Total Cost of Surgery
RNY on 04/09/12
I have been under the very wrong impression that my surgery was much less expensive than what it is looking like. I am very lucky that my insurance pays 90%. However, I thought that my 10% was going to be about $1000. When I called for pre approval my insurance company gave me the quote for just my surgeon by mistake. So I saved my $1000. My surgery is scheduled for 4/6 and the hospital just called me to see about getting their portion of the 10% and they said that it is an additional $3000. Making the total $40,000. The hospital also explained that their normal cost for this surgery is $60,000 but that my health plan gets a large discount. Considering that I am having lapriscopic bypass and will only be in the hosptial overnight, this sounds way high!! Any opinions?
My surgeon fee was 15000. His asst another 15000. THe hospital was about 40000 for the stay and other fees. The hospital is in network so they take whatever the insurance company says is appropriate. I met my out of pocket max for the year so i had no co-insurance on the hospital stuff.
My surgeon is out of network. So of the 15000, insurance said 3900 is appropriate. They paid at 60%, i owe my deductible (350, plus 988$ for coinsurance). THey won't pay for the asst fee
So, it is just right.
Good luck. Make sure everyone is in-network....
My surgeon is out of network. So of the 15000, insurance said 3900 is appropriate. They paid at 60%, i owe my deductible (350, plus 988$ for coinsurance). THey won't pay for the asst fee
So, it is just right.
Good luck. Make sure everyone is in-network....
VSG on 01/31/12
If it makes you feel better your out of pocket is about what I spent on a bike and various race gear for this year

Paul C.
First 5K 9/27/20 46:32 - 11 weeks post op (PR 28:55 8/15/11)
First 10K 7/04/2011 1:03 First 15K 9/18/2011 1:37
First Half Marathon 10/02/2011 2:27:44 (PR 2:24:35)
First Half Ironman 9/30/12 7:32:04

First 5K 9/27/20 46:32 - 11 weeks post op (PR 28:55 8/15/11)
First 10K 7/04/2011 1:03 First 15K 9/18/2011 1:37
First Half Marathon 10/02/2011 2:27:44 (PR 2:24:35)
First Half Ironman 9/30/12 7:32:04

Does your insurance not have an out of pocket max? My out of pocket is 1000.00 on top of my 500.00 deductible. I just met my 500.00 deductible yesterday when I registered for my sleep study, and my insurance pays 90% so I owed 180.00 on the sleep study alone. Being my out of pocket is 1000.00 I will only have to pay 820.00 for surgeon, hospital, etc. (or this is what they have been tellingme..... I hope its right :S )
RNY on 04/09/12