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Surgery Costs (INSURANCE PRICE)

Hey looking for input out there in cyberland....

I will be covered by my insurance BUT I will have to pay 20% (Hospital Side) Does anyone know what the bill from the hospital was to the insurance company????

Looking for ballparks not specifics....

One night stayover, no hernia repair......

Thanks

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Total charge to my insurance company was... *looking it up, thought I could remember, brb* :)

About $37,805 original billing to the insurance company. That's everything including anesthesia, psycholgoist, etc.

Looks like from the actual hospital was $29,076.25. That's the amount showing from the facility.

  • Author

Thanks!!!!!!!!! You know I overheard a patient complaining about 33K, asking if that was right or not for the insurance/hospital portion.... the recept didn't know... and now I know it WAS right... dang

Sad part is that's outpatient. I got there early but surgery started around 10, and I went home before 2.

Wish I could make that much in 3 hours. :)

  • Author

So true: I'm in the WRONG line of work........oh hey wait a minute.. I would PASS OUT if I had to move someones liver over and look at a gross fat pad around their stomach... so maybe I'll just stay here! LOL

Dang. I have a $5K deductible (when you work for yourself, insurance is WAY high) then they pay 80%. In reality, I'll be paying less going to Mexico and not have to deal with all the hassles from the insurance company. I have a 40 BMI but no co-morbidity issues (I'm a healthy fat girl :rolleyes: ) so I'm sure it would be ages even IF I got the OK from BCBS.

My total surgery cost was about $14,000. $4,000 to the doctor himself, $1,000 for Anesthesia, and $7,800 for The facility charge(same-day, at a surgery center, not a hospital.) The psych eval was another $200, plus $150 just for her to send the report to my doctor. I think the nutritionist visit was included. I had to pay up front, and am now waiting for my insurance to re-imburse me (they sent a letter before surgery saying that it was approved, and I was told it should be paid at 90%) I hope that is really what happens because I borrowed the money from my mom!

  • Author

WOW.... that might be a better way to go...... get the cash price THEN get it back from the insurance company....... Thanks for everyones imput.

My annual out of pocket max is $3900 so I had planned that into my FSA... it's gonna be a tough year with that extra $150 coming out of my check, but it will all be paid for in this year tax free

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