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Posted on 2/19/24 at 12:41 pm to PCRammer
Our medical care is criminal now and anything but “medical.”
Posted on 2/19/24 at 1:03 pm to PCRammer
quote:
If your guess was 12K for the use of the surgery center + 73K for the surgery you get a cookie.
Your insurance company might pay 50% of that cost, while another company might pay 75%. The hospital's going to eat difference between their charges and whatever your Out of Pocket and the payment from insurance, so they overcharge for everything.
Back in 2019, I had a 1 hour Appendectomy, followed by 48 hours in the hospital. $64.5K was billed to my insurance, who paid out $13.4K. My portion was $6.1K, and the remaining $45K was 'discounted'
Posted on 2/19/24 at 1:29 pm to XenScott
quote:
Depends on how bad your shoulder is.
mine was royally fricked, I spent nearly 3 times as long in surgery and I didn't pay anywhere remotely close to what he did.
Posted on 2/19/24 at 1:36 pm to PCRammer
Well, you are using one of the most famous surgeons in the country.
Posted on 2/19/24 at 1:49 pm to JSO24
In Canada you wait for a while then its dirt cheap
Posted on 2/19/24 at 1:52 pm to PCRammer
I’m guessing that you’re barely going to pay anything, and your insurance company is going to be the one footing this bill.
I don’t understand why people say they owe $100K on a surgery when their insurance is paying for it.
I don’t understand why people say they owe $100K on a surgery when their insurance is paying for it.
Posted on 2/19/24 at 2:50 pm to PCRammer
Damn. I had a heart attack 2 years ago. 100 per cent blockage. Doctor put 2 stents in. Spent one night in ICU and another night in a regular room.
I don't think my costs were near that much.
I don't think my costs were near that much.
Posted on 2/19/24 at 2:53 pm to Nutriaitch
quote:
how bad does it affect your day to day life?
Day to day, very little. It's mostly for me playing sports (and mostly volleyball and softball since that's the range of motion I use that causes pain). I can get by pretty easily in volleyball, it's mostly throwing the ball in softball that causes (lots of) pain.
I tore it right around two years ago playing volleyball.
Outside of sports, I'll maybe aggravate it when I'm on the floor playing with my son (4), but outside of that I don't really do much to cause pain in my regular life.
quote:
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)
Well that's not ideal. What makes you say you likely won't ever get your full range of motion back?
Posted on 2/19/24 at 3:03 pm to eitek1
quote:
he cash price for that surgery at the Oklahoma surgery center is 8700 dollars.
Yes, they only take cash.
LINK
the owner of that place was on econtalk years ago. Interesting listen.
Posted on 2/19/24 at 3:31 pm to PCRammer
What’s billed and what is collected are two different things. Your surgery will likely cost your insurance 10k vs 90k. Facility will collect around 5-6k. The Dr. will probably get around 2-3k, and the anesthesiologist will get around 1k.
Posted on 2/19/24 at 3:37 pm to CocomoLSU
quote:
Outside of sports, I'll maybe aggravate it when I'm on the floor playing with my son (4), but outside of that I don't really do much to cause pain in my regular life.
I’ve had the surgery twice (first time without the bicep surgery) First surgery didn’t get the range of motion back. 2nd time have normal range of motion. I still get pain if I over use it, but it’s better than the pain I would have when my shoulder would slide out of the socket when I shampooed my hair or reached for an object.
My best advice get the surgery, but when your insurance stops paying for your pt you need to continue to rehab strengthen and improve mobility.
Posted on 2/19/24 at 4:21 pm to CocomoLSU
quote:
Day to day, very little. It's mostly for me playing sports (and mostly volleyball and softball since that's the range of motion I use that causes pain). I can get by pretty easily in volleyball, it's mostly throwing the ball in softball that causes (lots of) pain.
sounds similar to me.
I went 12 years though.
by the end I have to admit I was wishing I had done it sooner.
quote:
Well that's not ideal. What makes you say you likely won't ever get your full range of motion back?
I had developed a lot of scar tissue. I got a couple injections to soften it up a bit and my range increased quite drastically after that.
before the injections, I could list my arm any more than about parallel to ground. wasn't really any more painful than any other movement, it just wouldn't go any further.
after the injections I'm probably at around 80-85% of what my left arm can do as far as range.
I exhausted the amount of PT visits my insurance covered, and I wasn't paying $150 a pop for them to stretch me, do a little dry needling, and cupping.
Maybe had I continued I might have gotten back to full range.
Posted on 2/19/24 at 4:23 pm to PCRammer
Had shoulder surgery last year (torn labrum and rotator cuff) - around $100k before insurance. So your pricing sounds about normal
Posted on 2/19/24 at 4:52 pm to The Torch
Keep believing that stupid bullshite
Posted on 2/19/24 at 5:05 pm to PCRammer
I had a knee replacement back in 2014. I remember looking in my claims to see how much the cost were The surgery center and doctor combined was right around $100,000 for the surgery
Posted on 2/19/24 at 5:53 pm to PCRammer
My guess was in fact 12K for the use of the surgery center + 73K for the surgery. How will I be getting my cookie?
Posted on 2/19/24 at 6:12 pm to PCRammer
I have had 7-8 of them post up pics of the EOB
Posted on 2/19/24 at 6:35 pm to PCRammer
Thats where i had my labrum fixed as well...which doc did yours? Its a bitch of a recovery and think my time in OR was a couple hours from what my wife remembers
Posted on 2/19/24 at 6:38 pm to KamaCausey_LSU
quote:
What is the purpose of the insane bill sent to the insurance company?
The insurer won't pay the full amount of the bill because, in order to be "in network," the medical provider has to (typically) agree to take UCR (usual and customary).
But, guess what? You don't have an agreement with the medical provider and if your insurer denies coverage (say, not medically necessary) the provider can come after you for the full amount.
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