What HS care costs, written down before you call.

Our pricing philosophy

Three commitments.

• Written estimates, always. No procedure scheduled without a written number you've reviewed.
• No surprise bills. If intraoperative findings would change scope, we pause or stage rather than proceed.
• Honest insurance posture. We tell you plainly what's likely covered, what isn't, and why.

Pricing ranges

Typical ranges for our most common care.

These are honest brackets for typical cases — not quotes. Your actual number depends on the variables listed further down.

Initial consultation

60–90 minute visit with Dr. Kamrava, written plan and estimate included.

$350 – $500

Virtual consultation

For patients outside Southern California. Same intake, video-based.

$300 – $450

Nd:YAG follicle laser session

Per region per session. Most plans are 4–6 sessions over 4–6 months.

$600 – $1,200 / session

CO₂ tunnel closure — focal

Single small region under local anesthesia, in-office.

$3,500 – $7,500

CO₂ tunnel closure — moderate

Larger area with IV sedation or general anesthesia in an accredited surgery center.

$7,500 – $18,000

CO₂ tunnel closure — extensive

Multi-region disease, longer operative time, may be staged across visits.

$18,000 – $35,000+

Consultation

What the consultation fee covers.

A 60–90 minute visit with Dr. Kamrava, a focused examination, a working Hurley stage, photographic documentation with your consent, a written plan summary delivered within 24 hours, and a written estimate good for 90 days. Consultation fees are non-refundable but apply toward a scheduled procedure within that window.

More on what to expect on the consultation page.

Follicle laser series

How sessions are priced.

Nd:YAG follicle laser is priced per region per session. A "region" is a defined anatomic area — perianal, gluteal cleft, inguinal fold, axilla, etc. Most patients need 4–6 sessions per region, spaced 4–6 weeks apart, with reassessment at the end. Pre-paid course pricing is offered at a discount.

Follicle laser is almost always cash-pay; insurance rarely reimburses for it in the HS indication.

CO₂ tunnel closure

Three tiers, based on scope.

CO₂ tunnel closure is priced by operative scope rather than by CPT code alone. The three tiers reflect what most cases actually look like:

Focal ($3,500–$7,500)

A defined single region, often Hurley II, performed under local anesthesia in the office. Typically 45–90 minutes.

Moderate ($7,500–$18,000)

A larger single region or two adjacent regions, IV sedation or general anesthesia in an accredited surgery center. Typically 90 minutes to 2 hours of operative time.

Extensive ($18,000–$35,000+)

Multi-region Hurley II/III disease, often staged across two or more operative visits. Surgery-center fees, anesthesia fees, and extended follow-up included in the written plan.

More on the procedure on the CO₂ tunnel closure page.

Insurance & superbills

How insurance interacts with our care.

We are out-of-network with all commercial insurance. Patients pay at the time of service and submit superbills for out-of-network reimbursement where their plan allows. We provide appropriately coded itemized receipts.

The realistic picture: some surgical excision components are partially reimbursable; consultation, follicle laser, and the laser-specific portion of tunnel closure are typically not. Reimbursement varies widely by plan. We will tell you what we think is realistic for your situation; we will not make promises about what your insurer will pay.

We do not accept Medicare, Medicaid, or HMO plans for HS care.

Financing options

Spreading the cost.

CareCredit

Third-party medical financing with promotional zero-interest periods on qualifying balances. Application happens through CareCredit directly.

PatientFi / Cherry

Alternative healthcare financing with longer-term, fixed-rate plans. Soft credit checks at application; full approval before any procedure is scheduled.

HSA / FSA

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

Staged scheduling

When extensive disease can be safely staged, we can spread procedures across months to spread cost without compromising the clinical plan.

What changes the number

The variables that drive the estimate.

Hurley stage and surface area

More tunnels and larger anatomic involvement require more operative time, more anesthesia time, and more dressing work in recovery. This is the single biggest driver of cost.

Anesthesia setting

Local anesthesia in the office is the most affordable. IV sedation adds a CRNA or anesthesiologist. General anesthesia in an accredited surgery center adds facility and recovery-room fees. Choice is clinical, not commercial.

Number of regions treated

Treating perianal and gluteal in one operative visit is typically less expensive than two separate visits, but not always appropriate. We map the disease and recommend the safest sequence.

Whether anything is plan-covered

Some surgical components of HS care have CPT coding that insurers reimburse — particularly excision and incision-and-drainage codes. Follicle laser is almost always cash-pay.

Common questions

About pricing, plainly.

Why don't you quote prices over the phone before a consultation?

Because the right number depends on what you actually have. A meaningful estimate requires examining the disease, mapping the tunnels, and deciding the anesthesia setting. We'd rather give you an honest figure once than a guess up front that turns out to be wrong.

Will insurance cover any of this?

It depends on your plan, your disease, and the specific procedural codes. Some excision and drainage components are reimbursable; follicle laser typically is not. We submit superbills for out-of-network reimbursement and walk you through what's likely covered before you commit.

What if the disease turns out to be worse than the estimate assumed?

We will tell you before we proceed. If intraoperative findings would meaningfully change the scope, we either complete what was estimated and stage the rest, or pause and discuss. We do not surprise patients with bills.

Do you offer a package price for the follicle laser series?

Yes. A pre-paid 4- or 6-session course is offered at a discount compared to session-by-session pricing. Details are in the written estimate at consultation.

Are deposits refundable?

Consultation fees are non-refundable but apply toward a scheduled procedure within 90 days. Procedure deposits are refundable until two weeks before the scheduled date, less any non-recoverable surgery-center fees.

More questions on the full FAQ page.