As we prepare to open His Choice Charlotte, we decided to do something simple.
We picked up the phone.
Not as physicians. Not as business owners. But as a patient.
What followed confirmed exactly why Charlotte needs a better option.
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The Call
I contacted one of the largest and most prominent healthcare systems in the Charlotte area to inquire about a vasectomy.
I was placed on hold for over 23 minutes before speaking to a live agent.
Twenty-three minutes — just to ask how to schedule a straightforward outpatient procedure.
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Step 1: You Need a Referral
Once I reached someone, I learned that this major healthcare system requires a referral from a primary care provider before scheduling a vasectomy.
Let’s be clear:
A vasectomy is a safe, elective, outpatient procedure. It does not medically require primary care “clearance” in most healthy men.
Yet the process begins with:
· Scheduling a primary care appointment
· Waiting for that appointment
· Requesting a referral
· Waiting for that referral to process
Only then can you proceed.
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Step 2: The Wait to Be Seen
After the referral is submitted?
You wait 2–3 weeks just to be scheduled for a consultation appointment.
That consultation:
· Must be done in person
· Typically books 1–2 months out
So now we are already several months into the process — and no procedure has even been scheduled.
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Step 3: The Surgery Date
After completing the in-person consultation, the surgery date is scheduled.
Depending on the provider’s availability, the vasectomy may be booked 2–3 months later.
Total timeline from first phone call to procedure:
Up to six months.
For a 20-minute outpatient procedure.
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Then We Asked the Price
I specifically requested a cash-pay price.
I was transferred to a billing specialist.
The quoted fee:
Over $23,000.
They kindly offered a 50% cash-pay discount.
Effective price: approximately $11,000.
For a vasectomy.
Now Let’s Compare That to His Choice Charlotte
Access
· No referral required
· No mandatory consultation appointment
· Streamlined scheduling with everything on line – no annoying phone calls, holding, AI answering bots
· Openings every Friday
Provider Experience
Procedures are performed by:
Charles Monteith or one of our other experienced His Choice Health physicians
· Over 10,000 vasectomy procedures performed at His Choice Health centers
· Expert in minimally invasive technique
· Our clinics focused exclusively on men’s reproductive health
Efficiency
· Single visit model
· Minimally invasive technique
· Designed to reduce anxiety and downtime
Transparent Pricing Single cash price
No referrals. No billing maze. No surprise invoices.
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Why This Matters
Vasectomy is one of the safest, most effective forms of permanent contraception available.
It should not require:
· Multiple gatekeepers
· Months of waiting
· Or five-figure pricing
Charlotte deserves a model that respects:
· Your time
· Your autonomy
· Your intelligence
· Your budget
________
Can You Use Your Health Insurance at His Choice Charlotte?
Yes — but here’s how it works. At His Choice Charlotte, we operate on a simple, transparent upfront cash-pay model. That means you pay us directly on the day of service — no surprise bills, no confusing facility fees, no separate anesthesia invoices weeks later.
However, that does not mean you can’t use your insurance.
Here’s What We Do
After your procedure, we provide:
· A detailed superbill
· Proper CPT and ICD-10 coding
· Provider information and credentials
· Receipt documentation
· Any additional paperwork typically required for out-of-network reimbursement
You simply submit this documentation to your insurance carrier for potential reimbursement, depending on your plan’s out-of-network benefits.
Many patients are pleasantly surprised to receive partial reimbursement — especially if they have PPO plans.
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We built this clinic because men deserve:
· Direct access
· Clear information
· Transparent pricing
· Experienced providers
· A process designed around patients — not systems
If you’re considering a vasectomy in Charlotte, the choice should be simple.
And now, it is.
