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The cost of Medicare
Posted on 2/8/25 at 5:56 pm
Posted on 2/8/25 at 5:56 pm
I always knew it was high but my mom had a single bypass recently and just got the full bill to medicare. It was done without the heart/lung bypass machine while her heart was beating and they used mammary tissue instead of a thigh harvest. It was a 99% blockage so she was a pencil lead diameter away from death. I'm grateful she had medicare and was able to get the surgery to prolong her life. If you want to guess the total:
Not 100k
Not 200k
$550,000. Half a million dollars billed to medicare. Holy crap. I'm thankful for it, but man even she agreed that was high. Something has to be done.
Not 100k
Not 200k
$550,000. Half a million dollars billed to medicare. Holy crap. I'm thankful for it, but man even she agreed that was high. Something has to be done.
28
Posted on 2/8/25 at 5:59 pm to AllDayEveryDay
It is ridiculous! I want good doctors to make good money, but that is insane.
Posted on 2/8/25 at 5:59 pm to AllDayEveryDay
Had one stent placed in 2017 and that was around $80k
Posted on 2/8/25 at 6:00 pm to AllDayEveryDay
Hope your mom is doing better!
Is Medicare the same as Insurance where they send you an Explanation of Benefits?
If so those are just basically made up numbers. The amount they pay is substantially lower.
Is Medicare the same as Insurance where they send you an Explanation of Benefits?
If so those are just basically made up numbers. The amount they pay is substantially lower.
Posted on 2/8/25 at 6:01 pm to oldskule
My aunt had a triple bypass 3 years ago. My uncle is civil service with the AF and they were stationed in Okinawa. They actually flew her to Hawaii for the surgery and recovery. I can't imagine what medicare was billed for that one. Though Tricare probably covered some too.
Posted on 2/8/25 at 6:01 pm to AllDayEveryDay
Medicare isn’t the problem. Greedy doctors and hospitals are. I guarantee Medicare paid at most 30k for that bill and the providers wrote off the rest. Now imagine being uninsured and needing those procedures. Saddled with crippling debt for the rest of your days.
Posted on 2/8/25 at 6:01 pm to Bass Tiger
Just had a heart cath, no stents, just looked around, $22K.
Took about 40 mins.....
Took about 40 mins.....
This post was edited on 2/9/25 at 8:34 am
Posted on 2/8/25 at 6:02 pm to AllDayEveryDay
Had a stint put in 7 years ago. Price tag of over 100k. Was in the hospital from 3:30 in the afternoon and left the next morning at 9:00 am. It’s a scam.
Posted on 2/8/25 at 6:06 pm to oldskule
quote:
Just had a heart cath, no stents, just looked around, $22K.
Good for you, they went up my arm with the equipment and my arm ached for 10 days.
Posted on 2/8/25 at 6:06 pm to Robin Masters
I'll have to ask, it may have just been an estimate. She was doing great until a POS with a 16 page criminal record almost killed her. He "fell asleep" while driving and veered into her lane. Luckily she swerved and missed a head on. Po dunk police didn't take his blood to check for intoxicants. Her truck was totaled and she's bruised and walking is difficult but she's otherwise healthy.
Posted on 2/8/25 at 6:13 pm to AllDayEveryDay
quote:FYI, both of those (off-pump & mammary) are more surgically challenging. Regarding the $500K bill, I'll guarantee Medicare paid nowhere remotely close to that. I'm surprised that level bill could even be generated though.
It was done without the heart/lung bypass machine while her heart was beating and they used mammary tissue instead of a thigh harvest.
Posted on 2/8/25 at 6:24 pm to oldskule
quote:Then you don't want good doctors doing medicare.
I want good doctors to make good money
CMS reimbursement absolutely sucks.
E.g.,
In terms of the OP surgical fee, including pre-procedural evaluation, the LIMA/OPCAB surgery, and all post-op follow-up, the OP surgeon would do well to collect 1% of the OP claim in toto.
For some specialities, there are cases where CMS reimbursement approaches what it was at the outset of Medicare in the 1960's ... in NOMINAL dollars!
This post was edited on 2/8/25 at 7:33 pm
Posted on 2/8/25 at 6:36 pm to AllDayEveryDay
As others have said, that may be the charge but the actual payment will be a fraction of that.
Hospital billing is retarded.
And FYI, most hospitals barely make money, if at all, on Medicare procedures.
Hospital billing is retarded.
And FYI, most hospitals barely make money, if at all, on Medicare procedures.
This post was edited on 2/8/25 at 6:37 pm
Posted on 2/8/25 at 6:47 pm to AllDayEveryDay
My dad’s was/is 660k.
Between him and my mom they probably have a million in medical bills from 2024. It’s kind of hard to tell since apparently they have idiots doing the billing. I have received bills from each of his stays and bills from my dad’s stays combined.
My dad had two extended stays in hospitals/rehab places with a 4 day stay (two in the ER and two in regular room). 3 big surgeries and cataract surgery in both eyes.
Between him and my mom they probably have a million in medical bills from 2024. It’s kind of hard to tell since apparently they have idiots doing the billing. I have received bills from each of his stays and bills from my dad’s stays combined.
My dad had two extended stays in hospitals/rehab places with a 4 day stay (two in the ER and two in regular room). 3 big surgeries and cataract surgery in both eyes.
Posted on 2/8/25 at 6:51 pm to AllDayEveryDay
When Medicare/Medicaid were first proposed, the AMA opposed it. They were against government intervention and the socialization of healthcare.
Didn't take doctors long to become prostitutes for the government dime once they realize the system is a limitless spigot of dollars.
Didn't take doctors long to become prostitutes for the government dime once they realize the system is a limitless spigot of dollars.
Posted on 2/8/25 at 6:53 pm to rintintin
quote:
Hospital billing is retarded.
I’m dealing with this now. I was told that they would be able to combine my dad’s bills into and was also told that they can’t. I’ve payed off a bill just to get a ‘late’ bill on it.
I was told that the issue is that my dads middle initial is on one bill and not the others and that they can’t fix it even though every single thing is the same including social security numbers, birthday, surgery dates, doctors, stays. I feel like this is all bull but they just can’t seem to fix it.
Posted on 2/8/25 at 6:53 pm to AllDayEveryDay
How much was the MC adjustment to settle out the bill? Initial insurance is always billed high knowing that payors are going to adjust down to allowed payment.
Posted on 2/8/25 at 6:56 pm to AllDayEveryDay
I have no issues with Medicare and Medicaid if run properly. Social security needs to end right now.
Posted on 2/8/25 at 6:56 pm to AllDayEveryDay
Had back surgery a couple of years ago. Total hospital bill was $300,000. Medicare paid like $30,000. Never saw the EOB from my secondary but my out of pocket was $0.00.
Posted on 2/8/25 at 7:18 pm to AllDayEveryDay
Is that what Medicare paid though? Can bill insurance as much as you want then they will say “that’s fine but here’s what we pay”
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