Carotid Artery Stenting for Stroke Prevention Costs at Aurora Sheboygan
Carotid artery stenting is a minimally invasive procedure designed to prevent strokes by treating blockages in the carotid arteries, improving blood flow to the brain. At Aurora Sheboygan Memorial Medical Center, experienced vascular surgeons perform this procedure using advanced technology. The total fee for carotid artery stenting typically includes costs for the vascular surgeon, use of the operating suite, specialized stenting devices, anesthesia, and post-procedure monitoring. Patients should request a detailed, itemized estimate from the medical center and consult their insurance provider to clarify coverage specifics and out-of-pocket responsibilities before proceeding.
Cost Breakdown
- Estimated procedure cost: $10,000–$20,000
- What’s included:
- Surgeon’s fees
- Hospital facility charges
- Stent device and supplies
- Anesthesia services
- Pre- and post-operative care during hospital stay
- What may not be included:
- Pre-procedure consultations and diagnostic imaging
- Lab tests
- Medications prescribed after discharge
- Follow-up appointments
- Management of any complications
Insurance & Payment Advice
- Most commercial insurance plans and Medicare typically cover carotid artery stenting if medically necessary. Coverage and patient responsibility (deductibles, copays, coinsurance) vary by plan.
- Obtain a pre-authorization or coverage determination from your insurer prior to scheduling the procedure.
- Ask for an itemized estimate from the hospital, and clarify which components are covered by your insurance.
- Explore available payment plans with the hospital’s billing department for any out-of-pocket costs.
Associated Costs
- Initial consultations with vascular specialist
- Ultrasound, CT, or MRI imaging
- Routine bloodwork prior to procedure
- Prescription medications (e.g., antiplatelets) post-procedure
- Potential readmission or additional treatments if complications arise
Recovery Tips & Considerations
- Monitor the puncture site for signs of bleeding or infection after the procedure.
- Adhere to prescribed medications and follow-up appointments to ensure optimal recovery and stent function.
- Discuss any unusual symptoms (e.g., severe headache, dizziness, weakness) with your care team promptly.
Frequently Asked Questions
-
What is carotid artery stenting?
Carotid artery stenting is a minimally invasive procedure where a small mesh tube (stent) is placed in the carotid artery to keep it open and improve blood flow, reducing stroke risk. -
How much does carotid artery stenting cost at Aurora Sheboygan?
The cost typically ranges from $10,000 to $20,000, depending on case complexity, stent type, and individual insurance coverage. -
Does insurance cover carotid artery stenting?
Most insurance plans, including Medicare, generally cover carotid artery stenting if it is medically necessary. Coverage details should be confirmed with your provider. -
What factors influence the total cost?
Key factors include the complexity of the blockage, length of hospital stay, type of stent used, and any additional services such as imaging or lab work. -
Are there additional out-of-pocket costs?
Yes, you may be responsible for deductibles, coinsurance, copays, and costs of pre/post-procedure visits or medications not included in the procedure fee. -
How long is the hospital stay after carotid stenting?
Most patients stay 1–2 nights for observation, but this can vary based on individual recovery and any complications. -
What are the main risks or side effects?
Possible risks include bleeding, infection, stroke, or restenosis (re-narrowing) of the artery. Your care team will discuss these risks prior to the procedure. -
Will I need follow-up care?
Yes, regular follow-up with your vascular specialist is necessary to monitor the stent and overall vascular health. -
Can I get a payment plan for the procedure?
Many hospitals offer payment plans for uncovered expenses; inquire with the billing department for available options. -
Is carotid artery stenting the only option for stroke prevention?
No, other options may include carotid endarterectomy or medical management. Your vascular specialist will recommend the best approach for your situation. -
What should I ask my insurance provider before the procedure?
Ask about coverage for carotid stenting, required referrals or authorizations, your share of the cost, and any network restrictions.
Carotid artery stenting is a medical procedure used to prevent strokes by treating blockages in the carotid arteries. At Aurora Sheboygan Memorial Medical Center, this procedure is performed by experienced vascular surgeons using advanced technology. Understanding the costs associated with carotid artery stenting is crucial for patients and their families to make informed decisions about their healthcare. This guide provides detailed information on the costs, frequently asked questions, and additional resources to help you navigate this important aspect of stroke prevention.
FAQ
What is carotid artery stenting?
Carotid artery stenting is a minimally invasive procedure that involves placing a small, expandable tube (stent) inside the carotid artery to keep it open and improve blood flow to the brain.
How much does carotid artery stenting cost at Aurora Sheboygan?
The cost of carotid artery stenting at Aurora Sheboygan can vary based on several factors, including the complexity of the case, the type of stent used, and the patient’s insurance coverage. On average, the procedure can range from $10,000 to $20,000.
Does insurance cover carotid artery stenting?
Most insurance plans, including Medicare, typically cover carotid artery stenting if it is deemed medically necessary. It is important to check with your insurance provider to understand your specific coverage and any out-of-pocket costs.
What factors influence the cost of the procedure?
Factors that influence the cost include the surgeon’s fees, hospital charges, pre- and post-operative care, and any additional tests or imaging required.
Are there any financial assistance programs available?
Aurora Sheboygan offers financial assistance programs for eligible patients. You can contact the hospital’s billing department for more information on how to apply.
What are the risks associated with carotid artery stenting?
Risks include stroke, heart attack, bleeding at the catheter insertion site, and restenosis (re-narrowing of the artery). However, the procedure is generally safe and effective when performed by experienced surgeons.
How long is the recovery period?
Recovery time varies, but most patients can return to normal activities within a week. Your doctor will provide specific instructions based on your individual case.
What should I expect during the procedure?
The procedure typically takes 1-2 hours and is performed under local anesthesia. A catheter is inserted through a small incision in the groin and guided to the carotid artery, where the stent is placed.
How do I prepare for carotid artery stenting?
Your doctor will provide specific instructions, which may include fasting before the procedure, stopping certain medications, and arranging for someone to drive you home afterward.
Authority Sites, Citations, and Links
Further Reading
- Mayo Clinic: Carotid Artery Stenting
- WebMD: Carotid Artery Stenting
- Johns Hopkins Medicine: Carotid Artery Disease
Patient and Family Resources
Understanding the costs and details of carotid artery stenting for stroke prevention at Aurora Sheboygan is essential for making informed healthcare decisions. By reviewing the provided FAQs, authoritative resources, and additional reading materials, patients and their families can better prepare for the procedure and its financial implications. Always consult with your healthcare provider for personalized advice and support.
