Now Accepting Registrations · Full Launch in 3 Months

One surgery shouldn't mean
a lifetime of debt.

The surgery your doctor recommended. Top specialists. 50–80% less — with your cost confirmed in writing before you fly.

Register free, early registrants get exclusive offers Be first in line when we launch. Early registrants may qualify for exclusive offers available only during this period.
Secure My Early Spot →
No commitment required Free registration Exclusive early-registrant offers
Procedure Savings — US vs Japan
Knee replacement
US $40,000
$27,500 69% less
Hip replacement
US $35,000
$22,000 63% less
Gallbladder removal
US $25,000
$19,800 79% less
Heart bypass (CABG)
US $75,000
$42,000 56% less
Radical prostatectomy
US $35,000
$20,000 57% less
IVF (per cycle)
US $23,000
$13,000 57% less
Procedure cost only — excludes travel & logistics.  Get your all-in estimate →

Arbitra is a medical coordination service — not a healthcare provider, and nothing here is medical advice. Cost figures are illustrative, drawn from representative cases at our partner Japanese hospitals and compared with publicly available US averages. Your actual all-in price depends on your specific case and is confirmed in writing before you commit. More details.

The US Healthcare Cost Crisis

You shouldn't have to choose between
your health and your savings.

Millions of Americans are skipping treatment or draining savings because of healthcare costs. You are not alone. There is another way.

36%
Adults skipped or postponed care due to cost
More than 1 in 3 Americans delayed treatment they needed because of what it would cost — not because of the diagnosis.
Source: KFF Health Tracking Poll, 2025
47%
Adults worry they can't afford healthcare
A record 47% of US adults say they're worried about affording healthcare, higher than at any point in recent history.
Source: West Health-Gallup, 2025
1 in 3
GoFundMe campaigns fund medical bills
Americans raise ~$650 million a year through crowdfunding for medical costs. Only 12% of campaigns ever reach their goal.
Source: American Journal of Public Health
Simple. Transparent. No Red Tape.

Five steps from estimate
to treatment — in Japan.

Free Registration

Register Free|Explore Your Options

Registration is free and takes minutes. Explore procedure costs at Japan's top hospitals and connect with a coordinator. No charges apply at this stage. We'll be in touch when the service is ready.

Expert Match

Share Your Estimate. We'll Build Your Case

Upload your US diagnosis, treatment plan, or cost estimate. Your coordinator reviews the details and identifies the right Japanese specialist for your specific condition.

Fixed Price

Get a Fixed, All-In Quote
(Before You Decide Anything)

We confirm your total cost before you commit: surgery, hospital stay, English interpreter, and airport transfers. No hidden fees. No surprise bills. You decide if you proceed.

Full Concierge

Fly to Japan. We Handle Every Detail.

We arrange flights, hotel, and transfers. Your coordinator is with you through intake and discharge at a modern, internationally accredited Japanese hospital.

Aftercare

Come Home Recovered. With Money Still in Your Account.

Post-procedure documentation is sent to your US physician for continuity of care. You return home healthier — without the medical debt that derails most American families facing the same diagnosis.

The bottom line

World-class care. Fraction of the cost. Every step handled for you.

From your first consultation to your return home — no insurance company, no prior authorization, no surprise bills. Just transparent pricing and a team that works for you.

Why Japan

Spending less doesn't mean
getting less.

Japan's #1 WHO ranking reflects decades of prevention-first care and world-class hospitals — with outcomes the US system, despite costing far more, cannot match.

#1
WHO Health System Ranking: Global
Japan ranks #1 out of 191 countries in the WHO World Health Report. The US ranks #37 — despite spending more per person than any country on Earth.
Source: WHO World Health Report, 2000
80%
Japanese satisfied with healthcare quality
80% of Japanese patients are satisfied with the availability of quality healthcare vs. the OECD average of 64%. World-class care, not just lower cost.
Source: OECD Health at a Glance 2025
84.1
Years|Japan life expectancy vs 79.0 in the USA (+5 years)
Japan lives 5 years longer on average. The country that spends less than half as much per person also outlives Americans — with better health outcomes across nearly every measure.
Source: OECD Health Statistics 2025; Peterson-KFF Health System Tracker
From the medical community

What physicians
are saying.

Independent physicians on Japan's healthcare quality and the case for global care options.

Dr. Samuel Scheuller, MD

Medical Director · Principal Investigator · Delta Waves · Colorado Springs, CO

Internal medicine·Sleep medicine·Clinical research

For medically stable patients facing a planned procedure, Japan isn't just cheaper. Outcomes at high-volume specialty centers match or exceed US benchmarks, pricing is fixed before you fly, and post-procedure documentation flows back to your US physician. The care is on par or better — at a fraction of the cost. For planned procedures, Japan is a credible clinical option — not just a cost conversation.
Prof. Shigeaki Kobayashi

Prof. Shigeaki Kobayashi, MD, PhD

Honorary President, World Federation of Neurosurgical Societies
Professor Emeritus of Neurosurgery · Shinshu University, Japan

Neurosurgery·Skull base surgery·Cerebrovascular·Robotic surgery pioneer

Japan's healthcare system is built on prevention, precision, and volume. Its major medical centers consistently deliver outcomes that match the best in the world. For international patients seeking high-quality planned care, Japan is not a compromise. It is a legitimate first choice. For international patients seeking high-quality planned care, Japan is not a compromise. It is a legitimate first choice.
First Japanese recipient of the AANS International Lifetime Recognition Award  ·  Mayo Clinic Academic Achievement Award  ·  Medical Director, 1998 Nagano Winter Olympics

All credentials independently verified  ·  Independent professional perspective — not medical advice or a guarantee of clinical outcomes.

Your spot is waiting.
Launch is 3 months away.

Register free today — early registrants are first in line and may qualify for exclusive offers available only during this period.

Secure My Early Spot →
Free at this stage. No commitment. No credit card.
Japan: #1 WHO health ranking Save 50–80% on your procedure Fixed price before you fly Early-registrant offers available