Laparoscopy can be used as both a diagnostic and corrective procedure for female infertility, especially that caused by endometriosis or scar tissue or cysts. However, because of its invasive nature and advances in IVF success rates, it is used less commonly now than in the past.
Typical costs:
Laparoscopy typically costs between $1,700 and $5,000, depending on the doctor and whether is it just diagnostic or used to treat a condition. Laparoscopy can treat endometriosis, ovarian cysts, scar tissue or blocked or damaged fallopian tubes.
In general, health insurance will cover laparoscopy because it is a diagnostic test and also is used to treat health problems, such as endometriosis, that can affect the patient's overall health. However, it is important to check with the insurer.
Some states have laws that mandate insurance coverage of infertility treatment, with some restrictions. The American Society for Reproductive Medicine lists states that require coverage.
FertilityLifeLines.com, run by an affiliate of Merck Serono, offers advice on navigating insurance benefits and a toll-free phone number 1-866-LETS-TRY, that offers help figuring out what your plan covers. The American Fertility Association[1] has a list of questions to ask your insurer.
For patients covered by insurance, out-of-pocket costs can reach hundreds or even several thousand dollars, including copays for doctor visits or a percentage of the procedure; some plans cover only between 50 and 80 percent.
The doctor makes a small incision in the abdomen and inserts a telescope-like instrument to view the uterus, fallopian tubes and ovaries. If scar tissue or other defects are found, they often can be corrected during the diagnostic surgery by attaching surgical instruments to the scope.
The Advanced Fertility Center of Chicago[2] has an overview of laparoscopic surgery.
Additional costs:
The doctor might prescribe pain medication to ease recovery.
Laparoscopy performed in a hospital typically costs 25 percent more.
Discounts:
Some clinics offer cash discounts to patients paying out-of-pocket for fertility diagnostics and treatment.
Shopping for laparoscopy:
The doctor you choose should be board-certified by the American College of Obstetricians and Gynecologists[3] and should have training and experience performing laparoscopy.
The American Society for Reproductive Medicine offers a doctor locator.
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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Doctor or Clinic: Morozov/Baltimore Washington Medical
I was covered at 80% for these procedures. My doctor removed two cysts (one endometrioma) from my ovaries and separated them as he found my ovaries were attached, called kissing ovaries. My coinsurance due for Anesthesia/pain management was $179.66, for my doctor was $111.17, and for hospital services was $1,879.76. What I don't get is why my insurance only discounted the hospital charges 1.6%, paying out $7,519.03 while they greatly reduced my doctor's charges.
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