Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Wow - Just Added Up The Cost Of My Surgery - $81865.22



Recommended Posts

I paid $9700 right here in the US with a fantastic, skilled surgeon in the nicest hospital I had ever seen! My cost included 2 nights in the hospital and all the surgical costs. I have had absolutely no problems and went back to work on Wednesday after my surgery on Friday. I think I received excellent care. Oh, by the way, I had mine done in Dallas with Dr. Dirk Rodriguez.

Share this post


Link to post
Share on other sites

unbelievable.......

Surgeon $29,279.00

Asst Surgeon - which is NOT covered - $16,061.22 - which I will fight against since I was NOT told there was an assistant surgeon

Hospital (1 night) - $42,227.20

Anes - $2,562.00

Pic line - $551.00

Lab work - $185.00

thank goodness for insurance.....just to think that we charge here in the US over 80K for a surgery and you can go to Mexico and pay under 10K....something is really wrong with this picture and Obama Care is NOT the solution, trust me.

Sad part is, that is what they charge the insurance company.... I paid cash for my surgery, 12.500 for EVERYTHING... anesthesia, hospital, surgery and all...

Share this post


Link to post
Share on other sites

I had my sleeve in the US. when you are self pay you get a discount ;) at most all hospitals in the US. So mine was a tad over 25k. I was happy to pay it going to Mexico was not an option. I wanted it done here so my doc was here when or if I needed him. So keep in mind self pay always has a nice discount call a few places if you like to confirm that ;).

Share this post


Link to post
Share on other sites

Yes, it's for sure less if you are self pay.

I was told $16k if pre-op stuff got covered by ins.

$19k if not.

Share this post


Link to post
Share on other sites

There is a big difference between what they charge insurance and what insurance actually pays.

For example, I had an amnio once and the hospital charged 7,000, but ins said they are only allowed to charge 2,200, so less than 1/3 is what they got paid.

That being said, they can charge a self pay more because there is no one telling them they can't. At one of the hospitals that I work for the self pay cost was 24,000 and you still have to jump all the hoops, some of which will be covered if you have a reason to get it other than "pre op".

The outpatient clinic I contacted was 22,000. That includes 0 days in the hospital. And still the hoops.

I opted to schedule with Dr Garcia in Mexico for 4700. Hopefully that will work out OK.

Share this post


Link to post
Share on other sites

There is a big difference between what they charge insurance and what insurance actually pays.

For example, I had an amnio once and the hospital charged 7,000, but ins said they are only allowed to charge 2,200, so less than 1/3 is what they got paid.

That being said, they can charge a self pay more because there is no one telling them they can't. At one of the hospitals that I work for the self pay cost was 24,000 and you still have to jump all the hoops, some of which will be covered if you have a reason to get it other than "pre op".

The outpatient clinic I contacted was 22,000. That includes 0 days in the hospital. And still the hoops.

I opted to schedule with Dr Garcia in Mexico for 4700. Hopefully that will work out OK.

Self pay = no hoops... the hoops are determined by the insurance companies.. No insurance, no hoops... All I had to do was tell the doctor what I wanted... The NUT, the shrink, the hospital, and the labs were all included in my price. Also included 1 year of follow up care. The only thing outside of that, that I had to pay for, was my after surgery meds.. Those were nearly 400 themselves..

Of course if you are not overweight and are doing it for a vanity issue, you will have a harder time finding a doctor to actually do the surgery but that was the ONLY hoop I saw...

Share this post


Link to post
Share on other sites

Self pay = no hoops... the hoops are determined by the insurance companies.. No insurance' date=' no hoops... All I had to do was tell the doctor what I wanted... The NUT, the shrink, the hospital, and the labs were all included in my price. Also included 1 year of follow up care. The only thing outside of that, that I had to pay for, was my after surgery meds.. Those were nearly 400 themselves..

Of course if you are not overweight and are doing it for a vanity issue, you will have a harder time finding a doctor to actually do the surgery but that was the ONLY hoop I saw...[/quote']

Yep no hoops here as well after meds I payed for. Follow ups are payed for here to :)

Share this post


Link to post
Share on other sites

Surgery - $$$$$, Health - priceless.

Share this post


Link to post
Share on other sites

The surgeons look at those of us who have excellent insurance as 'cash cows'! They can bill highest fee on scale (I'm sure what ins. pays surgeons is a lot more than self-pay!) Send us for a kazillion tests, etc. I'm glad I have great ins. and had all the tests. With self-pay I don't know that my apnea would have been discovered and treated! My oxygen level dropped to 85% when sleeping-a big reason for my recent rapid weight gain and constant fatigue. I do have to save up for the inevitable tummy-tuck I'm going to need after losing 100 lbs. I don't think my ins. covers this. Maybe by the time I'm ready it will be- who knows! (throw in breast augmentation and I'll be good as new! Ha ha!) Good luck!

Share this post


Link to post
Share on other sites

Just did the math, which includes psych consult, EGD, nutritionist, surgery, anesthesia, assistants, STAPLES & all meds:

Billed: $129,320 Insurance paid: $19,899 (>16%)

Share this post


Link to post
Share on other sites

Hit enter too soon, but my out of pocket was $1,038!

Share this post


Link to post
Share on other sites

I was self pay. Went to Michigan in 2011. 11k out the door and worth every penny!

Share this post


Link to post
Share on other sites

That is an amazing price difference! No wonder health care in America is so messed up! Has anyone gone to Mexico for plastic surgery (if I have to self pay my Tummy Tuck and breast augmentation, might as well explore all options.) So many success stories from people who went to mexico (Dr. Alvarez, if I recall). Curious if there is plastic/reconstructive sugary center that does such an excellent jib as Dr. Alvarez.

Share this post


Link to post
Share on other sites

What's wrong with this picture! It makes me so frustrated with the medical billing practices of these hospitals. How ridiculous is it to expect you to pay for an assistant surgeon that is most likely an intern that has o experience...... <img src='http://www.bariatricpal.com/public/style_emoticons/<#EMO_DIR#>/angry.png' class='bbc_emoticon' alt=':angry:' /> These are fighting words....My surgery was 49' date='000 for the hospital fees and I believe 8,000 for the surgeon. Thankful that I only paid about 20.00 my co pay. I an socked.....[/quote']

I understand most frustrations about not wanting to pay for any additional unnecessary cost.. However Surgical Assistants are highly trained professionals who have been to school and passed national boards to be able to practice. Info about the profession can be found at NBSTSA. Org or www.nsaa.net

Share this post


Link to post
Share on other sites

I was self pay. Went to Michigan in 2011. 11k out the door and worth every penny!

Where in MI did you go?

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×