The cost of sinus surgery generally depends on the complexity of the disease, the difficulty of the surgery, and the special equipment required. The factors that affect the cost are:
Type of surgery: A primary surgery is likely to be easier than a second or third revision surgery. A single sinus surgery (e.g., for a fungal ball in a sinus) usually costs less than a full house FESS (Functional Endoscopic Sinus Surgery) to operate on all sinuses.
Special equipment: Special tools such as a Coblator and a Navigation System will increase the cost. Special materials like self-dissolving packing may also have a higher cost than not using them.
Complications: Any complications that may arise during the surgery can also increase the cost.
Private Hospitals:
Approximately 200,000 - 500,000 THB, depending on:
The number of days you stay in the hospital.
The fees for the doctor and the surgical team.
Special equipment and technology used (e.g., navigation systems).
The service level of the hospital.
Government Hospitals:
The cost is usually very low or free if you do not choose a special room.
However, the drawback is that the waiting time is often longer than at private hospitals, and you need a referral letter from your original hospital.
How to Not Be Surprised by the Cost of ESS
To avoid being "shocked" by the final bill, it is crucial to have a detailed discussion with the hospital and your surgeon before the procedure. Here are key questions to ask:
What is included in the package price? Packages often cover the surgeon's fee, operating room costs, and a standard hospital stay. eg. the cost in Phayathai 1 hospital is 190,000 bahts. This includeds one night stay, all the surgical cost, and medical cost. If you are have a typical surgery without any complication and not require any extra medication, you would most likely pay very close to the package price (<200,000 bahts).
What is NOT included? Be sure to ask about additional costs like:
preop consultation fee from cardiologist/internist
Pre-operative tests (e.g., CT scans).
Medications, especially those taken after you leave the hospital.
Pathology exams for any tissue samples.
Special equipment not included in the standard package, such as a Navigation System.
Any potential costs for complications that may arise.
These cost will be included in the payment along with the package cose by your payer eg. insurance company, if you have pre-approved before getting surgery. Normally the hospital will routinely pre-approve your surgery and the result will come back within 10 days.
What is the cost for a longer stay? Packages typically have a fixed length of stay (e.g., one night). Ask for the daily rate for an extended stay in case of unforeseen circumstances.
Do you offer packages for my specific condition? The cost can vary significantly depending on the complexity of your case, such as a single sinus issue versus a "Full House FESS" for all sinuses.
Wirach Chitsuthipakorn