What HS care costs, written down before you call.

Philosophy

Three commitments.

• Written estimates, always. No procedure scheduled without a written number you've reviewed.
• Re-treatment included for six months. If a treated tract is not adequately healed, additional sessions are at no charge.
• Honest about insurance. Cash-pay only. We will not misrepresent the procedure on a superbill to chase reimbursement.

Pricing ranges

Cash-pay ranges, at launch.

Ranges, not quotes. Your actual number depends on tract count, regions, and whether you pair the Nd:YAG induction series.

Initial HS consultation (in-office or virtual)

Credited toward treatment if the patient proceeds.

$250 – $350

Focal single-tract intralesional closure

$3,500 – $4,000

Moderate multi-tract single-region closure

$4,500 – $5,500

Extensive multi-region closure (per staged visit)

$5,500 – $7,000

Nd:YAG follicle therapy — single session

$400 – $500

Nd:YAG induction series (6 sessions)

$2,200 – $2,700

Combined Stage II protocol (tunnel closure + Nd:YAG series)

$5,500 – $7,500

Annual maintenance (Nd:YAG, 2–3 sessions/year)

$1,200 – $1,500 / year

Re-treatment of inadequately healed tracts within 6 months

Included — no charge

Pricing shown is a Good Faith Estimate per the federal No Surprises Act for cash-pay patients. Actual cost is finalized in your written consultation estimate; California state pricing-disclosure requirements are met by the written estimate.

Cash-pay model

Why insurance is not part of the equation.

Cash-pay only at launch. Insurance does not reimburse in-office laser procedures for HS. No CPT code reliably covers endoluminal laser HS treatment; misrepresenting the procedure on a superbill for insurance reimbursement is not acceptable.

Once outcomes data and case volume justify it, we will explore an ASC pathway with out-of-network Independent Dispute Resolution for select complex cases. This is not part of the launch.

Payment plans

Spreading the cost.

Payment plans available via Cherry, CareCredit, or in-office monthly installments. Most HS patients pay over 6–12 months.

Most HS procedural care also qualifies for HSA and FSA spending. We provide itemized receipts coded appropriately.

What changes the number

The variables that drive the estimate.

How many tracts, how many regions

A single focal tract is a single session. Multi-tract single-region is one longer session. Multi-region disease is staged across visits at 4–8 week intervals. More tracts and more regions mean more sessions, not a markup.

Whether the Nd:YAG induction series is paired

Stage II disease typically benefits from the combined protocol (tunnel closure + Nd:YAG induction). The combined Stage II tier reflects that bundle.

Whether re-treatment is needed

If a treated tract is not adequately healed at six months, additional sessions are provided at no additional cost. This mirrors Dr. Kamrava's pilonidal SiLaC policy.

Common questions

About pricing, plainly.

Why cash-pay only?

Insurance does not reimburse in-office laser procedures for HS, and no CPT code reliably covers endoluminal laser treatment of HS sinus tracts. Misrepresenting the procedure on a superbill to chase reimbursement is not acceptable, so we don't do it. We price accessibly and accept payment plans instead.

What does the consultation fee cover?

A focused HS examination with Dr. Kamrava, a working stage and plan, and a written estimate. The consultation fee is credited toward treatment if you proceed.

Is re-treatment really free for six months?

Yes. If a treated tract is not adequately healed at the six-month mark, additional sessions are provided at no charge. This is the same policy used in Dr. Kamrava's established pilonidal SiLaC practice.

Do you offer payment plans?

Yes — via Cherry, CareCredit, or in-office monthly installments. Most HS patients pay over 6–12 months.

What about HSA / FSA?

Most HS procedural care qualifies. We provide itemized receipts coded appropriately.

More questions on the full FAQ page.