Hi Hurtin,I have a medtronics pump but I would imagine the refill procedure is about the same. Are you paying cash for all servics or do you have any insurance. If you have ever looked at an explanation of benefits you see things the hopital asks 20 bucks for and the insurance pays 82 cents and the hospital writes off the rest. A guess a cash customer would have paid 20 bucks for that 50ml vial of demerol the insurance comapny pays 82 cents for.
I understand there are charges for supplies involved, but some aren't paid for anyway. The kit they use with the larger needle and drape and batadine swabs is completely written off under the medicare plan I have. They may ask for 900 bucks for the morphine but it didn't cost them that and only a cash customer would pay the full tab or be billed the whole tab. I'm sure they would negotiate oif your actually paying this at the time of the visit. It's a whole lot more profitable to get every penny they ask for and get it within 60 days from an insurance co.
With medicare a refill of dilauid or morphine cost me about 40 bucks for the entire itemzed break down, from rechecking the telemetry to the medication and the doc to do it.
They can pretty much charge what they want, the write off for the insurance companies have got to be tax write offs too. But they go for brok e if your paying cah which is absurd.
I just added up an actual bill for a refill and they ask for 925 bucks, medicare paid 129 and I paid 42 dolars. But as a cash customer you have to negotiate something, those numbers are just outragous.
I was panicked that my insurance wouldn't cover Baclofen when they first put it in. The billing dept was telling me it was 900 bucks. When I was talking to my pump doc at the next vist , he said not to worry, it cost them about 15 bucks for up to 500 mcg per vial, I only needed one and he would write it off, if my ins wouldn't cover it. I would assume they asked my insrance for 900 bucks and probably got 40. And people think car salemen are bed for trying to maintain a 15% profit on a new car :rolleyes:
Good luck, I'm hoping your just not familiar with medicare, you can't find out much untill it's done. But if you pay cash for everything, you need to be doing some negotiating. If you don't ask they won't offer. Try negotiating with the doc before the billing dept, you have a relationship with him. When I had mine done he said many medicare patients were switching to a pump because of the cost of meds like Kadian, Duragesic and oxycontin. I couldn't have afforded $1400 a month for oral LA morphine and didn't qualify for any patient asistance plan.
If your not working, there may be a brand name manufacturer of preservative free morphine willing to suplpy the meds. I think Astromorph is brand name preservative free IT morphine.
Good luck, Dave