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Cost of 1st stage bilateral breast reconstruction in Ohio

The average cash price for 1st stage bilateral breast reconstruction care in Ohio is $10,912 at a surgery center versus $20,799 at an outpatient hospital. While an outpatient hospital may offer more complimentary and support services for patients, it costs almost twice as much (48%) when comparing 1st stage bilateral breast reconstruction procedures performed at a surgery center. Read More

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Average cash price in Ohio

A common 1st stage bilateral breast reconstruction at surgery center facility in Ohio includes

  Units Avg Cash price

Provider

Plastic & reconstructive surgeon visit provider fee

First time visit Standard
1 $118

Provider fee for breast reconstruction

Standard Bilateral Procedure
1 $2,945

Facility

Surgery center fee for breast reconstruction

Standard Standard
1 $6,779

Imaging

Radiology fee for x-ray of breast or mammogram of both breasts

Standard Standard
1 $198

Prescriptions

HYDROCODONE-ACETAMINOPHEN

Standard Standard
30 $15

Anesthesia

Anesthesiologist fee to be "put under" for procedure

Level 3 Standard
1 $194

Anesthesiologist time to be "put under" for procedure

Per minute Standard
344 $662
Total average cash price   $10,912.17

A common 1st stage bilateral breast reconstruction at outpatient hospital facility in Ohio includes

  Units Avg Cash price

Provider

Plastic & reconstructive surgeon visit provider fee

First time visit Standard
1 $118

Provider fee for breast reconstruction

Standard Bilateral Procedure
1 $2,945

Facility

Outpatient Hospital fee for breast reconstruction

level 4 Standard
1 $16,666

Imaging

Radiology fee for x-ray of breast or mammogram of both breasts

Standard Standard
1 $198

Prescriptions

HYDROCODONE-ACETAMINOPHEN

Standard Standard
30 $15

Anesthesia

Anesthesiologist fee to be "put under" for procedure

Level 3 Standard
1 $194

Anesthesiologist time to be "put under" for procedure

Per minute Standard
344 $662
Total average cash price   $20,798.91

Many surgeons choose to perform two stages for bilateral breast reconstruction. The first stage is usually done during the lumpectomy or mastectomy, while the second stage is completed after the patient has completed their rounds of chemotherapy or radiation treatments. 

Stage 1: In this stage, the surgeon inserts tissue expanders to preserve the natural shape of the patient's breasts. 

Stage 2: Once the patient has finished additional treatments and the breast tissues have been given time to heal, the surgeon removes the tissue expander and replaces them with permanent breast implants. This stage usually takes place between four to six months after Stage 1.

Immediately following a mastectomy, the surgeon will create a pouch under the chest muscle. Next, a tissue expander made of silicone is placed in the pouch. The chest remains flat, but after two to three weeks, the surgeon will inject a small amount of saline through a valve into the expander. The surgeon will continue to do this every one to two weeks until the expander slowly enlarges the pouch to the correct size to place the implant. After the allotted time, the permanent breast implant is placed.  

It takes about 6 to 8 weeks to recover physically after breast reconstruction surgery. After that, most women can start getting back to normal activities. However, breast cancer survivors will often experience a myriad of emotions, and getting back to normal life may trigger those. Feeling anxiety, depression, or even post-traumatic stress is normal. It may be helpful to talk to a counselor or other women who have had breast cancer and breast reconstruction. They can help you walk through those emotions and how these changes to your body have affected you as a woman post-surgery. 

Numbness following mastectomy and reconstruction surgery is common. During surgery, nerves that supply feeling to the chest are removed in addition to breast tissue, and although some sensation can return, the numbness is usually permanent. Restoring sensation has not been a focus of breast reconstructive surgery until recently. Fortunately, there are some newer techniques that are available that may help restore that sensation that may be worth discussing with the surgeon.

While many surgeons choose to perform bilateral breast reconstruction in two stages, there are situations that may not require a two-step process. In some cases, the surgeon may forego placing a tissue expander and place a permanent breast implant during the mastectomy. Thus, the entire reconstruction procedure is done in one stage in a single surgery.

About the 1st stage bilateral breast reconstruction Average Cash Prices

This procedure is most commonly performed at either a surgery center or an outpatient hospital.

Surgery centers, also known as ambulatory surgery centers (ASCs), are independent, licensed medical facilities that are governed by distinct regulatory requirements compared with a hospital. Procedures performed at an ASCs are often less expensive than when they are performed at an outpatient hospital, but they typically offer fewer complimentary services, and may not have the full-range of support services that a hospital provides.

Outpatient facilities are outpatient departments or clinics that may be within or next to a hospital, but is owned and run by the affiliated hospital. These facilities can perform surgical treatments and procedures that do not require an overnight stay. Procedures performed at an outpatient hospital are often more expensive than when they are performed in an ambulatory surgery center, but outpatient hospitals may offer more complimentary and support services for patients because they are connected to the hospital system.

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* Savings estimate based on a study of more than 1 billion claims comparing self-pay (or cash pay) prices of a frequency-weighted market basket of procedures to insurer-negotiated rates for the same. Claims were collected between July 2017 and July 2019. R.Lawrence Van Horn, Arthur Laffer, Robert L.Metcalf. 2019. The Transformative Potential for Price Transparency in Healthcare: Benefits for Consumers and Providers. Health Management Policy and Innovation, Volume 4, Issue 3.

Sidecar Health offers and administers a variety of plans including ACA compliant and excepted benefit plans. Coverage and plan options may vary or may not be available in all states.

Your actual costs may be higher or lower than these cost estimates. Check with your provider and health plan details to confirm the costs that you may be charged for a service or procedure.You are responsible for costs that are not covered and for getting any pre-authorizations or referrals required by your health plan. Neither payments nor benefits are guaranteed. Provider data, including price data, provided in part by Turquoise Health.

The site is not a substitute for medical or healthcare advice and does not serve as a recommendation for a particular provider or type of medical or healthcare.