Aurora Sheboygan Pricing: Tenotomy of Hamstring One Tendon Priced at $4,500

The tenotomy of the hamstring (one tendon) is a specialized surgical procedure performed to relieve tension or correct muscle contractures by cutting a single hamstring tendon. At Aurora Medical Center Sheboygan County, this procedure is priced at $4,500. This fee typically covers the main surgical costs, including operating room time, the surgeon’s professional fees, and standard post-operative care during your initial recovery. However, patients should request a detailed itemized estimate from the facility to understand what is and isn’t included, such as anesthesia, imaging, pre-operative testing, or any potential hospital stay.

Cost Breakdown

• Base procedure fee: $4,500 (includes main surgery and surgeon’s fee)
• Possible additional costs:
  • Anesthesia services
  • Pre-operative testing (labs, imaging)
  • Post-operative medications or equipment (crutches, braces)
  • Facility fees if overnight stay is required
  • Follow-up visits or physical therapy

Associated Costs & Considerations

• Ask for a detailed, itemized estimate before scheduling your procedure.
• Inquire about the cost of anesthesia, as it may be billed separately.
• If you need physical therapy after surgery, confirm if it is included or billed separately.
• Discuss with your insurer about preauthorization and coverage specifics, as coverage for surgical procedures varies by plan.

Insurance & Payment Advice

• Contact your insurance provider to determine if the tenotomy is a covered benefit and verify your deductible and co-pay responsibilities.
• Request the procedure’s CPT or revenue code from the hospital to assist in obtaining a preauthorization or estimate from your insurer.
• If uninsured or underinsured, ask the facility about available payment plans or financial assistance programs.

Frequently Asked Questions

• What is a tenotomy of the hamstring?
  A tenotomy of the hamstring involves surgically cutting a tendon in the hamstring to relieve abnormal muscle tightness or contractures.
• What conditions does this procedure treat?
  This surgery is typically used to address muscle contractures, stiffness, or spasticity that do not respond to conservative treatments.
• Is the $4,500 fee all-inclusive?
  The $4,500 primarily covers the surgeon’s fee and basic procedural costs, but you should confirm whether anesthesia, facility, and aftercare are included by requesting an itemized estimate.
• Will insurance cover this procedure?
  Coverage varies by insurance plan; contact your insurer to confirm coverage, required preauthorization, and what your out-of-pocket costs may be.
• Are there extra costs for anesthesia?
  Anesthesia is often billed separately; ask your provider for a separate estimate for anesthesia services.
• What about recovery and physical therapy costs?
  Post-operative physical therapy and follow-up appointments may not be included in the initial fee, so inquire about these costs in advance.
• How long is the recovery after a hamstring tenotomy?
  Recovery time varies based on the individual and the extent of the procedure; most patients need physical therapy and several weeks to regain strength and mobility.
• Are there risks or side effects?
  Risks include infection, bleeding, nerve injury, or incomplete resolution of symptoms; your surgeon will discuss these in detail during your consultation.
• Can I get a payment plan for this surgery?
  Many hospitals offer payment plans or financial assistance; ask the billing department about your options if you are concerned about the cost.
• What should I bring up with my care team before the procedure?
  Discuss the complete cost breakdown, potential out-of-pocket expenses, recovery plan, and any concerns about insurance coverage to ensure you are fully informed.

Aurora Medical Center Sheboygan County offers a range of medical services, including specialized surgical procedures such as the tenotomy of the hamstring. This particular procedure involves the surgical release or cutting of one tendon in the hamstring, which is often performed to relieve tension or treat conditions like muscle contractures. The cost for this procedure at Aurora Sheboygan is priced at $4,500, reflecting the center’s commitment to providing specialized care with transparent pricing.

What is a tenotomy of the hamstring? – A tenotomy of the hamstring is a surgical procedure that involves cutting a tendon in the hamstring to relieve tension or correct muscle contractures.

Why would someone need a tenotomy of the hamstring? – This procedure is typically recommended for patients experiencing muscle contractures or tightness that do not respond to conservative treatments.

How much does the tenotomy of the hamstring cost at Aurora Medical Center Sheboygan County? – The procedure is priced at $4,500 at Aurora Medical Center Sheboygan County.

Is the cost of $4,500 for the tenotomy of the hamstring covered by insurance? – Coverage depends on the individual’s insurance plan, and patients are advised to check with their provider for specific details.

What should patients expect during recovery from a tenotomy of the hamstring? – Recovery may involve physical therapy and a gradual return to normal activities, with specific timelines varying based on individual cases.

Are there any risks associated with a tenotomy of the hamstring? – As with any surgical procedure, there are risks such as infection, bleeding, or nerve damage, which should be discussed with the healthcare provider.

How can someone schedule a tenotomy of the hamstring at Aurora Medical Center Sheboygan County? – Patients can schedule a consultation by contacting the center directly at (920) 802-2100 to discuss their needs and determine the appropriate course of action.