Paulina Noreikaite, DO

Transparent Pricing

Straightforward fees. No surprises. No prior authorizations.
Just care.

Philosophy

Why out of network

To deliver gynecologic care the way it should be — comprehensive, unhurried, and dignity-centered — I practice outside of insurance contracts.

In a traditional, insurance-based practice, the appointment time is allotted for patient evaluation, setting up a management plan, documentation, billing, and insurance administrative tasks. At PelvicProtocol, I've cut out the middleman. Your appointment time is yours alone — for evaluation and working together to decide on a plan of care.

How Pricing Works

What you will — and won't — see on your bill

In-office visits and procedures are priced as listed. All-inclusive. No facility fees, no anesthesia, no unforeseen charges.

Surgical procedures performed under anesthesia at a surgical center or hospital involve a three-part cost structure. This model is designed to make surgery more financially accessible to patients with insurance.

01 Surgeon Fee

Flat fee. As listed. Paid directly to PelvicProtocol. Never submitted to insurance.

02 Facility Fee

Set by the surgical center or hospital. May be submitted through your insurance.

03 Anesthesia Fee

Either bundled with the facility fee or separately submittable through your insurance, depending on the institution.

PelvicProtocol does not handle facility or anesthesia billing — this is managed entirely by the surgical institution.  ·  Facility partnerships are actively being finalized. Surgical center and hospital locations will be provided in the coming months.

Fee Schedule

Current fees

All surgeon fees are listed below. A detailed superbill is available upon request for potential out-of-network insurance reimbursement. All services are HSA and FSA eligible with proper documentation.

New Patient Consultation Comprehensive evaluation, diagnosis, and care pathway discussion
$400
Established Patient Visit Return visit for ongoing or new concern
$250
Results Review Optional in-person review of pathology or imaging
$150
Preoperative Visit Scheduled after surgery is confirmed
Included in surgical fee
Postoperative Visit Follow-up after surgery
Included in surgical fee

All in-office procedure fees are all-inclusive — supplies, pathology, and concierge experience included. No additional charges.

Colposcopy with Biopsy Includes endocervical curettage (ECC) and pathology for all specimens
$550
Endometrial Biopsy Includes pathology
$400
Vulvar / Labial Biopsy Includes local anesthesia and pathology
$400
IUD Insertion Cost of IUD not included — device must be obtained separately via pharmacy or insurance
$350
IUD Removal Includes instruments for complex removal when required
$250
Pap Smear ThinPrep cytology — includes pathology
$175

Surgeon fee only. Facility and anesthesia billed separately by the surgical institution. Preoperative and postoperative visits included in all surgical fees.

Hysteroscopy

Diagnostic Hysteroscopy / Biopsy
$2,000
Hysteroscopic Polypectomy
$2,500
Hysteroscopic Myomectomy
$3,000
Endometrial Ablation Includes endometrial biopsy at time of procedure
$3,000

LEEP

LEEP Loop electrosurgical excision procedure
$1,000

Endometriosis Excision

Stage Unknown Priced to reflect potential complexity; stage confirmed at time of surgery
$4,500
Known Stage 1–2
$3,500
Known Stage 3–4
$5,500

Diaphragmatic, bowel, and extensive bladder endometriosis require multidisciplinary coordination and are not included in these fees. If identified at consultation, a specialized surgical plan will be discussed.

Robotic Hysterectomy — Benign Indication

Uterus <250g Includes cystoscopy and bilateral salpingectomy
$4,500
Uterus ≥250g Includes cystoscopy and bilateral salpingectomy
$5,500
Hysterectomy + Endometriosis Excision Uterus <250g and Stage 1–2
$6,000
Hysterectomy + Endometriosis Excision Uterus ≥250g or Stage 3–4
$7,500
Oophorectomy — Added to Hysterectomy Add-on fee when clinically indicated
$1,000

Robotic-Assisted Laparoscopic Myomectomy

1–3 Fibroids, All <6cm
$3,500
1–3 Fibroids, Any ≥6cm Requires hand morcellation
$4,500
4+ Fibroids
$5,000

Fibroid size and number confirmed by preoperative MRI.

Ovarian Cystectomy & Adnexal Surgery

1 Cyst <6cm
$2,500
1 Cyst ≥6cm
$3,500
2 Cysts, All <6cm
$3,500
2 Cysts, Any ≥6cm
$4,500
3+ Cysts Quoted individually at consultation

Salpingectomy & Oophorectomy

Bilateral Salpingectomy — Standalone Sterilization or risk reduction; robotic laparoscopic approach
$2,500
Bilateral Salpingo-Oophorectomy — Standalone Robotic laparoscopic approach
$3,500

Surgeon fee only. Facility and anesthesia billed separately. Consultation and postoperative visit included.

Labiaplasty
$3,500
Perineoplasty
$3,000
Labiaplasty + Perineoplasty Combined procedure — bundled pricing
$5,500
Cesarean Scar Revision
$2,500
Practical Details

What to expect

Payment

Payment is due in full at the time of service. A credit card is required on file at scheduling. Surgical fees are due 14 days prior to the procedure date.

HSA & FSA

All services are HSA and FSA eligible with proper documentation. A detailed superbill is available upon request after any visit or procedure.

Out-of-Network Reimbursement

A superbill is available upon request and may be submitted to your insurance for potential out-of-network reimbursement. PelvicProtocol does not handle this submission directly.

Cancellation

Cancellations with less than 24 hours notice are charged 50% of the scheduled fee. No-shows are charged 100%. Surgical cancellations within 14 days forfeit the surgical fee. Full Cancellation Policy →