Quote based
Separate the covered gross base, full patient payment, non-covered amount and lines already calculated as patient payments.
Organise a Korean abdominal adhesiolysis quote into covered, full-payment and non-covered lines, then add recovery costs and subtract only confirmed insurance and tax-credit amounts.
Every provider price starts at KRW 0. Enter only line items confirmed in provider, insurer and year-end tax records.
Seek medical assessment rather than waiting for this result if severe pain or swelling occurs with inability to pass stool or gas, repeated vomiting, fever or rapid deterioration.
After confirmed insurance and incremental tax credit
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Planning range: ₩0 – ₩0
Initial provider patient cost
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Total medical cost
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Non-medical recovery cost
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Gross cash needed
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Insurance applied
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Incremental tax credit
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Service codes are name anchors only. Confirm the final code from the operative record and billing rules.
A single national average cannot describe what one patient will pay for abdominal adhesiolysis in Korea.
The estimate can change when adhesiolysis is performed alone, for intestinal obstruction, during another abdominal operation, or with possible bowel resection, conversion to open surgery or a stoma.
Even a non-covered item at the same provider can vary by date, treatment site, quantity and patient circumstances, so every provider-supplied price in this calculator starts at KRW 0.
Separate the covered gross base, full patient payment, non-covered amount and lines already calculated as patient payments.
Subtract only an insurer-confirmed payment and apply only a medical amount confirmed as tax-eligible.
Keep post-discharge medical care apart from companion care, travel, lodging and recovery income loss.
The Korea Disease Control and Prevention Agency explains that adhesions can occur after abdominal surgery or inflammation and can contribute to intestinal obstruction.
Abdominal pain or swelling, vomiting, and inability to pass gas or stool can require medical assessment, while treatment may be conservative or surgical depending on the clinical course.
Selecting a procedure scope in this tool only changes the questions shown for an existing clinical discussion; it never diagnoses adhesions or recommends an operation.
An official HIRA procedure list identifies Q2810 as intestinal adhesiolysis and Q2693 as adhesiolysis for an obstructed intestine.
The existence of those names does not prove that one code applies to a particular operation, is separately payable, or has a fixed patient price.
The provider must confirm the final service code and billing treatment from the operative record, adhesion site and severity, relation to the main operation and rules in force on the service date.
| Discussion scope | Name anchor | What to confirm in the quote |
|---|---|---|
| Standalone intestinal adhesiolysis | Q2810 | Standalone or concurrent status, approach, anaesthesia, room and materials |
| Adhesiolysis in an obstruction context | Q2693 | Emergency, imaging, night or holiday and admission patient payments |
| Possible bowel resection | Ask about Q2650 or Q2671–Q2673 context | Resection, anastomosis, pathology and stoma lines |
| Concurrent abdominal operation | Relationship between the main code and Q2810 | Avoid duplicate anaesthesia, admission, test and material charges |
Article 41 of the National Health Insurance Act includes procedures, operations and inpatient care within the benefit framework while allowing separately defined non-covered care.
Article 44 and Article 19 plus Annex 2 of the Enforcement Decree provide the patient-cost-sharing framework.
An ordinary inpatient 20% share is useful as a planning comparison, but it is not a universal discount that can be applied to every line on a hospital estimate.
Covered patient share = covered gross quote × applied rate.
Initial provider patient cost = covered patient share + full patient payment + non-covered quote + other calculated patient cost.
Total medical cost = initial provider patient cost + follow-up visits + discharge medicines and extra tests.
Non-medical cost = companion care, travel and lodging + recovery weeks × weekly income loss.
Gross cash needed = total medical cost + non-medical cost.
Net cash cost = gross cash needed - insurance applied - incremental tax credit, with a floor of KRW 0.
The low and high planning values apply the selected variation percentage around net cash cost.
They are a personal cash buffer, not a statistical confidence interval for complications or clinical outcomes.
Assume a KRW 5,000,000 covered gross quote with the ordinary inpatient 20% planning share, KRW 200,000 full patient payment, KRW 800,000 non-covered quote and KRW 100,000 in other calculated patient payments.
Add two follow-up visits at KRW 30,000 each, KRW 50,000 for discharge medicines or tests, KRW 300,000 for companion care and travel, and two recovery weeks at KRW 500,000 of income loss per week.
The confirmed insurance payment is KRW 700,000, and the amount confirmed as tax-eligible from this care is KRW 1,510,000.
| Step | KRW amount | Calculation |
|---|---|---|
| Covered patient share | 1,000,000 | 5,000,000 × 20% |
| Initial provider patient cost | 2,100,000 | 1,000,000 + 200,000 + 800,000 + 100,000 |
| Total medical cost | 2,210,000 | Initial 2,100,000 + follow-up 60,000 + discharge 50,000 |
| Gross cash needed | 3,510,000 | Medical 2,210,000 + non-medical 1,300,000 |
| Incremental tax credit | 226,500 | Confirmed eligible 1,510,000 × 15% in this example |
| Net cash cost | 2,583,500 | 3,510,000 - insurance 700,000 - credit 226,500 |
The resulting net cash cost is KRW 2,583,500, and a 10% planning variation produces a range from KRW 2,325,150 to KRW 2,841,850.
These inputs verify the formula; they are not an official fee schedule or an average surgery price.
Procedure, material and admission lines can change with the actual course and operative documentation.
Ask which additional and non-duplicated lines the estimate covers after conversion.
Confirm whether resection, anastomosis, pathology, stoma creation, teaching and post-discharge supplies are included.
Do not enter a possibility as a confirmed cost unless the provider supplies an itemised scenario estimate.
The main-operation estimate may already contain shared anaesthesia, admission, tests and materials.
Add only patient-payment lines attributable to adhesiolysis instead of combining two full calculator totals.
Confirm the product, quantity, covered or non-covered classification and whether it is already included in the quote.
The calculator does not determine clinical need, effectiveness, safety or reimbursement for any product.
Private insurance depends on policy date, wording, exclusions, deductibles and the completed claim review, so this calculator never invents a reimbursement percentage.
Enter only a payment confirmed by the insurer, and the applied amount is capped at total medical cost rather than reducing companion care, travel or income loss.
Article 59-4 of the Income Tax Act uses a 15% basic credit on eligible medical expense above 3% of gross salary, with a KRW 7,000,000 annual eligible-expense cap for an ordinary dependent group.
Article 118-5 of the Enforcement Decree excludes amounts reimbursed by indemnity medical insurance.
The calculator applies only the amount the user confirms as eligible, caps it at medical cost remaining after confirmed insurance, and displays the increase from the existing annual eligible expense rather than the entire annual credit.
No. The codes are service-name discussion anchors. The provider must confirm the actual code, reimbursement treatment and patient payment from the operative record and estimate.
No. The 20% comparison applies only to the covered gross input. Do not apply it again to food, upgraded rooms, full patient payment, non-covered care or a line already expressed as a patient payment.
The calculator makes no approach-based price assumption. Scope, conversion, materials, length of stay and patient circumstances can differ, so compare itemised estimates with matching inclusions.
Use only a payment confirmed by the insurer or claim handler. A benefit estimated from a policy percentage can differ from the completed claim decision.
No. The annual accumulation, excluded items and eligibility records are not available here. Apply a refund only after receiving an actual NHIS determination.
Do not enter a possibility as a confirmed cost. Add it only when the provider supplies an itemised patient-payment scenario covering those services.
This Korea-specific calculator was checked against the following official sources on July 30, 2026.
Rules can change, so recheck the standard in force on the estimate and service dates with the provider, NHIS and National Tax Service.
Separating covered gross, full patient payment, non-covered and other calculated patient lines prevents a second 20% multiplication and produces a clearer cash plan.
Gather the clinician-defined scope plus confirmed insurer and tax records, then enter them in the calculator above.