How much do your procedures cost?

• For more detailed info and pricing on the different procedures please visit here.

Does health insurance, Medicare or Medicaid cover Tubal/Essure Reversal? 

• Tubal Ligation Reversals, Adiana, and Essure reversals are typically not covered by health insurance, Medicare, or Medicaid, as they are considered elective procedures. NCCRM does not accept Medicare or Medicaid for these services.

What is included in the $6,250+ tubal reversal price, or $7,500+ Essure reversal price?

• The base price for tubal reversal is $6,250, and for Essure reversal, it is $7,500. Both include the pre-operative appointment, anesthesia, the reversal surgery, and a post-operative follow-up. Note that the pre-operative appointment includes an ultrasound.

Are there any other additional fees?

• Pre-operative Testing: A blood count (CBC) is required; an AMH test is recommended for advanced maternal age. Not included in the base price; insurance may cover some costs.
• Liposuction: Required for BMI 29+ at $1,000; BMI over 35 at $1,500.
• Previous Abdominal Surgeries: May incur additional fees, usually for multiple C-sections.
• Medications: Prescriptions for antibiotics, narcotics, and anti-nausea; insurance may apply.
• Fibroid/Polyp Removal: Price varies; insurance may apply.
• Travel and Lodging: Discounts are available at nearby Comfort Suites. Please contact (984) 308-9794. The hotel address is 350 Ashville Avenue, Cary, NC, 27518

Is a CBC required? 

• Yes, a CBC (Complete Blood Count) is required and must be performed at least one week before surgery, but no more than 30 days prior. If results are not received in time, surgery will be canceled, and all fees will be forfeited. Ideally, a CBC should be completed as soon as the surgery is scheduled to assess if iron supplementation is needed, with a follow-up test one week before surgery to confirm levels.

What if my CBC results show my iron to be low?

• We will have you take an over-the-counter supplement and have you complete a 2^nd CBC the week before surgery to see if the level has come up.  Your iron level must be at 11 or higher to have surgery at NCCRM.  Once we review your results from the 2^nd CBC we will make a determination on your upcoming surgery.

If I live far away or out of state who will do my pre-op visit?

• If you live out of state or several hours away, plan to arrive the day before surgery and stay at a nearby hotel, like the Comfort Suites on Asheville Ave, which offers discounted rates for NCCRM patients. Your pre-op consultation and ultrasound will be scheduled for the afternoon before surgery. For local patients, the consultation and ultrasound can be done anytime within six months before surgery.

How long will I be expected to stay in your area when I have surgery?

• You can expect to stay in the area for two nights and three days for your surgery. If your surgery is scheduled for a Monday and you live out of state or several hours away, your pre-operative appointment will be held the same day. In this case, only one night at a local hotel may be needed, with a two-day stay overall.

Why would I need liposuction?

• Liposuction may be recommended for patients with a BMI of 29 or higher. Removing excess adipose tissue can enhance the doctor’s ability to perform a successful tubal repair, potentially improving surgical outcomes.

How does the doctor make sure my tubes are open during the surgery? 

• During surgery, the doctor uses a very small stent to confirm that the tubes are open. If the tubes can be repaired, they will be open when you leave the facility; however, factors like healing and scarring can influence whether they remain open over time. For detailed success rates based on age and type of ligation, you can review the information here.

Does the amount of time since I had my Tubal Ligation performed affect the outcome?

• The time elapsed since your tubal ligation typically does not impact the success of the reversal outcome. However, your age can be an influential factor in determining success rates.

If my spouse or partner has never fathered any children should he have a semen analysis?

• While a semen analysis for your male partner is recommended, it is not required. You can schedule the analysis on the same day as your consultation and ultrasound, ideally two hours before your appointment. This allows the doctor to review and discuss the results during your visit. The cost of the analysis is $220.

To learn more or schedule a consultation:
Call (919) 233-1680 or

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