambulance ride could cost $500 or more. For example, Montgomery County, MD[7] charges $300 to $800, depending on care provided, plus $7.50 per mile.
Going to an emergency room for initial treatment could add an emergency room visit fee up to $500 or more to the final bill.
Discounts:
Some hospitals, orthopedic specialists and plastic surgeons offer discounts for uninsured/cash paying patients. For example, Washington Hospital Healthcare System[8] in California offers a 35 percent discount for uninsured patients as well as a financial assistance program for qualifying uninsured patients. And the Southern California Orthopedic Institute offers discounted services for cash-paying patients.
Some free clinics, such as the Community Health Free Clinic[9] in Chicago, offer orthopedic specialty care. The U.S. Department of Health and Human Services[10] offers a directory of federally funded health centers. These centers are open to anyone and fees are charged on a sliding scale based on federal poverty guidelines; the U.S. Department of Health and Human Services recommends contacting clinics directly for specific information on their discount policies.
Shopping for a broken nose:
It might be necessary to seek immediate treatment at the emergency room of a hospital.
An orthopedic surgeon or a head and neck surgeon would treat a broken nose. If cosmetics are an issue -- especially if more than a few weeks have elapsed since the break -- a plastic surgeon should be consulted.
The American Board of Orthopaedic Surgery[11] offers an orthopedic specialist finder by city, state or zip code. Or, the American Society of Plastic Surgeons[12] and the American Society for Aesthetic Plastic Surgery[13] offer referral services for plastic surgeons; it is important to check with the American Board of Plastic Surgery[14] to make sure the doctor is board-certified. Or, a family physician can provide a referral to a head and neck surgeon; it is important to check with the American Board of Otolaryngology[15] to make sure the doctor is board-certified.
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.
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