World-class surgery in Japan. A fraction of U.S. prices.
Arbitra Health — from the Latin arbitrium, free choice — is a medical coordination service that connects Americans with our partner hospitals and surgeons in Japan. English-speaking coordinators handle everything from your first consultation to your safe return home. You choose the care you deserve. We take care of the rest.
How much less depends on the procedure and on your case. Comparative price levels in the health sector: Japan 51, United States 152, OECD average 100 (OECD, Health at a Glance 2025, Figure 7.6). Your own price is set by the treating hospital and agreed with you before you travel.
Launch Campaign
$2.05 Million in Total Launch Rewards
Free annual fee. The first 10,000 approved members pay $0 for their first-year $199 annual fee. The $149 one-time enrollment fee still applies as usual. (Free for year one only; the $199 annual fee applies from year two.)
Travel completion gift. The first 10 members who complete travel to Japan receive up to $6,000 in total value after their trip is complete — a refund of the $149 one-time enrollment fee, a waiver of the $2,500 coordination fee, and reimbursement of actual travel costs against receipts, up to $3,351. If actual costs are lower than the cap, the difference will not be paid in cash.
Recipients are determined strictly on a first-come, first-served basis. There is no lottery or drawing.
Campaign period: October 5 – November 30, 2026, or until slots are filled, whichever comes first.
Total value: $2,050,000 (10,000 members × $199 + 10 members × $6,000).
What is Arbitra Health
A standing option for care,
before you need it
Arbitra Health is a membership: you talk through your healthcare-cost concerns before they become urgent, with treatment in Japan on the table as a real option. When you’re ready, we send your records to the partner hospitals in the relevant specialty and bring back two or more offers — you choose which one to take. Your price is confirmed before you travel.
What’s included in membership
The process
All it takes is three steps
From sign-up to recovery, and what happens after you’re home.
Apply &
screening
STEP1
Planning
Request consult
Compare 2+ quotes
Payment
STEP2
Travel
Travel & pickup
STEP3
Treatment
Treatment
Return transfer
Follow-up
after you’re home
*You can use the service from the day your application is approved. A 3-month waiting period applies after you join; it can be removed with the paid Priority Start option. Airport transfers are a free option, shared with other members, and cover only the trip between the airport and the hospital at admission and discharge. Transfers for companions are not part of the basic service (they may ride along if there is room in the vehicle; if not, please arrange your own transportation). You arrange and pay for your own flights and accommodation.
Why Arbitra Health
American healthcare costs too much.
Japanese healthcare is among the world’s best — and few Americans know it.
The price gap
1/3
Healthcare prices in Japan are about one-third of U.S. levels (Japan 51, U.S. 152, OECD average 100, 2023 data). The yen has weakened further against the dollar since then.
Source: OECD, Health at a Glance 2025, Figure 7.6
Your own price is set by the treating hospital.
Look at the numbersThe quality gap
1/2
Deaths that timely and effective care could have prevented happen about half as often in Japan as in the United States.
Source: OECD, Health at a Glance 2025
See how Japan comparesThe problem
The number nobody quotes you
is the one that arrives later.
In the U.S., the bill comes after the treatment. Unexpected charges aren’t rare, and they aren’t small — this is what insured patients report.
39%
Insured adults 18–64 who received an unexpected medical bill in the past 12 months.
Kaiser Health Tracking Poll, Late Summer 2018
61%
Worry about being able to afford an unexpected medical bill — ranked above deductibles and prescription drug costs.
KFF Health Tracking Poll, May 2025
1 in 2
Could not pay an unexpected $500 medical bill out of pocket.
KFF Health Care Debt Survey, 2022
+54%
Rise in the average total family insurance premium, 2015 → 2025 — employer and employee contributions combined, before any unexpected bill arrives.
KFF Employer Health Benefits Survey, 2015 and 2025
Arbitra Health is built the other way around
The hospital’s price is agreed in writing before you travel. You see the number before you go.
What membership costs
Why you can trust this
A surgeon on a mission to fix healthcare —
now bringing it to America.
Arbitra Health’s CEO spent his career inside Japan’s hospital system, performing 2,500+ brain surgeries himself. He personally built and vetted the specialist network we connect you to.
How we protect youReady to get started?
You shouldn’t have to think about the cost of care every day. Start with membership, and take that question off your mind.
Available to residents of Texas, Florida, and Arizona who are 18 or older.