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Total cost billed to insurance.



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I received my EOB for surgery and pre op testing....62,000! I'm so grateful for insurance. Just curious if this was congruent with other folks costs.

Edited by youthguy80

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Yep, but that number is misleading. My doc and hospital each billed $30K to my insurance, but insurance only approved $15k each. The hospitals over-bill to get the real amount they want. My CPAP doctor does the same thing when I order new masks. He bills $500 and gets paid $125.

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I received my EOB for surgery and pre op testing....62' date='000! I'm so grateful for insurance. Just curious if this was congruent with other folks costs.[/quote']mine was 59,000 I only payed 3,000 outa pocket

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I had to pay 890 to surgeon initially. hospital bill was 62,000 plus change and I still have to pay 1240.

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Holy cow!! I have insurance, but I used self-pay instead (because I was afraid my insurance would drop me if they find out I'm fat). I had to pay 18K for the full surgery, appointments, lab work, etc. in the #1 ranked hospital in the city where I live. I am amazed the difference in what insurance companies get billed as opposed to what it apparently actually costs for a procedure.

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Yep' date=' but that number is misleading. My doc and hospital each billed 30K to my insurance, but insurance only approved 15k each. The hospitals over-bill to get the real amount they want. My CPAP doctor does the same thing when I order new masks. He bills 500 and gets paid 125.[/quote']

Overbills?? Isnt that illegal?

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Medical billing is a bit weird. It's not technically overbilling. They bill or their "rate" but have contacts with insurance companies to get paid much less. It's usually figured into the billing systems so they know they are only getting paid x even though they bill out mega money y. It's like that in all aspects of medical billing.

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I received my EOB for surgery and pre op testing....62,000! I'm so grateful for insurance. Just curious if this was congruent with other folks costs.

mine was $39,000.00 my out of pocket expense was $200.00 oh yeah thank God for insurance!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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