Paying for surgery out-of-pocket, commonly known as self-paying, can be incredibly expensive.

However, it may be worth considering, especially if you might negotiate reduced costs.

This article explains how to pay for surgery without insurance.

Close up of surgical tools and money

Tetra Images/Creative RF/Getty Images

It includes tips for lowering bills, securing a payment plan, finding financial assistance, and more.

Billing errors are more common than you might think.

you’re free to always contact your provider if you have questions about the items on your bill.

Work With the Billing Department

Resist the temptation to ignore calls from the hospital’s collection department.

Prices negotiated by insurers can be much less than what out-of-pocket payers are billed.

Nevertheless, collections agents must also be honest about insurer-negotiated prices.

When speaking with an agent, ask to pay the lowest price negotiated by insurers.

This is a reasonable request and is often honored, especially if negotiated in advance.

Get this agreement in writing.

If you need an extremely expensive surgery, such as an organ transplant, it will be more challenging.

The people who work in billing will be most likely to know how to save you money.

They also will know about programs for people with financial difficulties.

You will have a better rate, even if your insurance company isn’t picking up the tab.

In some cases using a surgery center instead of a hospital can result in thousands of dollars saved.

You have every right to ask for the lower price.

The length of time allowed for repayment varies.

The downside to a loan is that it will result in interest being charged.

This jot down of loan also provides a tax break as the interest is tax-deductible like a standard mortgage.

Failure to pay the loan back can result in foreclosure and eviction from your home.

It is a loan based on your credit and income and does not use collateral to guarantee the loan.

Credit cards are one punch in of unsecured loan but there are other types available.

Your surgeon may also be affiliated with a loan program.

Pay close attention to the interest rate and compare it to your other options.

Ahysterectomyis almost universally covered by insurance, so surgeons who specialize in hysterectomy might not offer a payment plan.

Consider Surgery Outside the U.S. Medical tourism is not to be taken lightly and should be thoroughly investigated.

They must be able to identify any warning signs or complications that may occur and notify your surgeon.

You would need to discuss this with your insurance company representatives to get more information.

If you have multiple cards, use the card with the lowest interest rate.

Many companies wait until January to make alterations to their insurance policy.

Other insurers may make changes during a different part of the year.

Be sure to inquire about any upcoming changes.

When the new policy begins, your coverage may have been changed or moved to a new insurance provider.

In these situations, it pays to investigate what the new company or policy provides.

HSPs can be a budget-friendly alternative to insurance.

Typically, members pay a monthly fee to cover expenses for other members.

There are some cons to health sharing programs.

Also, most HSPs set a monthly, annual, and/or lifetime limit on coverage.

For example, the HSCM called Altrua Ministries sets a $150,000 lifetime coverage limit.

The hospital must also be transparent about eligibility criteria.

communicate with the hospital directly to learn about your eligibility.

Billing errors are common, so it may help to ask for itemized bills.

If you are insured, get all tests and procedures done at in-internet providers.

Don’t shy away from talking to collections specialists.

Believe it or not, they’re there to help.

Many hospitals offer financial assistance programs; reach out to the hospital directly to see if you are eligible.

Childers CP, Maggard-Gibbons M.Understanding costs of care in the operating room.JAMA Surg.

2018;153(4):e176233.

doi:10.1001/jamasurg.2017.6233

Federal Register.Transparency in coverage.

Centers for Medicare and Medicaid Services.Use of pricing information published under the transparency in coverage final rule.

Kaiser Family Foundation.One defensive strategy against surprise medical bills: Set your own terms.

American Academy of Orthopaedic Surgeons.Ambulatory surgery centers versus hospital-based outpatient departments: What’s the difference?.

2021;4(12):e2140526.

doi:10.1001/jamanetworkopen.2021.40526

Internal Revenue Service.Retirement topics - Plan loans.

Internal Revenue Service.Topic No.

557: Additional tax on early distributions from traditional and Roth IRAs.

Federal Trade Commission.Home equity loans and home equity lines of credit.

Internal Revenue Service.Interest on home equity loans often still deductible under new law.

Consumer Protection Financial Bureau.Differentiating between secured and unsecured loans.

National Consumer Law Center.Dealing with medical debt: consumer advice from NCLC.

Peterson-KFF Health System Tracker.How do healthcare prices and use in the U.S. compare to other countries?

Centers for Disease Control and Prevention.Medical tourism: travel to another country for medical care.

Internal Revenue Service.Financial assistance policies.

Ohio Hospital Association.Hospital care assurance program.