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re: How much were you charged to get tubes in you child’s ears?

Posted on 8/14/19 at 9:19 pm to
Posted by slackster
Houston
Member since Mar 2009
91838 posts
Posted on 8/14/19 at 9:19 pm to
quote:

Gave them the procedure info and my insurance info and still got a “well, it depends”.


I kind of understand for anesthesiologists since it depends on what you'll use to stay out, but it's still a good example. I've gone through one million dollar plus (billed, not reimbursed, but still) set of medical issues, and ever since then I've tried to take a more hands on approach to shopping health care.
Posted by cubsfan5150
NWA
Member since Nov 2007
18528 posts
Posted on 8/14/19 at 9:21 pm to
You have aids?
Posted by dixiechick
Member since Sep 2017
918 posts
Posted on 8/14/19 at 9:21 pm to
.
This post was edited on 9/30/20 at 9:47 pm
Posted by kengel2
Team Gun
Member since Mar 2004
33737 posts
Posted on 8/14/19 at 9:22 pm to
Its all BS...medical billing is 100% BS.


Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 8/14/19 at 9:22 pm to
Yeah. I understand the charges will vary. But there’s some historical knowledge to billing that can be applied to provide a range assuming normal circumstances. All I wanted.

Friend of mine does healthcare consulting and said your mind would be blown with how absent physicians who own a group practice are in any forecasting, budgeting, etc.

As long as they’re getting paid. They don’t care.
Posted by castorinho
13623 posts
Member since Nov 2010
87560 posts
Posted on 8/14/19 at 9:25 pm to
With insurance it was manageable, and we have an HSA that is pretty stacked.

What really pissed me off was all the different invoices for different shite we got after. Like damn how many people were involved in this shite, we weren't there that long!
We would get it in the mail and I'd think to myself "oh we've already paid that" then I'll open it and look at it and notice it's something different they're billing for
Posted by slackster
Houston
Member since Mar 2009
91838 posts
Posted on 8/14/19 at 9:25 pm to
quote:

You have aids?


, nah, but a very complicated pregnancy with 60 days in thr hospital for my wife and ultimately 70 days in the NICU.

Aids would have been preferable.
Posted by tigerinthebueche
Member since Oct 2010
38053 posts
Posted on 8/14/19 at 9:27 pm to
Why do they get tubes in their ears?

Posted by beebefootballfan
Member since Mar 2011
20873 posts
Posted on 8/14/19 at 9:27 pm to
Bout tree fiddy

Just had to pay the doctor and the anesthesiologist. Copay They performed it at a hospital that writes off all their facility fees for ordained ministers. Made my life easier
This post was edited on 8/14/19 at 9:28 pm
Posted by Legion of Doom
Old Metry
Member since Jan 2018
5727 posts
Posted on 8/14/19 at 9:29 pm to
Mine was about four years ago and I think I was about $750 out of pocket.
Posted by slackster
Houston
Member since Mar 2009
91838 posts
Posted on 8/14/19 at 9:29 pm to
quote:

What really pissed me off was all the different invoices for different shite we got after. Like damn how many people were involved in this shite, we weren't there that long!
We would get it in the mail and I'd think to myself "oh we've already paid that" then I'll open it and look at it and notice it's something different they're billing for



Tell me about it. My wife and I each had separate family insurance at the time, but we worked for the same company with the same health plan. Her insurance was primary and mine was secondary. Talk about a shite show. You'd think BCBS could just pull the EOB from her policy and apply it to mine, but noooo, I had to manually submit every damn claim for secondary coverage. It was infuriating.

It's not surprising, at all, that people have unpaid medical debt all the time. It's absurd to keep up sometimes.
Posted by MrLSU
Yellowstone, Val d'isere
Member since Jan 2004
29741 posts
Posted on 8/14/19 at 9:30 pm to
My advice is to return the product and ask for a refund.
Posted by lostinbr
Baton Rouge, LA
Member since Oct 2017
12849 posts
Posted on 8/14/19 at 9:33 pm to
quote:

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.

This is why I think HDHP’s are great for society as a whole and should be incentivized.

I have a HDHP as well and it definitely makes me question prescription drug prices. The more people push to understand the costs, the more the healthcare industry will have to act like every other 21st century business.
Posted by TigerstuckinMS
Member since Nov 2005
33687 posts
Posted on 8/14/19 at 9:33 pm to
quote:

Why do they get tubes in their ears?


For that warm vintage sound.
Posted by zsav77
Member since Oct 2011
6281 posts
Posted on 8/14/19 at 9:38 pm to
quote:

Why do they get tubes in their ears


The Eustachian tube in the middle ear in children lays horizontal and is prone to ear infections. The tubes incline it to help with drainage, causing less infections.

Both of my kids had to have them due to constant ear infections... one of my sons ears had almost total hearing loss before the tubes. Don’t know if it is the same way now, but 15 years ago they had to have a certain amount of infections for it to be chronic before they’d ok the surgery. That bullshite rule caused a lot of sleepless nights.

Posted by Draconian Sanctions
Markey's bar
Member since Oct 2008
88509 posts
Posted on 8/14/19 at 9:41 pm to
And people wonder why the heath care situation in this country is so screwed up.
Posted by Golfer
Member since Nov 2005
75052 posts
Posted on 8/14/19 at 9:44 pm to
quote:

This is why I think HDHP’s are great for society as a whole and should be incentivized.

I have a HDHP as well and it definitely makes me question prescription drug prices. The more people push to understand the costs, the more the healthcare industry will have to act like every other 21st century business.


The reason we switched was because our specalist and urgent care co-pays were higher than their typical cash rates.

Posted by Patrick_Bateman
Member since Jan 2012
17823 posts
Posted on 8/14/19 at 9:45 pm to
OP and everyone else in this thread: Too bad you all have jobs and actually work for a living. If you had Medicaid or "Free Care," you could've gotten the procedure for free (to you). No stress. No bills. No nothing.
Posted by statman34
Member since Feb 2011
3825 posts
Posted on 8/14/19 at 9:53 pm to
No doctor makes more empty promises based on elective surgical procedures than ENTs. They are almost always opting for a surgery first approach. So yeah....they make good money
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6468 posts
Posted on 8/14/19 at 10:02 pm to
quote:

Let’s say one cylinder of gas $500
Anesthesiologists and ENT were present for our procedure less than an hour, actually less than half hour. 2 nurses also. Let’s say you pay them each $1000/ hr. We still ain’t even approaching $15,0000. They make a tiny incision and place a little plastic bushing in his ear drum and then give him some drops. Where is all the money going?


Surgeon fee, anesthesiologist fee
Facility overhead:
- rent, OR room time, scrub tech salary, circulating nurse salary (sometimes two in a room), pre-op/pacu nurses salary, ancillary staff salary to clean/turnover rooms between cases.
Equipment: including cost of medical grade equipment (a racket), sterilizing and costs of disposables

Of course ear tubes may be huge money maker for the facility, tempered by surgeries that don't quite make the same profit.

On and on and on. Pretty much every facility has a cost of Operating room time per x mins.

Also doesn't help that if you have 3 different contracted rates, they charge the highest rate that will cover all 3.

It's sad there's a lack of cost transparency in medicine. There's so many nuances and layers with billing, documentation, and insurance that no wonder you see a shift towards concierge in some specialities.
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