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Old 03-16-2005, 12:54 PM   #1
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Valley HB User
Question $92000 for back surgery, Normal????

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

 
Old 03-16-2005, 01:03 PM   #2
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Smile Re: $92000 for back surgery, Normal????

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.

 
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Old 03-16-2005, 01:39 PM   #3
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Re: $92000 for back surgery, Normal????

[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?

 
Old 03-16-2005, 03:34 PM   #4
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myspine HB User
Re: $92000 for back surgery, Normal????

Hi there
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!
Shelley

 
Old 03-16-2005, 03:54 PM   #5
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sandollar HB User
Re: $92000 for back surgery, Normal????

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.
Stardust

 
Old 03-16-2005, 03:57 PM   #6
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jdlfmc HB User
Re: $92000 for back surgery, Normal????

I just had an out-patient SCS implanted and it was over 30,000, the cost of medical care is out-rageous.

Linda

 
Old 03-16-2005, 07:49 PM   #7
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Re: $92000 for back surgery, Normal????

HAHAHA Shelley, you just crack me up. Monkeys in your cage (giggle).

$92K for your surgery Valley? You got a deal! Did you go to SpineSugeriesRUS?. Mine was a little over 200K when it was all said and done.

 
Old 03-16-2005, 08:29 PM   #8
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mel1977 HB User
Re: $92000 for back surgery, Normal????

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!

 
Old 03-17-2005, 04:04 AM   #9
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flyonthewall HB User
Re: $92000 for back surgery, Normal????

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!
fly

 
Old 03-17-2005, 05:26 AM   #10
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Unhappy Re: $92000 for back surgery, Normal????

The surgeon's bill was for $92,166, haven't seen the hospital charge yet. And yes they are both perferred providers on my insurance. So, I know that he won't get that much. Valley

 
Old 03-17-2005, 12:06 PM   #11
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TexasWildRose04 HB User
Re: $92000 for back surgery, Normal????

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...

Surgeon - $6,275.00
Surgeon Assistant - $4500.00
Anestesiologist - $1020.00
Hospital Stay/Misc. - $8957.00

Total for Surgery and Hospital stay - $20,752.00

Testing before and after surgery :

MRI - $2300.00
MRI - $1908.00
MRI-w/contrast - $2860.00
Myelogram/CT - $3768.00
EMG/NCV - $1753.00
EACH- Epidural Steroid Injection - $5500.00 (x 3) = $16,500.00 (totally outrageous, seeing how they didn't help!!!)

Now I await my breast reduction surgery on March 30th which can be added to my total.... I am very very excited about this surgery though... Hopefully will help some of my other problems...

Just amazing the difference in how much things cost...

Good Luck to ya all!!

 
Old 03-18-2005, 06:38 AM   #12
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ktboxler HB User
Re: $92000 for back surgery, Normal????

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!
__________________
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Laminectomy L4-5

 
Old 03-18-2005, 02:17 PM   #13
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dckatz2001 HB User
Re: $92000 for back surgery, Normal????

I had a two-level fusion in January and the bill so far has come to about $250,000.

 
Old 03-18-2005, 02:36 PM   #14
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carol632 HB User
Re: $92000 for back surgery, Normal????

I can't believe these charges! My God, it is worse than outrageous, it is obscene. Pardon me, I need to use the bathroom before I throw up in my own lap.

Carol
__________________
2 lami's, 3 fusions
bone spur removal
cerv. fusion, 1 level
morphine pump

 
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