Jump to content
×
Are you looking for the BariatricPal Store? Go now!

How Much? How Much?



Recommended Posts

Okay so my coordinator told me my insurance pays 80% and I am responsible for 20% but no more that $4500. How much is the surgery in NC and will I my out of pocket be $4500. The info sheet says NO PAYMENT ARRANGEMENTS.. All costs must be paid before surgery. So how can they charge for a surgery before you've had it..I have united health care. Can anyone give me a gestimate or how much you've ended up paying.

Share this post


Link to post
Share on other sites

well I'm in Texas... so I dont know exactly how much it will cost you where you are... but I paid out of pocket becasue I wasnt lucky enough to have insurance cover mine...

BUT...

mine was 12,900 and 20% of that would be $1,580... not that bad...:D

Share this post


Link to post
Share on other sites

They can charge you before you have it because they can. Shrug? Their contract with your insurance company lets them. In fact, they could make you pay the entire thing upfront and then have insurance reimburse you, if that's how they wanted to do it.

Share this post


Link to post
Share on other sites

You are right the $4500 just stuck in my head though. I totally freaked out. Hopefully it won't be that bad like you said. Do you get the hospital bill after the surgery? Or is it all included?

Congrats on the weight loss. I guess it's totally worth the $$!! I have my series of dr. appts this month. EKG, Nutrition, Psy, and Breath Tek. I had no idea it would be soo many. But I convinced the doc not to do the overnight thing for sleep apenia. The coordinator said it would still be a few months out. So I'm aiming for Feb. when I get my tax return!

Share this post


Link to post
Share on other sites

I'm also in Texas and I went to AIGB. Make sure you submit anything the doc says isn't covered by insurance too. For me even though insurance denied the claim it went against my out of pocket and deductibles. I have a $3500 out of pocket and $2000 of that was taken up by the sleep study, I had to do 2. And I wasn't charged anything for them by AIGB!! As for the surgery, so far insurance has payed $25K to surgery center (they submitted $45K) and $1500 to anesthesiologist. I still haven't seen the doctor's charges yet. So once it's done I should be out of pocket about $2500 for everything.

Share this post


Link to post
Share on other sites

$2500 sounds great compared to $4500. My coordinator told

The surgeon fee is $3,405.00, assistant surgeon fee is $1,021.50. Hospital fee for lap band is $14,500 and anesthesia runs about $975.00.

Surgery center would collect around $885.30 (20% of surgeon and assistant surgeon fee's). If the hospital collect 20% then that's close to $3000. So that would make up $4000 not including antehsia.

I called UHC and they told me not to pay anything until they send back the contract amount of what they will pay and to keep all receipts in case of over payment. So even if they say it costs $14,500. UHC may only pay 10,000 and my 20% comes of that.

I can swing closer to $2000 so keep your fingers crossed for me! My forms say you have to make all co-payments before surgery otherwise it will be cancelled. I haven't even been approved yet. So I'm just going to with the flow.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • 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. 💜

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×