Insurance Curator 
What are the total costs of surgical treatment for uterine fibroids without Insurance?
Treatment for fibroids is generally covered by health insurance when the patient experiences pain or other symptoms; Some insurance companies only cover invasive treatments, such as fibroid removal or hysterectomy, when conservative management cannot control symptoms. Some companies consider certain treatments for research purposes. Aetna, for example, considers several treatments to be experimental. For patients covered by health insurance, out-of-pocket costs can consist of 10% to 50% cooperative insurance for doctor visits, copies of prescription drugs, hospital money, and procedures.
For uninsured patients, drugs typically range from $ 20 a month, $ 240 a year, to a total of $ 6,000 for six months of treatment with a brand name drug. For example, birth control pills cost around $ 20-50 per month, a total of $ 240-600 per year. An IUD typically costs between $ 175 and $ 600. At Drugstore.com, a month-long supply of the generic synthetic male hormone drug Danazol costs about $ 200, a total of $ 1,200 for a typical six-month treatment. And a one-month supply of Synarel costs about $ 1,000, a total of $ 6,000 for a typical six-month treatment period.
A less invasive procedure typically costs $ 5,000-15,000 or more. For example, Saint Elizabeth Regional Medical Center in Nebraska requires approximately $ 6,000 – 10,000 excluding physician fees for thermal endometrial ablation. And the Kapiolani Medical Center for Women and Children in Hawaii charges about $ 7,000 for this procedure, or $ 4,200 if payment is made within 30 days, or $ 4,900 in 90 days. According to a study published in the Journal of Vascular and Interventional Radiology, the average total cost per patient of uterine artery embolization for fibroids was approximately $ 11,600.
Surgical treatment (removal of fibroids or uterus) usually costs between $ 10,000 and $ 20,000 or more. For example, Saint Elizabeth Regional Medical Center charges about $ 9,000 not including physician fees for the removal of one to four small fibroids up to about $ 18,000 for the removal of five or more large fibroids. A study published in the Journal of Women’s Health found that surgical removal of fibroids (myomectomy) and hysterectomy cost about $ 15,000. A hysterectomy usually costs between $ 10,000 and $ 20,000 or more.
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Fibroid Treatment
Normally recommended treatment will depend on the type and severity of symptoms, the number and size of fibroids, desire to have children in the future, and age. Commonly prescribed medications or devices include: birth control pills, a progestin-releasing IUD, drugs that lower estrogen and progesterone levels such as Lupron and Synarel, or a synthetic male hormone such as Danazol. Less invasive procedures sometimes involve uterine artery embolization, which is recommended, where a doctor injects material to block the arteries that supply blood to the fibroids; endometrial ablation, where a doctor uses laser, heat, freezing, or other methods to destroy the lining of the uterus; or myolysis, where a doctor uses laser, freezing, or other methods to destroy fibroids. Surgical procedures may include a myomectomy in which the surgeon removes fibroids from the uterus or a hysterectomy in which the surgeon removes the uterus. Mayo Clinic provides an overview of fibroid treatments.
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