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Healthcare costs make no sense ($11k for an FNA biopsy)

Posted on 11/6/25 at 8:16 pm
Posted by jlovel7
NOT Louisiana
Member since Aug 2014
23694 posts
Posted on 11/6/25 at 8:16 pm
So I posted before about having a biopsy which came back benign thank god.

The bill is fricking $11k. My out of pocket is $2k. I laid down on a bed for 15 minutes while they basically stuck a syringe in me and popped out 4 samples. No sedation or anything.

I had a fully sedated colonoscopy/endoscopy with biopsies last year with hospital fees/doctor fees/anesthesiologist fees and it was maybe like $1k out of pocket and the billed cost was maybe a little higher.


Is this normal? I am blown away by this. Thank frick I have an HSA but it’s certainly going to suck a lot from it.
Posted by TutHillTiger
Mississippi Alabama
Member since Sep 2010
49636 posts
Posted on 11/6/25 at 8:17 pm to
Doctors have to pay for all those alimony payments
Posted by Sun God
Member since Jul 2009
49476 posts
Posted on 11/6/25 at 8:18 pm to
I made a couple grand a year letting Pennington do shite like that to me

Those were the good ole days
Posted by jeffsdad
Member since Mar 2007
24006 posts
Posted on 11/6/25 at 8:20 pm to
FNA's are very Pathologist heavy work. Yeah, they are going to cost. And not capitalizing "God" costs you.
Posted by BearCrocs
Member since Aug 2013
7841 posts
Posted on 11/6/25 at 8:20 pm to
Had a two hour drs visit in September

$23,000

$2500 out of pocket

fricking wild
Posted by TigerReich
Member since Dec 2024
461 posts
Posted on 11/6/25 at 8:24 pm to
What specialty out of curiosity?
Posted by James11111
Walnut Creek, Ca
Member since Jul 2020
5488 posts
Posted on 11/6/25 at 8:25 pm to
A lot of times its the facility charges that are outragous. Not as much the doctors.
Posted by WestCoastAg
Member since Oct 2012
149255 posts
Posted on 11/6/25 at 8:26 pm to
I just got hit with 2.3k owed after 2.5 hours in the emergency room

They charged my insurance 10k

For 2.5 hours

Its aneurysm inducing
Posted by Sun God
Member since Jul 2009
49476 posts
Posted on 11/6/25 at 8:27 pm to
I don’t know if they still do them but the Pennington studies were wild when I was in school

I did one where I ate 2000 extra calories a day for six weeks

Another one was a 1000 calorie deficit for six weeks

One was just eating a bunch of manda sausage with a placebo drug

First two involved multiple biopsies

I’ll probably die early
This post was edited on 11/6/25 at 8:28 pm
Posted by jlovel7
NOT Louisiana
Member since Aug 2014
23694 posts
Posted on 11/6/25 at 8:27 pm to
This is the shite that’s out of control that’s going to shove us to socialized medicine and we all get shite care over it.

I get it. Healthcare is expensive. But when people get 15 minutes of care and slapped with this to pay for hospitals filled with bloat and barely even know it’s coming people get PISSED.
Posted by RougeDawg
Member since Jul 2016
7259 posts
Posted on 11/6/25 at 8:28 pm to
Someone has to pay for illegals.
Posted by TigersSEC2010
Warren, Michigan
Member since Jan 2010
38125 posts
Posted on 11/6/25 at 8:31 pm to
The cost is out of control, but the even bigger issue is that you have no idea what it will cost but are obligated to pay it. That’s where healthcare is in a league of its own and it has to stop.

There are plenty of examples where you can enter two offices across the street from each other for the same service and one is $150 and the other is $2000. Pick the wrong door and you’re fricked.
This post was edited on 11/6/25 at 8:32 pm
Posted by Jim Rockford
Member since May 2011
104041 posts
Posted on 11/6/25 at 8:31 pm to
I had surgery on both eyes last spring and it was about 30k for both. My out of pocket was about 3k which I didnt think was too bad.
Posted by YumYum Sauce
Arkansas
Member since Nov 2010
9268 posts
Posted on 11/6/25 at 8:32 pm to
Have a good friend who makes a killing in the insurance business. He told me recently something very relevant to your 11k procedure.

"I have bad news but you're paying for those wildfires in California whether you want to or not"

Posted by Pedro
Geaux Hawks
Member since Jul 2008
37924 posts
Posted on 11/6/25 at 8:39 pm to
Just got a 4700 bill for my newborn daughter from just being in the same room as us after her birth. 4700 is our cost. I didn’t even want to see what they billed insurance.

All that just to come in a few times a day for 2.5 days (c section) and say “yep looks good”
Posted by Mouth
Member since Jan 2008
22750 posts
Posted on 11/6/25 at 8:39 pm to
quote:

Is this normal? I am blown away by this. Thank frick I have an HSA but it’s certainly going to suck a lot from it.


Normal? Yes. A racket? Yes?

Basically. There is probably a cure for cancer. But it will not make nearly as much money for Doctors and Pharmaceuticals if it becomes a normal practice.

Drag out your eventual death for as much money as possible - that is what pays the stocks and doctors.
Posted by danilo
Member since Nov 2008
24586 posts
Posted on 11/6/25 at 8:41 pm to
quote:

The bill is fricking $11k.

Is that the charge amount? That’s basically meaningless

Follow up: what was the final diagnosis? You have HIV?
This post was edited on 11/6/25 at 8:42 pm
Posted by roguetiger15
Member since Jan 2013
17261 posts
Posted on 11/6/25 at 8:49 pm to
It was 14k before to put tubes in my child last week
Posted by undkeith
South Carolina
Member since Aug 2007
563 posts
Posted on 11/6/25 at 8:53 pm to
I quit paying medical bills years ago. They just send them to collection. I pay UHC each month, whatever they pay to the provider is enough.
Posted by LemmyLives
Texas
Member since Mar 2019
12733 posts
Posted on 11/6/25 at 8:55 pm to
Insurance "rates" are driven largely by three things:
1) Medicare rates
2) The amount of money they "ask" to charge in order to make up for the millions of deadbeats that never pay anything (illegal or not)
3) The shite they are forced to do in order to avoid litigation

As soon as you pay cash, the total billed gets much cheaper. Most of us have been shoved into high deductible plans anyway. Memorial Hermann charged my insurance two different amounts ($1200 and $1400 for the same procedure) eight weeks apart in the same facility. I paid cash, and went off site, and got the same imaging done for $180. MRIs done under insurance are thousands, cash payer, $220.

Sedated endoscopy was under $500 paying cash for me. With insurance, the amount of write downs and recovery rates on accounts receivable all generate metrics they care about, and the government can adjust reimbursements for. Pre ACA, on a "platinum plan," one kid cost me about $2,500 out of pocket for a birth. Two years later, in the same hospital, the next kid cost me more than twice that out of pocket, on the same plan.
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