This is a common question and one we field at lot over at Cardinal Family Medicine.
When insurance gets involved, the prices for procedures are set by government entities and insurance. Essentially third parties are involved which creates a lot of hassle and no clarity. What one insurance pays vs another can be completely different.
When we do not bill insurance, we can streamline the process and cut a lot of overhead that other vasectomy clinics have to maintain. Now the relationship is just about the doctor and patient.
Here is the other thing- most people have really high deductibles with their insurance and are paying out of pocket for most medical services. We give you a price that is below all other vasectomy clinics while giving you the exact same quality and outcome.
You can use you HSA account or FSA account.