YIKES! Weight Loss Surgery bill came today!

[Thinkingthinner1109 485]

Yeah what the hospital bills and what the insurance actually allows is two totally different things. If the hospital participates with your insurance and they have an agreement as to what they will accept. My hospital billed about 40000.00 and accepted 17,000.00 because that is the allowable amount. My surgeon only got about 2400.00. And I stayed two nights in the hospital. Anesthia billed 2400.00 and the allowed amount was like 700.00. It's deceiving. Billed amounts and allowed amounts are two very different things.

[1Sleevecomingup 185]

????Thank God..my insurance covered everything, but hospital stay.I only owe $500

[Jersrose43 837]

North jersey

Hospital was $42,000 for outpatient. I was 1 night overnight but it's a 23 hour stay technically.

They were paid $23k or so. My out of pocket is $3200

Surgeon charged $21,000, out of pocket met by hospital so I don't owe him anything. They paid him $5k for sleeve and $1200 for my hernia.

Anesthesia was $3500 and they originally paid $1350 and they refused to accept since out of network. They ended up getting payment in full at $3500 and I owe them $250. It will be a long time before they get it since they threatened to sue me if insurane didn't pay in full.

[laurenella82 625]

Yeah what the hospital bills and what the insurance actually allows is two totally different things. If the hospital participates with your insurance and they have an agreement as to what they will accept. My hospital billed about 40000.00 and accepted 17,000.00 because that is the allowable amount. My surgeon only got about 2400.00. And I stayed two nights in the hospital. Anesthia billed 2400.00 and the allowed amount was like 700.00. It's deceiving. Billed amounts and allowed amounts are two very different things.

I'm taking a medical billing and coding class and I was just thinking about what the allowed amounts are because these prices are all over the place and I'm thinking there has to be an average allowed amount. I don't want to know what mine will cost. Lol. But it's completely covered except for $350 for some big nutrition class or something.

[mimi121880 33]

Wow sounds extreme, mines was $17,000 and I stayed in the hospital for four days. I paid nothing out of pocket! Thank God!

[cpetty14892 3]

Anybody have medicare and know what they ended up paying out of pocket.

[Jersrose43 837]

For hospital medicare should be the $1111-1600 deductible and then all the docs and anesthesia should be 20%. It will be different depending on what state you live in. Geographically medicare allows different amounts

[unsupersizeme 43]

I paid $1,000 copay and never saw a bill! Lucky me, I guess.

Edited November 24, 2014 by unsupersizeme

[kczar 166]

Mine was probably around that much, plus all the ancillary stuff they get you on. I should have had zero out of pocket because I had two other surgeries during the plan year, but the anesthesiologist wasn't in network. They told me I should have specified when I was doing my pre-admit paperwork. Silly me, I figured since they certainly checked my insurance before admitting me, they would handle that. So for those in the process, make sure to confirm with the hospital and your surgeon that everyone involved is in network. But I guess a $300 bill isn't too bad for a life changing procedure.

[Packerfan61964 293]

WOW!!!! I didnt have insurance and went to Mexico and had it done for $4300.

[Thinkingthinner1109 485]

I'm taking a medical billing and coding class and I was just thinking about what the allowed amounts are because these prices are all over the place and I'm thinking there has to be an average allowed amount. I don't want to know what mine will cost. Lol. But it's completely covered except for $350 for some big nutrition class or something.

Some places inflate their prices but in the end if they participate with your insurance they have to accept the allowed amount less deductibles and co insurance. So even if they bill 70000.00 BCBS of Michigan will give them about 17000.00 give or take. I was in the hospital 2 days. Mine was covered to except I did have a 250.00 deductible that had been met prior to surgery with all the testing that had to be done.

[AvaFern 3,516]

I paid cash and it was right at 20K. I think they tend to bill more when it's covered by insurance because they know they can get away with it. I had two nights in the hospital and was dischargd the morning of the third day.

Be happy you don't have to pay most of that bill!

[Forsythia 882]

My insurance was charged $48,744.36, and that was for the labs and recovery and room and drugs. The surgery was another $7000 on top of that. My share was $1800 for the hospital and like $500 for the surgery.

[NanaTx 1]

My insurance would only pay 50% but my out of pocket max was 4500. Since it iz the end of the year I only had to pay 1000 after all tests and other appointments.

Also my insurance will only pay a maximum of 10,000.

I asked several times how this was going to work since I paid my out of pocket maximum. Guess I will see in a couple of months!

[cd0727 32]

I am self paying since my insurance doesn't cover it and I'm going to end up paying $15k for everything including a years worth of follow up appointments with doc and nutritionist.