Research Conducted at Icahn School of Medicine at Mount Sinai Has Provided New Information about Rhinoplasty (Nationwide Analysis of Cost and Insurance Type Coverage for Primary Rhinoplasty): Surgery – Rhinoplasty

Insurance Daily News

2025 MAY 19 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- New research on Surgery - Rhinoplasty is the subject of a report. According to news originating from New York City, New York, by NewsRx correspondents, research stated, “Health insurance reimbursement has been changing continuously with patients being increasingly responsible for their healthcare costs. Lack of transparency for patients and providers with limited understanding of out-of-pocket expenses may produce a financial burden for patients.”

Our news journalists obtained a quote from the research from the Icahn School of Medicine at Mount Sinai, “Increased out-of-pocket expenses may delay access to care and treatment. The present study sought to evaluate nationwide insurance coverage type and out-of-pocket expenses for patients undergoing primary rhinoplasty. The Truven MarketScan Database was analyzed to identify patients who underwent primary rhinoplasty (CPT 30400, 30410 and 30420) in 2021. Total and out-of-pocket expenses paid for the surgery including deductible, co-payment, and coinsurance were assessed. Furthermore, analyses were performed to evaluate cost variation between the regions. To compare these characteristics t-test was applied, and all values were reported as mean (standard deviation). In total, 1491 patients were identified in the year 2021. The majority of patients were female (n = 844, 56%), 18-34 years old (n = 739, 50%), and were residing in South region (n = 521, 35%). Most patients were insured either through preferred provider organization plan (PPO) (n = 710, 48%), health maintenance organization (HMO) (n = 225, 15%) or high deductible health plan (HDHP) (n = 205, 14%). Out-of-pocket cost did not vary by region (p = 0.741) but varied by insurance plan type (p < 0.001) with HMO plan type being lowest and HDHP highest (mean $234 ($653) vs $936 ($1125)). For total cost expenses there was statistical significance for both region (p < 0.001) and insurance plan type (p = 0.011). The highest cost was in North Central region ($6194 ($5281)) and exclusive provider organization (EPO) coverage ($6377 ($7685)). When compared to other plans where patients may be subjected to the effects of gatekeeping and have limited access to care, majority of patients in the present study had a PPO plan and were freely able to obtain treatment from preferred or out-of-network providers. Given the difference in expenses for out-of-pocket costs between insurance plans, healthcare systems and providers should be more transparent in sharing cost information.”

According to the news editors, the research concluded: “To minimize the financial burden placed on patients, providers and policymakers should be aware of the impact of out-of-pocket expenses for patients requiring surgery.”

This research has been peer-reviewed.

For more information on this research see: Nationwide Analysis of Cost and Insurance Type Coverage for Primary Rhinoplasty. Aesthetic Plastic Surgery, 2025. Aesthetic Plastic Surgery can be contacted at: Springer, One New York Plaza, Suite 4600, New York, Ny, United States. (Springer - www.springer.com; Aesthetic Plastic Surgery - http://www.springerlink.com/content/0364-216x/)

The news correspondents report that additional information may be obtained from Peter J. Taub, Icahn School of Medicine at Mount Sinai, Division of Plastic and Reconstructive Surgery, East 98TH St, New York, NY 10029, United States. Additional authors for this research include Nargiz Seyidova, Anya Wang, Olachi Oleru, Carissa Patete and Samuel J. Lin.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s00266-025-04878-w. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.