Costs

Transplant costs are divided into three areas:

  • evaluation (includes all testing needed to see if you qualify for surgery)
  • surgery (includes your hospital stay and fees for the medical staff)
  • after care (includes follow-up care and long-term medicines). 

Evaluation

Charges for tests and procedures that are directly for the transplant can be done at Abbott Northwestern Hospital, your clinic or another hospital or clinic. All results should be sent to your transplant coordinator at Abbott Northwestern.

Charges for before surgery tests and procedures should not be billed to you or your insurance company.

Surgery

If Medicare is paying for your transplant, it covers:

  • your hospital stay at an approved hospital
  • your medical team's charges.

You will be responsible for deductibles and any out-of-pocket costs that Medicare requires.

If your private insurance is paying for your transplant, check your policy for what services are covered. You will be responsible for deductibles and any out-of-pocket costs.

After care

After care costs include follow-up tests, clinic visits and medicines.

You will need to take anti-rejection medicines for the rest of your life. If Medicare Part B is paying for most of your bills, your anti-rejection medicines will be covered for the first 36 months after you leave the hospital. You will be responsible for deductibles and any out-of-pocket costs.

If you have private insurance, check your policy for your coverage. You will be responsible for deductibles and any out-of-pocket costs.

Most insurance plans provide a prescription drug benefit that will include coverage for immunosuppressant medicines. When you are buying an insurance plan/policy, look for one that has a prescription drug coverage benefit.

Costs not covered by insurance 

Personal expenses (such as transportation, child care, unpaid time off work, lodging and food) are not covered by Medicare or private insurance.

You will be responsible for any deductibles and any out-of-pocket costs.

Source: Allina Health Patient Education, Kidney Transplant Information for Recipients and Donors, renal_ahc_93498
Reviewed By: Allina Patient Education experts, including the Transplantation Department of Abbott Northwestern Hospital
First Published: 05/15/2009
Last Reviewed: 05/15/2009

Tips
  • If you are unsure if your test or procedure will be paid for before surgery, ask your insurance provider, social worker or financial specialist.
  • There may be some financial help for charges not covered by Medicare or private insurance. Ask your social worker or financial specialist for more information.