Pelvic organ prolapse can involve the anterior vaginal wall beside the bladder, the posterior wall beside the rectum, the uterus, or the vaginal vault after a previous operation.
Two people using the same diagnosis label can have different compartments involved, symptoms, organ-preservation goals, prior operations and provider-defined procedures.
A single web price for uterine prolapse surgery therefore cannot represent an individual Korean hospital bill.
This calculator deliberately begins every price at KRW 0.
It does not supply a national average for pessary fitting, vaginal wall repair, uterus-preserving suspension or sacral fixation.
Instead, it converts the covered gross charge, full-patient-payment lines, non-covered lines, assessment, device, follow-up and replacement amounts on your own estimate into one- and three-year planning totals.
Important boundary
The result is a cash-flow model, not a diagnosis, POP-Q stage, treatment recommendation, recurrence forecast, reimbursement decision or insurance guarantee.
Seek prompt medical assessment if protruding tissue cannot be reduced, or if you have severe pain or bleeding, inability to pass urine, fever or rapid deterioration.
Selecting a path does not rank treatments or decide which procedure you need.
It changes the checklist so that you can transcribe the plan already discussed with a clinician without omitting recurring or concurrent items.
Pessary management
A first device and fitting payment may be followed by review, cleaning, refitting or replacement costs.
Ask whether the device, fitting and teaching are one line, whether every visit has a separate consultation or test charge, and what replacement schedule is actually planned.
Anterior or posterior vaginal wall repair
Confirm whether the provider is repairing the anterior, posterior or multiple compartments and obtain the exact procedure name and code.
Anaesthesia, room, materials, catheter care, testing and concurrent incontinence surgery may sit on separate lines or inside a combined estimate.
Uterus-preserving suspension
Record the exact ligament fixation or suspension, fixation site and vaginal or laparoscopic approach.
Future pregnancy goals, uterine conditions and the scope of organ preservation require clinical discussion and cannot be inferred from a lower or higher quote.
Sacral fixation or a combined provider plan
Laparoscopic, open and robot-assisted paths can have different procedure, material and non-covered lines.
If hysterectomy or multiple compartment repairs are bundled into the same admission, identify shared charges before combining this result with another calculator.
A covered gross charge is the full amount classified as covered care before the patient-share rate is applied.
It is not the same as the amount that the patient pays at the desk.
The ordinary inpatient 20% option multiplies only that covered gross line, while the confirmed-rate option substitutes a percentage confirmed by the provider or National Health Insurance Service for the matching line.
Full-patient-payment and non-covered charges must be entered as quoted patient payments.
Initial assessments and a pessary device or fitting are also entered as patient amounts, so the calculator does not apply the selected percentage to them a second time.
This separation matters because a hospital estimate may place items that sound similar under different reimbursement classifications.
Core formulas
Initial medical cost = covered gross × patient-share rate + full payment + non-covered + assessment + initial device and fitting.
Period medical cost = initial medical cost + period follow-up cost + period replacement cost.
Period net burden = period medical cost − applied confirmed insurance + non-medical recovery cost.
Planning range = period net burden adjusted down and up by the chosen variation percentage.
Confirmed insurance is capped at the period medical cost, so it cannot create a negative medical burden.
The recovery field adds one net amount for companion care, travel, lodging or unpaid leave outside the provider bill.
The variation setting is a contingency band around your entries, not a forecast of how hospital prices will move.
Covered-care gross quote
Enter the covered total before the patient-share percentage. If you enter an already calculated copay here, the selected rate will reduce it again and understate the budget.
Full-patient-payment quote
Use the amount that the estimate identifies as 100% patient payment within the reimbursement structure. Keeping this separate from non-covered care makes the final statement easier to reconcile.
Non-covered quote
Add only the procedure, implant, robot, upgraded-room or other lines that the provider currently classifies as non-covered. Keep the item names and unit prices beside your calculation.
Initial assessment payment
Use outpatient consultation, imaging, laboratory or urodynamic testing already quoted as patient payments. Leave out any line that is already bundled into the operation total.
Initial device and fitting
Use this for a pessary, fitting and teaching paid once at the start. Place later clinic payments under follow-up and later device purchases under replacement.
Follow-up and replacement
Separate visits in year one from the annual schedule in years two and three. Enter the three-year replacement count as a cumulative total that includes year one.
The following figures are a mathematical example, not a Korean national price or a recommended treatment plan.
Assume a covered gross quote of KRW 5,000,000 with the ordinary inpatient 20% planning share, KRW 300,000 full patient payment, KRW 700,000 non-covered and KRW 100,000 assessment payment.
Follow-up costs KRW 80,000 per visit with four visits in year one and two visits per year afterward.
A user-defined replacement costs KRW 150,000, occurs once in year one and three times cumulatively over three years.
Confirmed insurance is KRW 500,000 in year one and KRW 300,000 in years two and three combined, while non-medical recovery is KRW 400,000 and the planning variation is 10%.
Illustrative pelvic organ prolapse cost calculation in Korean won| Cost layer | Year 1 | 3 years | Interpretation |
|---|
| Initial medical cost | KRW 2,100,000 | KRW 2,100,000 | Covered copay plus initial patient lines |
| Follow-up and replacement | KRW 470,000 | KRW 1,090,000 | Entered visits and cumulative replacements |
| Net burden after insurance | KRW 2,470,000 | KRW 2,790,000 | Includes KRW 400,000 recovery cost |
| 10% planning range | KRW 2,223,000–2,717,000 | KRW 2,511,000–3,069,000 | Contingency around entered amounts |
The upfront cash need is KRW 2,500,000 because it combines the KRW 2,100,000 initial medical cost and KRW 400,000 recovery cost before a later insurance payment.
The monthly averages are approximately KRW 205,833 over one year and KRW 77,500 over three years.
The KRW 1,090,000 three-year recurring total is only the schedule entered by the user and does not predict that a device must be replaced three times.
Article 41 of the National Health Insurance Act places consultation, examination, treatment materials, procedures, surgery and inpatient care within the benefit framework while allowing separately defined non-covered items.
Article 44 and Article 19 with Annex 2 of the Enforcement Decree govern patient cost sharing.
The NHIS patient-share guide describes an ordinary inpatient patient share of 20% for covered care and 50% for inpatient meals, while outpatient and other categories follow their own rules.
The 20% option in this calculator is therefore a narrow planning preset for the covered gross inpatient line, not a universal discount for the entire estimate.
It does not calculate meal charges, outpatient tiers, selective benefits, upgraded rooms, full-patient-payment lines or non-covered care.
If the provider or NHIS has confirmed a different patient share for the exact line, use confirmed mode instead.
Article 45 of the Medical Service Act requires providers to disclose non-covered prices.
HIRA’s 2026 non-covered price disclosure FAQ also notes that the same non-covered item at the same provider can vary according to factors such as treatment site or time.
That is why a live itemised provider estimate takes priority over an online average and why every editable price begins at zero.
Mesh and other treatment materials are never auto-classified
Reimbursement can depend on the exact product, insurance code, quantity, documented symptoms and POP-Q findings, procedure record, service date and any separate-payment rule under a case-payment system.
HIRA notices and published review cases are useful sources for questions, but they are not an individual approval decision.
Ask the provider to identify each product, code, quantity, classification and patient amount, then place that confirmed amount in the matching input.
- Select the discussed path
Choose pessary, vaginal wall repair, uterus-preserving suspension, sacral fixation or a combined provider plan - Record the clinical quote context
Match the anterior, posterior, apical or multiple compartment and the outpatient, vaginal, laparoscopic, open or robot-assisted approach - Separate reimbursement categories
Apply the confirmed patient share only to covered gross and enter full-payment and non-covered patient amounts separately - Add the recurring schedule
Transcribe year-one visits, annual visits in years two and three, replacement price and cumulative replacement counts - Complete the cash flow
Add net recovery costs, insurer-confirmed payments and an alternative quote with the same item scope - Use the warnings as questions
Recheck concurrent surgery, mesh, outpatient rates and duplicated quote lines before relying on the result
Comparing a pessary path with an operation quote
Include fitting, visits and replacements in the pessary path and include admission, recovery and the actual follow-up schedule in the operation path so that the horizons are comparable.
Cost does not decide treatment, so symptoms, goals, risks and long-term plans still require clinician-led discussion.
Discussing uterus preservation
First align the item scope of a uterus-preserving suspension quote and a quote that includes hysterectomy.
If you consult the hysterectomy calculator, do not add anaesthesia, room, testing or procedure lines already bundled into this provider estimate.
Concurrent incontinence surgery
Prolapse and incontinence procedures performed in one admission may share anaesthesia, room and testing.
Reconcile the hospital estimate rather than adding two calculator totals that may contain the same shared charges.
Preparing cash before indemnity insurance reimbursement
Leave unconfirmed insurance at zero and enter only an amount the insurer has confirmed under your contract.
The upfront cash result preserves the medical and recovery cash needed before a later payout, while the net result shows the budget after the entered payment.
- Main compartment, documented POP-Q findings, exact procedure name, code and approach
- Scope of uterine preservation or hysterectomy and any concurrent incontinence or vaginal wall procedure
- Covered gross amount, matching patient-share rate, full-patient-payment and non-covered lines
- Whether anaesthesia, pathology, room, meals, tests, catheter care and discharge medicine are included
- Product name, insurance code, quantity, coverage and separate-payment status for mesh or another material
- Pessary device, fitting, cleaning, refitting, replacement price and planned review schedule
- Year-one and later consultation or test schedule with patient payment per event
- Possible costs outside the estimate if the plan changes, admission extends or additional treatment is required
Is the result an actual Korean prolapse surgery price?+
No. It is a budget assembled from your entered provider estimate, recurring schedule and confirmed insurance. The final bill depends on services actually performed and reimbursement review.
Can I put the expected copay in the covered gross field?+
The covered gross field expects the covered total before the patient-share rate. If the provider supplied only a patient amount, request its classification instead of forcing it into the wrong field.
Does the 20% preset apply to the whole hospital bill?+
No. It applies only to the ordinary inpatient covered gross line. Meals, outpatient tiers, selective benefits, upgraded rooms, full-patient-payment and non-covered lines require their actual patient amounts.
Should a pessary also use the 20% rate?+
The calculator does not determine pessary coverage or an outpatient rate. Use the outpatient patient share confirmed by the provider or NHIS, or enter an already quoted patient amount in the appropriate field.
Does choosing robot assistance or mesh make the item non-covered?+
No. An approach or material name alone does not establish reimbursement. Confirm the current estimate, product and insurance codes, service date and classification, then enter the matching line.
Can this calculator include a concurrent hysterectomy?+
You can transcribe a provider quote that includes it, but avoid adding the same lines again from another calculator. The primary scope here is pessary and uterus-preserving or compartment-repair planning.
Can I enter an estimated insurance payout?+
Use only an amount confirmed by the insurer whenever possible. The calculator caps it at medical cost but cannot assess exclusions, deductibles, limits, documents or the claims decision.
What does the three-year replacement count mean?+
It is the cumulative count over 36 months, including year one. If it is entered below the year-one count, the pure calculation normalises it upward so the period totals cannot reverse.
The legal basis was checked on July 28, 2026 against the current National Health Insurance Act, its Enforcement Decree and the Medical Service Act in the Korean Law Information Center.
The current histories used by the implementation are MST 276651 for the Act, effective January 2, 2026, MST 283469 for the Enforcement Decree, effective February 19, 2026, and MST 285327 for the Medical Service Act, effective April 7, 2026.
The patient-share explanation uses NHIS guidance, while the non-covered and material questions use HIRA publications dated February 2, 2026 and March 16, 2026.
A later notice, product-code change or service-date rule can supersede this page, so the provider and NHIS confirmation for the actual treatment date always takes priority.
Separate covered gross, full-patient-payment and non-covered lines, then add the follow-up and replacement schedule confirmed for your path.
Review the cash need, net burden and consultation prompts together before comparing providers or care paths.
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