South Korea Endometrial Polyp Hysteroscopy Cost Calculator

Plan diagnostic hysteroscopy, standard polypectomy or powered-morcellator treatment from an itemised Korean hospital quote, including recovery cash flow, confirmed support and the medical-expense tax credit.

Build a budget from an itemised Korean hospital quote

Every hospital-price field starts at zero. E7710, R4241 and R4242 are classification anchors, not national prices.

1. Select the plan written on your estimate

The choice changes consultation prompts only. It never inserts a price or multiplies the bill.

count

Recorded for your consultation checklist only; it does not multiply any quote.

Confirm whether its fee, recovery monitoring and medicines are included.

2. Separate the hospital quote by benefit class

Do not place one amount in more than one field. Use the benefit labels on the provider estimate or statement.

These are planning shares under the current NHIS Enforcement Decree. Case-specific exceptions can differ.

KRW

The calculator applies the selected 20% planning share.

KRW

Only enter the amount the hospital classifies under R4242 selective benefit. The fixed patient share is 80%.

KRW

Keep this outside both ordinary and selective-benefit percentage calculations.

KRW

Examples may include provider-specific room, materials or service lines; use the actual classification.

KRW

Include result review, medicines or follow-up only when they are outside the initial quote.

3. Add comparison and recovery cash flow

Recovery and income interruption affect cash flow but are excluded from the medical-expense tax-credit input.

KRW

Optional: enter a separate E7710-only patient estimate to compare with the selected whole plan.

KRW
days
KRW
4. Enter confirmed support and tax context

Enter only reimbursement or support already confirmed for this case. The tax figure is an incremental planning estimate, not a refund promise.

KRW

Applied up to this plan's medical out-of-pocket amount before tax estimation.

KRW
KRW

The medical-expense credit threshold is planned at 3% of gross salary.

KRW

Use eligible expenses before this procedure and after applicable reimbursements.

Eligibility and family allocation require year-end tax review.

%

Applied symmetrically to the estimated final burden; it is not a confidence interval.

Related calculators

Why an endometrial-polyp hysteroscopy needs an itemised cost plan

An endometrial polyp is a localised projection of tissue from the inner lining of the uterus.
It may be found during an investigation of abnormal uterine bleeding, infertility care or imaging performed for another reason, but the finding does not make every person's next step the same.
Observation, diagnostic hysteroscopy and hysteroscopic removal are clinical choices that require an individual discussion.

A Korean hysteroscopy bill is not determined by one procedure name.
It can combine the examination or removal procedure, ordinary covered care, an 80% selective-benefit line for a powered morcellator, full-patient-payment and non-covered services, anaesthesia, recovery monitoring, pathology and follow-up under different classifications.
A same-day visit may also create travel, companion-care and income-interruption costs that never appear on the hospital statement.

This calculator starts every editable hospital price at zero instead of presenting an invented national average.
You transcribe the provider's itemised quote into separate benefit buckets, add household cash-flow assumptions and deduct only support already confirmed for your case.
The result is a traceable budget, not a diagnosis, treatment recommendation, benefit decision or price guarantee.

Symptoms come before budgeting

Seek prompt medical assessment for very heavy bleeding, fainting, severe or rapidly worsening pain, fever, breathing difficulty, or possible pregnancy with pain or bleeding.
The Korea Disease Control and Prevention Agency identifies intrauterine polyps among organic causes considered in abnormal uterine bleeding, but only a clinician can assess the cause and urgency of an individual symptom pattern.
Do not delay care to finish a cost comparison.

The 2026 HIRA code anchors: E7710, R4241 and R4242

The Health Insurance Review and Assessment Service KDRG Classification Book Version 4.7i, publication registration G000EV3-2025-174, places hysteroscopic procedures in group N13.
Within that group, E7710 identifies diagnostic hysteroscopy, R4241 identifies hysteroscopic endometrial-polyp removal and R4242 identifies the procedure using a powered morcellator.
The same HIRA material lists pathology anchors including C8572, C8574 and C8575, which can help you ask how collected tissue and result review are quoted.
These codes improve the hospital conversation, but none is a complete national price for the visit.

Endometrial-polyp hysteroscopy code and quote comparison
Planning contextCode anchorQuestions for the quoteRate treatment
Diagnostic hysteroscopyE7710 · N13Observation only or tissue collection, anaesthesia, recovery and pathology inclusionOrdinary classification as quoted
Standard polypectomyR4241 · N13Removal, anaesthesia, monitoring, pathology and later consultation inclusionOrdinary classification as quoted
Powered-morcellator polypectomyR4242 · N13Which gross amount is specifically classified as the R4242 selective-benefit line80% patient share on that line

R4242 at 80% does not mean 80% of the whole hospital bill

The current selective-benefit administrative rule is Ministry of Health and Welfare Notice No. 2026-135, rule sequence 2100000281450, effective July 1, 2026.
It identifies the powered-morcellator use under R4242 with an 80% patient share.
The calculator applies 80% only to the gross amount entered in the dedicated R4242 selective-benefit field.
It does not convert ordinary covered, full-patient-payment or non-covered lines to 80%.

How ordinary covered-care planning shares are separated

Article 19 and Annex 2 of the current National Health Insurance Act Enforcement Decree provide the ordinary planning structure used here.
The verified law record is law ID 002813, MST 283469, effective February 19, 2026, and the relevant Annex 2 identifier is 17976571.
For a simple quote comparison, the calculator offers 20% for ordinary inpatient covered care and outpatient planning shares of 30% at a clinic, 40% at a hospital, 50% at a general hospital and 60% at a tertiary hospital.
These are not promises about the classification of a particular visit.

Ordinary inpatient

20%

Apply only to the ordinary covered gross amount entered from the itemised quote.

Clinic outpatient

30%

Use when the ordinary line is actually billed in this outpatient provider category.

Hospital outpatient

40%

Keep R4242, full-patient-payment and non-covered amounts in their separate fields.

General-hospital outpatient

50%

Confirm the institution type and billing setting shown on the estimate.

Tertiary-hospital outpatient

60%

Do not infer the category from the procedure being brief or same-day.

Confirmed custom rate

0–100%

Use only a case-specific ordinary rate confirmed by the provider or NHIS.

Patient eligibility, special-case rules, meals, room differences, medicine, materials and other separately rated items may use different treatment.
Select the ordinary rate only after identifying the matching gross covered line, then enter all exceptional lines separately.

The calculation model and why each quote bucket matters

Medical patient payment

Ordinary copay = ordinary covered gross charge × selected ordinary rate

R4242 payment = R4242 selective-benefit gross charge × 80%

Hospital payment = ordinary copay + R4242 payment + full-patient-payment line + non-covered line

Medical out-of-pocket = hospital payment + later medical cost

Final cash budget

Income interruption = leave days × income loss per day

Gross cash need = medical out-of-pocket + travel and companion cost + income interruption

Final burden = gross cash need − applied medical reimbursement − incremental tax credit − applied other support

Planning range = final burden ± variation reserve

No line should be entered twice

If the provider gives a total and an itemised breakdown, use the classified components rather than copying the same total into several fields.
An R4242 amount belongs in the selective-benefit gross field only when the provider identifies it that way.
A full-patient-payment amount is already the patient's amount and must not be multiplied by the ordinary or 80% rates.
A non-covered amount also remains a direct patient amount unless the hospital reissues the classification.

Worked example: a KRW 805,000 final burden

This fictional audit vector demonstrates the formulas and is not a Korean average price.
It assumes an ordinary inpatient gross covered line of KRW 1,000,000, an R4242 selective-benefit gross line of KRW 500,000, a KRW 100,000 full-patient-payment line and a KRW 200,000 non-covered line.
Later medical care is KRW 100,000, travel and companion cost is KRW 50,000, and two leave days at KRW 100,000 create KRW 200,000 of income interruption.

Worked calculation producing a KRW 805,000 final burden
StepCalculationResult
Ordinary covered patient shareKRW 1,000,000 × 20%KRW 200,000
R4242 selective-benefit paymentKRW 500,000 × 80%KRW 400,000
Hospital patient payment200,000 + 400,000 + 100,000 + 200,000KRW 900,000
Medical out-of-pocket900,000 + 100,000 follow-upKRW 1,000,000
Non-medical recovery cost50,000 + two days × 100,000KRW 250,000
Incremental tax-credit estimate3% salary threshold and prior expense appliedKRW 45,000
Final burden1,250,000 − 300,000 reimbursement − 45,000 tax − 100,000 supportKRW 805,000
10% planning range805,000 ± 80,500KRW 724,500–885,500

The same example uses KRW 350,000 as a separate diagnostic-only patient estimate, so the current medical plan is KRW 650,000 higher before recovery and support.
That comparison does not add another expense to the total.
It is simply a decision-discussion aid for reading two provider estimates side by side.

Step-by-step use without hidden multipliers

  1. Choose the plan shown on the estimate.Select E7710 diagnostic hysteroscopy, R4241 standard polypectomy or R4242 powered-morcellator treatment as a consultation context.
  2. Record context without treating it as a price formula.Polyp count, anaesthesia, planned pathology and a near-term fertility-treatment schedule change the questions you should ask, but the calculator never multiplies or invents a quote from them.
  3. Select the actual ordinary billing setting.A short or same-day procedure is not automatically outpatient care, so use the provider's estimate and receipt classification.
  4. Split the provider quote into four benefit buckets.Enter ordinary covered gross, R4242 selective-benefit gross, full-patient-payment and non-covered amounts in their matching fields exactly once.
  5. Add costs outside the first hospital payment.Record later medical care, travel and companion cash cost, and only the income you realistically expect to lose.
  6. Deduct confirmed support only.Keep uncertain indemnity-insurance or employer payments at zero until the payer confirms an amount and conditions.
  7. Audit the breakdown before relying on the final range.Check the ordinary percentage, R4242 80% line, reimbursement cap, tax threshold and every zero-price assumption.

What to confirm with the hospital

Diagnostic versus treatment scope

Ask whether the visit is observation-only E7710, includes tissue collection, or is expected to include same-session R4241 or R4242 removal.

Anaesthesia and recovery

Confirm sedation or general-anaesthesia fees, pre-procedure tests, medicines, monitoring and recovery-room charges.

Pathology and result review

Ask whether tissue examination, C8572/C8574/C8575-type billing, result consultation and possible further testing are included.

R4242 separation

Request the exact gross amount classified under the 80% powered-morcellator selective benefit and keep other lines outside it.

Same-day or inpatient classification

Confirm whether the provider will bill inpatient or outpatient care and whether meals, room choices or companion services are separate.

Follow-up timetable

Confirm expected bleeding instructions, result timing, follow-up consultation and who to contact for worsening symptoms.

Multiple polyps still require one whole-plan quote

The number of polyps can matter clinically and can affect the planned work, but it does not establish a lawful price multiplier.
Same-session billing, included services and whether every visible polyp is planned for removal require provider confirmation.
Enter the hospital's combined whole-plan estimate once rather than multiplying one remembered price by the count.

Insurance reimbursement and the Korean medical-expense tax credit

Do not let the calculator invent an indemnity-insurance payment

Reimbursement depends on the policy generation, purchase date, exclusions, benefit classification, documents and contract limits.
This planner therefore accepts only a confirmed medical reimbursement amount and caps it at medical out-of-pocket.
A separate confirmed fixed-support field is deducted later and is also capped so the budget cannot become negative.
Ask the insurer which itemised lines and documents it will assess rather than assuming that covered, selective-benefit or non-covered automatically means payable or excluded.

Incremental Article 59-4 estimate

Income Tax Act Article 59-4 under MST 280405, effective January 1, 2026 for the current article, supports the planning formula used here.
The eligible base generally begins with medical expense above 3% of annual gross salary and the base credit rate is 15%.
The ordinary-dependent category has a KRW 7,000,000 eligible-base cap, while listed taxpayer and other qualifying categories do not use that ordinary cap.
The calculator compares the credit before and after this plan so it reports only the estimated increase attributable to the entered medical spending after reimbursement.

Tax formula boundaries

  • Travel, companion care and income interruption remain outside the medical-expense tax base.
  • Confirmed medical reimbursement is removed before the current eligible medical amount is tested.
  • The calculator does not model final tax payable, household allocation, evidence rejection or another special deduction.
  • A displayed credit is not an immediate hospital discount or a guaranteed cash refund.

Fertility-treatment scheduling is a coordination prompt, not an outcome prediction

An endometrial polyp may be found during infertility assessment, but a cost calculator cannot predict whether removal will change pregnancy probability or which procedure date is clinically best.
Polyp location, size and number, symptoms, uterine findings, other fertility factors and the planned treatment cycle all matter.
Pathology timing and recovery instructions can also affect when the next clinical decision is made.

If treatment is planned within 30 days

  • Ask the gynaecology team when pathology results are expected.
  • Ask the fertility team which results or recovery milestones it needs before proceeding.
  • Confirm who coordinates medicines, bleeding instructions and the next appointment.

What the result cannot establish

  • Whether a polyp should be removed or observed.
  • Whether standard or powered-morcellator removal is more appropriate.
  • Pregnancy, implantation or fertility-treatment success probability.
  • A safe return-to-treatment date or an individual recovery duration.

Frequently asked questions

Is an endometrial polyp the same as endometriosis?

No. An endometrial polyp is a local projection of the uterine lining, while endometriosis involves endometrium-like tissue outside the uterus. This page covers hysteroscopy and polyp-removal cost planning only.

Does several polyps mean multiplying the surgery price?

No. Same-session billing and included services do not follow a simple count multiplier. Record the count as a consultation reminder and enter one provider-issued whole-plan quote.

Is the whole hospital bill charged at 80% when a powered morcellator is used?

No. The fixed 80% applies only to the gross line that the hospital classifies under the R4242 powered-morcellator selective benefit. Ordinary covered, full-patient-payment and non-covered lines keep their own treatment.

Should a same-day procedure use an outpatient rate?

Not automatically. Use the inpatient or outpatient classification on the provider estimate or statement. If a different ordinary rate is confirmed, use the custom field.

Does the calculator automatically add pathology?

No. The pathology checkbox creates a consultation reminder but never inserts a fee. Enter the hospital-classified pathology amount in the appropriate quote bucket if it is not already included.

Can this estimate what indemnity insurance will pay?

No. Enter only a reimbursement amount confirmed by the insurer for this case. Policy generation, exclusions, documents and contract limits can change the result.

Does removal improve the chance of pregnancy?

This calculator cannot answer that question or monetise a fertility effect. Discuss the individual finding and treatment schedule with the gynaecology and fertility teams.

Why is the tax estimate sometimes zero?

Eligible expense must first exceed 3% of gross salary after relevant reimbursements. Earlier eligible expense, tax category, the ordinary-dependent cap and final tax payable also matter.

Official sources and update basis

  • HIRA KDRG Classification Book Version 4.7i, publication registration G000EV3-2025-174, confirming N13 and E7710, R4241 and R4242.
    Open the official HIRA PDF
  • National Health Insurance Act Enforcement Decree Article 19 and Annex 2, law ID 002813, MST 283469, Annex identifier 17976571, effective February 19, 2026.
    Open the current law record
  • Selective Benefit Designation and Implementation Standards, administrative-rule ID 43592, sequence 2100000281450, Ministry of Health and Welfare Notice No. 2026-135, effective July 1, 2026.
    Open the current administrative rule
  • Income Tax Act Article 59-4, law ID 001565 and MST 280405, with the current article effective January 1, 2026.
    Open the current tax-law article
  • Korea Disease Control and Prevention Agency health information on abnormal uterine bleeding and intrauterine polyps as an organic cause.
    Open the official KDCA information

These sources were last checked on July 26, 2026.
Reconfirm the provider quote and current NHIS, HIRA, insurer and tax guidance when a rate, code, classification or effective date changes.

Turn the itemised quote into a question-ready budget

Separating ordinary covered care, the R4242 80% selective-benefit line, full-patient-payment and non-covered charges is more useful than relying on one remembered average.
Use the breakdown as a checklist for the hospital and insurer, then leave diagnosis, treatment choice, benefit determination and tax filing to the appropriate professionals.