I just checked on my insurance co's website, and saw where my surgeon filed a claim for $92.166 ,it hasn't been paid yet, so I don't know what my part will be, but IS THIS NORMAL! I expected it to be expensive, but I wasn't planning to put one of his kids through college. Have mercy, how do poor people do this
I just had a one level fusion with four pedicle screws and two rods w/BMP. My hospital bill was 42,642.and change and my seurgeons was 21,000 something. I thought that was crazy expensive. We ought to be their favorite customers.
[QUOTE=Valley] I just checked on my insurance co's website, and saw where my surgeon filed a claim for $92.166 ,it hasn't been paid yet, so I don't know what my part will be, but IS THIS NORMAL! I expected it to be expensive, but I wasn't planning to put one of his kids through college. Have mercy, how do poor people do this [/QUOTE]
It is shocking, isn't it? All surgeries are terribly high today, and that's where our insurance saves us a lot of times. If your doctor and the hospital are preferred providers with your company, there will be a significant reduction in that figure as they have agreed to accept whatever is standard for that carrier. They will not get anywhere near the billed amount. Example: My surgery this past Dec for a 10 level fusion was $176,900 for the hospital and the BMP. The BMP was $120,000 alone for that many levels. They got only about 1/3 of that amount and were fully paid. The surgeon's bill was more than that, but then I was in surgery 12 1/2 hours. He too accepted what my carrier paid and it was way less than 1/2 what was billed. Same applied to each of the anethesologists and labs and assistannts involved in the surgery, and the guy and equipment brought in to monitor my spinal cord.
I had expected that based on previous spine surgeries this one would be billed at close to a quarter of a million and it passed it by a mile. Glad I had good coverage and glad that it didn't actually cost what was billed. That's how we poor people afford it. When people have no insurance those with insurance are helping pay for care of others and those who use non-preferred providers with their insurance help foot the bill even more. Seeing these bills should be enough to frighten me well, don't you think?
We did this post a while back, you may look and see.
Here was mine.
99,000 for the hospital
45,000 for my surgeon
28,000 for the vascular surgeon ( who I never saw while awake)
Then came Radiology, and pathology and every other ogy......
came close to 200,000 after the MRI's , Discogram, Injections, X-Rays etc.
Mine was a one level fusion with BMP and titanium rods,screws, cages, and maybe a monkey or two. LOL ( something to put in the cage... right?)
Anyway. Yours is pretty much par for the course. So close the envelope and take a deep breath. I thought if the insurance company called one more time to ask if this was a car wreck or a work injury I was going to SCREAM!
I don't have all of mine in yet, but Thank God I have 2 insurance's who together cover 100%. But I did see the Hospital Bill with nothing else and it was $80,000.
I only had a 1 level fusion with 2 rods, 4 screws and 2 cages with BMP.
mine was well over one hundred thousand-front and back approach, two levels. I only know of one charge to anesthesiology for 4500.00, can't remember what the other docs charged etc.....all in all def way over 100,000.00 It IS crazy!
I had a laminectomy and was fused from L3-S1 with BMP. My surgeon's bill was held up by the insurance company because it was for "a lot of money". The EOB that I got was only for $17,000---I think they made him lower it---and he only got a third of that. The hospital bill was for $123,000, $33,000 of which was never billed to the insurance company? I was billed for the $33,000 but that eventually disappeared. The hospital only got a third of the $90,000. The poor people who don't have insurance have to pay full price with a surcharge to help pay for people who can't pay. It's a racket!
After looking at my online statements from my Insurance and such.... the charges with my back problems have been well over $55,900.00 because I didnt include co-pays for each office visit and such...
And I DID NOT have a fusion and only stayed in the hospital over night....I had a Discectomy/Laminectomy back on June 2, 2004..... went in the morning, had surgery stayed that day and night and went home about noon the next day.... I was looking and the charges so far for my stuff is...
Amazing isn't it? I had a 2 level fusion with 6 pedicle screw and rods with synthetic bone cages. My total bill including hospital, surgeon and such was $112,000. I was completely shocked when I saw that. It's too bad that the normal person that doesn't have insurance would have to pay that amount but because the insurance companies pay only contracted amounts it only cost them about $40,000. You would think it would be the other way around since they have so much money and the average person doesn't. Pretty sad!