A dilation and curettage (D&C) is a medical procedure used to clear tissue from the uterus, often following a miscarriage. Depending on various circumstances, the price for a D&C can range significantly, from roughly $700 up to over $15,000.

Beyond the financial aspect, miscarriage brings about deep emotional, physical, and mental effects. For example, Laine Edathikunnel learned she was pregnant around Thanksgiving and was reassured after a healthy ultrasound at nine weeks. However, two weeks later, she noticed spotting during a workout session. When her body didn't naturally pass the pregnancy tissue, she underwent a manual vacuum aspiration to complete the miscarriage.

Miscarriage is more common than many realize, occurring in around 10% of all known pregnancies. In some cases, individuals may experience long-term psychological effects, such as post-traumatic stress disorder (PTSD). Below, we'll explore both the monetary costs and emotional toll linked to miscarriage and the D&C procedure.

What Is a D&C Procedure?

A D&C involves the surgical removal of tissue lining the uterus, where pregnancy typically develops. This procedure is commonly performed after a miscarriage but can also be recommended for other reasons, such as:

  • Investigating uterine abnormalities, including cancer
  • Removing endometrial polyps
  • Treating heavy or irregular menstrual bleeding
  • Retrieving a displaced intrauterine device (IUD)
  • Performing abortion services

During a D&C, the cervix is widened (dilated) and the inner uterine lining is carefully scraped or suctioned. Patients usually receive either local or general anesthesia to minimize discomfort during the process.

What Are the Financial Costs of a D&C?

Although rarely discussed openly, the expenses associated with miscarriage can add significant stress. When a D&C is needed, the total cost—including hospital visits—can vary between $709 and $15,149 or more, depending on individual circumstances.

If You Have Insurance

For those covered by insurance, expenses typically fall between $709 and $8,170. A D&C done in the first trimester generally costs between $1,103 and $8,507. If it takes place in the second trimester, costs might be slightly lower, estimated between $998 and $7,864. Insurance specifics like deductibles, copayments, and coinsurance will determine your final out-of-pocket payment. Some Medicaid programs also assist with pregnancy-related services, including D&Cs.

Without Insurance Coverage

Without insurance, the financial burden can be much heavier. Individuals might be billed $15,149 or even more, with second-trimester procedures potentially exceeding $16,500. For those without financial support or substantial savings, these costs can be devastating.

Alternatives to D&C Following Miscarriage There are different ways to manage a miscarriage, not all of which involve surgery. Some people may naturally pass the pregnancy tissue within about two weeks, which is usually the least costly and most organic option.

Another alternative is medication that helps the body expel the tissue. Medications can be taken orally or inserted vaginally to prompt uterine contractions, helping to clear the uterus within 48 hours. While medication tends to be less expensive than a D&C, actual costs depend heavily on insurance status and medication pricing.

Emotional Healing After Miscarriage

Public conversations about miscarriage are becoming more open, largely thanks to celebrities and influencers sharing their experiences. Emotional responses can include grief, relief, guilt, or anger — all of which are perfectly valid.

Cultural misconceptions often worsen feelings of guilt or shame, suggesting that miscarriage results from personal failure or ignoring medical advice. In truth, most miscarriages are unpreventable and not the result of any action or inaction.

Seeking emotional support can be vital. Speaking with trusted friends, family members, therapists, or joining support groups such as Share Pregnancy & Infant Loss Support can help in the healing process. Consulting with a healthcare provider is also recommended if emotional or physical symptoms persist.

Final Overview

A D&C is a procedure sometimes required to complete a miscarriage by removing tissue from the uterus. It can come with significant financial implications, particularly for those without insurance. Costs can surpass $16,500 depending on where and when the miscarriage occurs.

If you experience symptoms such as bleeding or cramping during pregnancy, consulting with a healthcare provider is essential. Options like natural management or medication may also be considered. Regardless of the path chosen, remember that emotional support is key during the recovery process.