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Holy Expensive Surgery Batman!



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I just looked at my insurance claim (yes I'm very lucky to have insurance) and the grand total for surgery done at Evergreen Hospital including anesthesia and pain meds was .... Drumroll please.....

$24,787.50

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did that include a night at the hospital? I was around 28k I think, with a night in the hospital.

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Just curious...

What type of portion do you have to pay. Do you have an 80/20 type plan? I looked into costs around here in the Minneapolis area and I was told it would be between 20K-27K. But the problem is that my insurance would not cover anything because didn't have a single co-morbidity. So I went to Mexico and had it done.

I'm so amazed at what the U.S. charges for medical products and services!!!! It makes me very disappointed with the U.S. that I could go to Mexico, get top notch, exceptional, way-beyond-any-expectation medical care, plus all my meds, two nights hospital, and three nights hotel, and transportation to and from airport with absolutely no waiting at the border (because of the medical lane)...all for $4300. Oh, they threw in a nice little driving/shopping tour of Tijuana too. Not as bad as everyone says. Although I'd never vacation there.

And I went to a couple Mexican pharmacies where you can get almost anything over the counter from U.S. and International manufacturers like Pfizer, Roche, Novartis, Bayer, GlaxoKlineSmith, BristolMyersSquibb, etc. I got 20 tubes of retinol cream for $4 each. I gave them out as souvenirs to my friends...since most are over 50 and some into their 60s. $80 is what my sister pays for it with a prescription from her dermatologist.

Okay...sorry, didn't mean to hi-jack your post. I'll get off my soap box now.

Congrats, you're doing really well in your first week. 16 pounds is awesome!!

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Just curious...

What type of portion do you have to pay. Do you have an 80/20 type plan? I looked into costs around here in the Minneapolis area and I was told it would be between 20K-27K. But the problem is that my insurance would not cover anything because didn't have a single co-morbidity. So I went to Mexico and had it done.

I'm so amazed at what the U.S. charges for medical products and services!!!! It makes me very disappointed with the U.S. that I could go to Mexico, get top notch, exceptional, way-beyond-any-expectation medical care, plus all my meds, two nights hospital, and three nights hotel, and transportation to and from airport with absolutely no waiting at the border (because of the medical lane)...all for $4300. Oh, they threw in a nice little driving/shopping tour of Tijuana too. Not as bad as everyone says. Although I'd never vacation there.

And I went to a couple Mexican pharmacies where you can get almost anything over the counter from U.S. and International manufacturers like Pfizer, Roche, Novartis, Bayer, GlaxoKlineSmith, BristolMyersSquibb, etc. I got 20 tubes of retinol cream for $4 each. I gave them out as souvenirs to my friends...since most are over 50 and some into their 60s. $80 is what my sister pays for it with a prescription from her dermatologist.

Okay...sorry, didn't mean to hi-jack your post. I'll get off my soap box now.

Congrats, you're doing really well in your first week. 16 pounds is awesome!!

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Just curious...

What type of portion do you have to pay. Do you have an 80/20 type plan? I looked into costs around here in the Minneapolis area and I was told it would be between 20K-27K. But the problem is that my insurance would not cover anything because didn't have a single co-morbidity. So I went to Mexico and had it done.

I'm so amazed at what the U.S. charges for medical products and services!!!! It makes me very disappointed with the U.S. that I could go to Mexico, get top notch, exceptional, way-beyond-any-expectation medical care, plus all my meds, two nights hospital, and three nights hotel, and transportation to and from airport with absolutely no waiting at the border (because of the medical lane)...all for $4300. Oh, they threw in a nice little driving/shopping tour of Tijuana too. Not as bad as everyone says. Although I'd never vacation there.

And I went to a couple Mexican pharmacies where you can get almost anything over the counter from U.S. and International manufacturers like Pfizer, Roche, Novartis, Bayer, GlaxoKlineSmith, BristolMyersSquibb, etc. I got 20 tubes of retinol cream for $4 each. I gave them out as souvenirs to my friends...since most are over 50 and some into their 60s. $80 is what my sister pays for it with a prescription from her dermatologist.

Okay...sorry, didn't mean to hi-jack your post. I'll get off my soap box now.

Congrats, you're doing really well in your first week. 16 pounds is awesome!!

Wow it looks like a vacation to Mexico one of these days to get retinol plus more! I work in a hospital and yup I know the cost is incredible!

Good luck on your journey!

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I have an EPO that I pay more through my employer but it should cover 100% since I met my deductible this year.

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did that include a night at the hospital? I was around 28k I think, with a night in the hospital.

Yes, it included a night in the hospital.

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I am in Oregon and my bill is right around $25k. That is for everything. Thank goodness for double coverage donut is paid for 100%. Love my doc and feel that they have gone above and beyond to keep me healthy. That being said... $25k vs. $4500. Yikes.

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Hospitals charge insurance companies way more than the actual cost of the procedure, to help subsidize the care that they provide for people who can't or won't pay their bills.

I know this because I paid my surgeon $10,500 cash to have my surgery in a US hospital, and that included everything from my pre-op consultation, pre-op blood work and imaging, my surgery itself including anesthesia, two nights in the hospital, post-op blood work and imaging, and post-op visits to my surgeon's office. The only thing I had to pay for outside of that fee was the prescriptions I picked up on the way home from the hospital. And you know if he's offering this deal, he's making a healthy profit on it himself.

So that extra $15k that your insurance company paid? Probably paying for someone's 1am ER visit for a sore throat, cough, chronic back pain, or any other ailment that could be taken care of with a routine visit to their doctor, except that they don't have one and know that if they go to the ER, they have to get taken care of for "free". (sorry, ER nurse talking. Can you tell?)

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I just looked at my insurance claim (yes I'm very lucky to have insurance) and the grand total for surgery done at Evergreen Hospital including anesthesia and pain meds was .... Drumroll please.....

$24,787.50

Double this and you have what it cost at Northwestern Memorial hospital in Chicago. I ended up owing $1800 OOP after insurance..

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Wait I see new charges for the docs! It says 20,000 for each of them? Crazy?!?!!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
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