CPT 55250 Surgery - Male Genital

How Much Does Removal of Sperm Duct(s) Cost?

Also known as: Removal of sperm duct(s) (CPT 55250)

A vasectomy, a minor surgical procedure for male sterilization (permanent birth control).

The total estimated cost of Removal of Sperm Duct(s) (CPT 55250) is $733 to $1,375, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $218.

Total Estimated Cost of Care

$733 — $1,375

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$218
Hospital Facility Fee
$654
Anesthesia (est.)
$44
Important: The physician fee of $218 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$218
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$347
Non-facility setting

Patient Guide: Removal of Sperm Duct(s)

What you need to know before your appointment

What to Expect

Under local anesthesia, the doctor makes one or two small openings in the scrotum and cuts or blocks the vas deferens (tubes that carry sperm). The procedure is done in the office.

How Long Does It Take?

15-30 minutes

Common Reasons Doctors Order This

Permanent birth control, family planning completion

How to Prepare

Wear supportive underwear and bring an athletic supporter. Arrange a ride home. Plan to rest for 2-3 days. Apply ice to reduce swelling. You are not immediately sterile; use other birth control until a semen analysis confirms zero sperm (usually 8-12 weeks).

Procedures Commonly Done Together

These procedures are frequently performed alongside Removal of sperm duct(s)

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How to Reduce Your Cost for Removal of sperm duct(s)

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    For this procedure, the office rate ($347) differs from the facility rate ($218). Ask if it can be done in an office setting.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

3.29
Work RVU
2.82
Practice Expense RVU
0.42
Malpractice RVU
10.38
Total RVU

Payment = Total RVU (10.38) x CF ($33.40) = $347

Frequently Asked Questions

How much does Removal of sperm duct(s) cost?

The Medicare facility rate for Removal of sperm duct(s) is $218. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Removal of sperm duct(s) cost without insurance?

Without insurance, the cost of Removal of sperm duct(s) can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Removal of sperm duct(s)?

Most commercial health insurance plans and Medicare cover Removal of sperm duct(s) when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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