How Much Does a Muscle Biopsy Cost?
A muscle biopsy is the extraction of a muscle tissue for laboratory examination. This is usually done to identify any muscle related disease such as muscular dystrophy, trichinosis, toxoplasmosis and atrophy.
The two main types include a needle biopsy, which involves a needle inserted into the muscle to extract tissue, and the open biopsy, which requires the removal of a portion of the muscle tissue through an excision. This is a minor surgery so the patient is awake during the procedure. It can also be done at an outpatient clinic.
How much does it cost?
- On average, a muscle biopsy will be between $2,500 and $8,000 without any sort of insurance.
- Virtualmdpractice.com stated that a muscle biopsy can range from several thousand to tens of thousands of dollars including the anesthetic and surgical fees plus the testing fees. The average cost ranges from $5,000 to $10,000 for every procedure. A special stain test can cost you about $800.
- According to Wakehealth.edu, the cost of the procedure is around $2,500. Most insurance companies may cover the full or partial costs depending on their coverage.
What is going to be included?
- Before undergoing a muscle biopsy, a doctor will explain the procedure to you and answer any questions you have regarding it. Then you will be asked to sign a waiver stating that you are permitting the doctor to perform the said procedure. The physician will also conduct a physical examination on you just to ensure that you are in a good condition. The doctor may administer a sedative for you so that you do not feel the procedure; otherwise, you will be given a local anesthetic to numb the area.
- During the procedure, you will be asked to remove your clothing and wear a gown. You will be asked to lie still while a nurse or physician does a skin preparation. An antiseptic solution will be used to cleanse the biopsy site to ensure sterility and avoid any infections afterward. An anesthesia will be injected into the site for the numbness to take effect.
- If you are undergoing a needle biopsy, a specialized needle is inserted into the muscle where a sample of tissue is taken. You may feel a pulling sensation during the process . On the other hand, when undergoing an open biopsy, a cut on the skin and then extraction of a muscle tissue using a small, sharp scissor instead of a biopsy needle will be done. An open biopsy is performed when a larger muscle tissue sample is needed for the laboratory examinations. The incision created will usually be less than three inches long and will only create a small scar.
- Pressure will be applied to the biopsy site to prevent more bleeding, and if needed, the doctor will stitch the opening in the skin or simply put some adhesive strips. The site will be then covered with a sterile bandage while the sample will be sent to the laboratory for tests.
- After the procedure has been performed, you will have to wait for the results which can sometimes be read within a few days.
What are the extra costs?
- The costs above are in addition to the cost of your initial doctor’s appointment.
- Pain relievers for the biopsy site and bandages for cleaning may be recommended.
- Your doctor may require you to undergo other laboratory testing or procedures if the biopsy results come back positive for a certain condition.
- Unless a patient has significant medical issues, a hospital stay will not be necessary. However, if a hospital stay is required, hospital fees can apply.
Tips to know
- Apply pressure to reduce the bleeding from the skin. If bleeding recurs then alert the medical staff immediately.
- Avoid strenuous activity after the minor procedure for at least 5 days to avoid bleeding and to allow the wound to heal faster.
- If there is excess fat that makes it hard for the doctor to reach the muscle, there may be a larger incision and therefore a larger scar.
- A muscle biopsy must be ordered by a doctor. You are not able to simply call and request one.
How can I save money?
- Check with your insurance company to see if they can fully cover the expenses incurred in the procedure. Most of the time they will as long as it is deemed medically necessary. If you are looking for a new policy or maybe you need one, consider browsing prices for free on eHealthInsurance.com.
- Ask your doctor for the only necessary tests and procedures you need to take to identify your condition. Sometimes, they will insist you undergo several procedures that are not essential.
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