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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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