| Author | Topic: Why Such A Low Cost? | | Wanting a Third | I have been looking into the cost for tubal reversal. I am finding everything from $8,000 to $14,000. I think Dr. Berger's pricing is very reasonable. How can he do it at this low cost? I am really checking this doctor out. I am now trying to find if other doctors recommend Dr. Gary Berger.
Thanks in Advance | | Kristy Isett | Wanting a Third~ If you read into Dr. Berger's website you'll be sure to find all of the reasons he can keep his costs so low. I know that one of the reasons is because of his specializing in doing ONLY tubal ligation reversals, and having the whole procedure performed in his out patient facility, (saving you the cost of a hospital stay, which is probably why the prices you have from other Dr's. seem so much higher). With other doctors, you have to also include the hospital stay. Hope this helps and I'm sure you'll get other reasons why his fees are so much more reasonable than others.
Love,
Kris | | Julia Smith, RN | I am glad that you find our costs low, but our fees are actually quite reasonable and customary for this procedure. The main reason some facilities have to charge much more than the usual and customary fee is probably related to lack of experience performing tubal reversal surgery, which translates into a 2 - 3 day hospitalization. Increased costs can also be associated with longer surgery time, which is also an indication of less experience with the procedure. To perform any surgery as an outpatient procedure, certain criteria must be met:
1) The doctor must be able to control bleeding. When Dr. Berger performs TR surgery, typical blood loss is around 1 teaspoon to 1 tablespoon.
2) The doctor must be able to control pain associated with surgery. If pain is so intense that IV pain meds are needed, the patient must remain in the hospital.Our patients are up and dressing themselves 1 - 2 hours after surgery and are sent home with oral pain meds. This is a result of Dr. Berger's use of local anesthetic in the skin, muscle and tissues and avoiding the use of heavy retractors.
3) The doctor must be able to prevent postoperative nausea and vomiting. Our anesthesiologists administer anesthesia for TR surgery 4 times a day, 5 days per week. The combination of medications, as well as the anesthesia techniques they use, minimize post-op nausea and vomiting and the need for continuing IV fluids.
When a doctor has limited experience performing TR surgery, anesthesia times are prolonged leading to increased nausea and vomiting and increased bleeding and pain. Our procedure takes one hour to perform, while a doctor with less experience may take 3 - 4 hours to perform the surgery. This leads to an increased risk of the complications I mentioned above.
I hope this information is helpful! We see many women who come to Dr. Berger after being referred by their local OB-GYN doctor. Many of the ladies here will probably share their stories with you as well.
Best wishes,
Julia Smith RN
 | | Medsker | Hello again - I wanted to add that Dr Berger's facility is gorgeous! They don't cut any corners. You will find everything you need to be comfortable.
Kayla | |
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