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Message
re: Shoulder surgery cost...bananas.
Posted on 2/19/24 at 11:36 am to LSUnation78
Posted on 2/19/24 at 11:36 am to LSUnation78
quote:
Another one who doesn’t understand how medical billing works.
Explain those costs to me like I'm 5.
0
Posted on 2/19/24 at 11:37 am to PCRammer
quote:
at the Andrews Institute (Dr. James Andrews' facility) in Gulf Breeze Fl.
Do people choose to purchase a BMW instead of a Honda & then complain that it’s expensive?
Posted on 2/19/24 at 11:38 am to donRANDOMnumbers
quote:
drives off in 70k truck or suv. merica
meh...more like 43 but I get the point
Posted on 2/19/24 at 11:38 am to PCRammer
Jim almost did my rt shoulder when I was in HS and he was at the Hughston Clinic in Col, Ga.
Wish I had gone through with it then.
And consider yourself lucky…
I just had my left shoulder replaced for the second time. Reverse replacement this time around.
The final damage? $227,468 ……or $130,000 more than the first replacement 6 yrs ago.
Wish I had gone through with it then.
And consider yourself lucky…
I just had my left shoulder replaced for the second time. Reverse replacement this time around.
The final damage? $227,468 ……or $130,000 more than the first replacement 6 yrs ago.
Posted on 2/19/24 at 11:41 am to Trevaylin
quote:
let us know when your ultimate portion is 350 dollars or less
but what is his monthly health insurance premium?
Posted on 2/19/24 at 11:42 am to LSUnation78
quote:what if you don’t have insurance
its not really the cost of healthcare because the billed amount that goes to insurance is no where close to what the actual reimbursement will be.
Posted on 2/19/24 at 11:43 am to Bjorn Cyborg
lol good one
Posted on 2/19/24 at 11:45 am to JimTiger72
quote:
Do people choose to purchase a BMW instead of a Honda & then complain that it’s expensive?
While true you can walk in that place on any day of the week and see someone like Lindsay Vonn or a Manning but they treat the everyday person on the reg.
Posted on 2/19/24 at 11:48 am to PCRammer
quote:
they treat the everyday person on the reg.
For a premium price
Posted on 2/19/24 at 11:48 am to KamaCausey_LSU
quote:
I don't understand either. How exactly does it work. Physician/Surgery Center sends over a monopoly money quote, insurance company says we'll pay $X, surgery center says, "sounds good, thanks."? What is the purpose of the insane bill sent to the insurance company? Just a game to see what they will/won't pay? Padding the bill to get more money out of insurance?
And don’t forget your out of pocket cost too. Always a joy.
This post was edited on 2/19/24 at 2:54 pm
Posted on 2/19/24 at 11:51 am to PCRammer
quote:
mean does any normal person? I get that will be negotiated down between the ins company and the Dr/surgery center but the fact it even starts that high is ridiculous.
My stepdad had heart surgery, called with a question about his bill - not an issue, just a clarification- and they immediately dropped the cost by $7k.
Posted on 2/19/24 at 12:01 pm to KamaCausey_LSU
quote:
What is the purpose of the insane bill sent to the insurance company? Just a game to see what they will/won't pay? Padding the bill to get more money out of insurance?
Insurance companies pay a percentage of the gross charges. Whatever percentage the facility/clinic negotiates in their contracts is what is paid by the insurance, with some contractual information set aside to cover specific types of procedures. Most of the gross charges are inflated because Medicare pays at a low enough percentage that they have to be inflated for hospitals and clinics to have any revenue.
Posted on 2/19/24 at 12:11 pm to PCRammer
quote:
at the Andrews Institute
Unless you're an athlete, why the frick would you go here?
Posted on 2/19/24 at 12:11 pm to PCRammer
quote:
So I had a labrum tear and bicep tenodesis (relocation of the bicep tendon) fixed last week at the Andrews Institute (Dr. James Andrews' facility) in Gulf Breeze Fl. Operation lasted 70 minutes. Guess how much the claim that went to my insurance company was.
I had the same surgery. The surgeon told me he had the same injury when he was trying to keep his boat from hitting the pier. Said he would have been better off buying a new boat than he would have injuring his shoulder and not being able to perform surgery.
Posted on 2/19/24 at 12:14 pm to LSUnation78
quote:
Another one who doesn’t understand how medical billing works.
People that do medical billing don’t understand medical billing
Posted on 2/19/24 at 12:17 pm to WuShock
quote:
Insurance companies pay a percentage of the gross charges.
False. Billing is DRG based
Posted on 2/19/24 at 12:22 pm to LSUnation78
quote:
Another one who doesn’t understand how medical billing works.
Why does a hospital charge $30 per Tylenol extra strength without even telling you how much its going to cost when someone can go get a bottle of 100 for about $12? They make $2988 on a bottle of Tylenol (that's not including the fact they probably get it at wholesale prices)
This post was edited on 2/19/24 at 12:23 pm
Posted on 2/19/24 at 12:30 pm to PCRammer
quote:
So I had a labrum tear and bicep tenodesis (relocation of the bicep tendon) fixed last week
I had labrum tear, frayed rotator cuff, same bicep tendon repair, and bone spurs shaved down in November of '21.
Didn't cost anywhere near that amount.
quote:
Andrews Institute
that explains it.
Posted on 2/19/24 at 12:31 pm to CocomoLSU
quote:
I have this as well. Contemplating on if I want to get it fixed or not.
how bad does it affect your day to day life?
I suffered for a little over 12 years before getting it done.
the surgery itself isn't bad. the rehab is a bitch.
it's been over 2 years and I still don't have my full range of motion (and likely never will)
Posted on 2/19/24 at 12:32 pm to JasonDBlaha
quote:
The andrews institute in Pensacola is super expensive in general because so many pro athletes have paid ridiculous money to get surgery there. My arthroscopic shoulder procedure was no more than $15,000 without insurance. The idea of paying $50,000+ for shoulder surgery is absurd unless you’re a multi-millionaire who has hundreds of thousands of dollars worth of disposable income
Depends on how bad your shoulder is.
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