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Started By
Message
re: How much were you charged to get tubes in you child’s ears?
Posted on 8/14/19 at 8:52 pm to AutoYes_Clown
Posted on 8/14/19 at 8:52 pm to AutoYes_Clown
quote:
You have gained a valuable teaching lesson that you should now groom your 1 yo to become an ENT surgeon.
No, on my kid's $35k bill, the ENT was the least expensive. The guy that actually did the work was less than $1000.
Teach kid to be a facility owner. Or anesthesiologist.
0
Posted on 8/14/19 at 8:52 pm to Lion4Life
quote:
Best money you will ever spend! Your child health will significantly improve! Say good bye to ear infections and monthly trips to the pediatrician!
Quality of life has definitely improved, but this is god damned robbery. I realize that’s why we have insurance so I don’t have to swallow that entire cost, but it shouldn’t cost that much in the first place.
Posted on 8/14/19 at 8:56 pm to Emteein
About $1400-$1500 when all I was said and done with, by today’s standards, good insurance.
ETA: Is this is the kid’s first time, be sure to get the extended warranty. The second time around was like $495.
ETA: Is this is the kid’s first time, be sure to get the extended warranty. The second time around was like $495.
This post was edited on 8/14/19 at 9:01 pm
Posted on 8/14/19 at 8:56 pm to Emteein
Bout tree fiddy
Posted on 8/14/19 at 8:58 pm to Golfer
quote:
#1 they aren’t getting $15k
They bill $15k because someone, somewhere, has agreed to reimburse for that amount. Your insurance may have negotiated much lower, but that number has a purpose nonetheless.
Posted on 8/14/19 at 9:01 pm to Emteein
$0 for tubes.
We got the tubes put in around the beginning of December.
Already met Out of Pocket max $7500 with my sons NICU bill. The full bill from 18 days of NICU was $480,000. Damn that’s some expensive stuff right there. Thank God for max out of pocket and that we could do the tube surgery within that year.
We got the tubes put in around the beginning of December.
Already met Out of Pocket max $7500 with my sons NICU bill. The full bill from 18 days of NICU was $480,000. Damn that’s some expensive stuff right there. Thank God for max out of pocket and that we could do the tube surgery within that year.
Posted on 8/14/19 at 9:01 pm to slackster
quote:
They bill $15k because someone, somewhere, has agreed to reimburse for that amount. Your insurance may have negotiated much lower, but that number has a purpose nonetheless.
Yeah. But based on OPs description, they aren’t getting $15k from OPs insurer.
Posted on 8/14/19 at 9:01 pm to Emteein
Dunno.
I just know Dr Raggio meant pain.
I just know Dr Raggio meant pain.
Posted on 8/14/19 at 9:02 pm to Emteein
quote:
I realize that’s why we have insurance so I don’t have to swallow that entire cost, but it shouldn’t cost that much in the first place.
If a cash paying customer paid $15k, that’s their own dumb fault.
Posted on 8/14/19 at 9:05 pm to Golfer
quote:
Yeah. But based on OPs description, they aren’t getting $15k from OPs insurer.
Don’t they have to show you their actual costs though? For example, if you have 80% coinsurance doesn’t that have to be based on the insurance company’s actual cost, rather than some fake billing value?
Or am I being naive?
Posted on 8/14/19 at 9:05 pm to Golfer
quote:
Yeah. But based on OPs description, they aren’t getting $15k from OPs insurer.
Sure, but it's a great example of the jacked up health care in this country nonetheless.
Costs are simply never discussed until you get a bill. It's pretty crazy how little transparency there is in health care costs. Ask the person who does the work how much it costs and they couldn't tell you. That's a problem unique to health care
Posted on 8/14/19 at 9:06 pm to slackster
quote:
Costs are simply never discussed until you get a bill. It's pretty crazy how little transparency there is in health care costs. Ask the person who does the work how much it costs and they couldn't tell you. That's a problem unique to health care
Yep. And try getting a cost ahead of time...watch their heads explode
We have a HDHP and anything I know will be costly I try and get the price ahead of time. Some places are excellent at this. Some think this is some insane request.
For instance, I needed to call the anesthesiology group that the facility used to get an estimate. Gave them the procedure info and my insurance info and still got a “well, it depends”. After getting the run around the convo went like this:
Me: How long have y’all been in business?
Billing Rep: 15 years
Me: So you have a historical reference to the highest and lowest charges for my insurer for this common situation.
Billing Rep: Between $x and $y
Me (thinking): See. That wasn’t hard.
This post was edited on 8/14/19 at 9:14 pm
Posted on 8/14/19 at 9:06 pm to lostinbr
quote:
Don’t they have to show you their actual costs though? For example, if you have 80% coinsurance doesn’t that have to be based on the insurance company’s actual cost, rather than some fake billing value?
Coinsurance is based on the health insurance negotiated rate. It's a real number.
Posted on 8/14/19 at 9:08 pm to Golfer
quote:
And try getting a cost ahead of time...watch their heads explode
I had a Dr appointment this morning actually. Never been to this particular place. Asked the nurse what to expect to be charged and her exact words were "I don't know how much any of this costs, but I can get you to the insurance girls if need be."
Thats pretty damn mind blowing when you think about it.
Posted on 8/14/19 at 9:08 pm to deeprig9
quote:
Got charged with two surgery fees, two anethesiologist fees, and two facility fees. Because there are two ears.
I reported it to the fraud hotline at Cigna and to the state (GA) and they both said it wasn't fraudulent, it's normal.
I wish you the best of luck bro between this and your childs prek lunch fiasco.
Posted on 8/14/19 at 9:09 pm to slackster
quote:
Coinsurance is based on the health insurance negotiated rate. It's a real number.
OK so to my point, even if the $15k isn’t real there should be a real cost somewhere on the EOB, no?
This post was edited on 8/14/19 at 9:09 pm
Posted on 8/14/19 at 9:09 pm to lostinbr
quote:
OK so to my point, even if the $15k isn’t real there should be a real cost somewhere on the EOB, no?
Yes.
Posted on 8/14/19 at 9:10 pm to Emteein
quote:
$15,000 for tubes in an child’s ears can’t be right, can it?
Do it yourself, then.
Posted on 8/14/19 at 9:10 pm to Emteein
Youngest son had tubes and a tonsillectomy and I paid about $150 nine years ago.
Posted on 8/14/19 at 9:15 pm to junkfunky
quote:
Youngest son had tubes and a tonsillectomy and I paid about $150 nine years ago.
We all know what you mean, but this is the problem with health care.
You paid a co-pay and that was that. The separation of money between end user and receiver is absurd.
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