Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 hey all I just got the bill from my surgeon, total cost for him was $8450, on the bill under insurance estimated says $5880, part I owe $2750. I really never got a surgery before only used my insurance for doctor visits and such, I had no idea it was gonna cost me that much? I have blue cross/blue shield and its suppose to be pretty good I thought. I guess the hospital bill will be coming soon and I have no idea how much that is going to be, I had to get two surgeries done so I was in the hospital twice, once for 23 hours and the other I went directly home. Im going to call my insurance company up and get some more details and ask them if this is correct but I will have to wait until I can speak, Im wired now and talking is tough I was curious what some of you paid out of pocket for your surgery, and will the hospital bill be more than the surgeon bill? I think I have a $500 deductible and I knew I would have to pay some after that and now im scared of the hospital bill coming. just wondering what some other people had to pay? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Hey nky_guy77, My SARPE only cost about $4,000 something, but that was for the surgeon. My hospital bill was about three times that and I was only there for about 7 hours. I have insurance and they're paying the majority of it but still I think the hospital bill was a little outrageous. Anyone else? > > hey all I just got the bill from my surgeon, total cost for him was > $8450, on the bill under insurance estimated says $5880, part I owe > $2750. I really never got a surgery before only used my insurance > for doctor visits and such, I had no idea it was gonna cost me that > much? I have blue cross/blue shield and its suppose to be pretty > good I thought. > > I guess the hospital bill will be coming soon and I have no idea how > much that is going to be, I had to get two surgeries done so I was > in the hospital twice, once for 23 hours and the other I went > directly home. > > Im going to call my insurance company up and get some more details > and ask them if this is correct but I will have to wait until I can > speak, Im wired now and talking is tough > > I was curious what some of you paid out of pocket for your surgery, > and will the hospital bill be more than the surgeon bill? I think I > have a $500 deductible and I knew I would have to pay some after > that and now im scared of the hospital bill coming. > > just wondering what some other people had to pay? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 What type of plan do you have? If it's PPO you should see if your surgeon and hospital were in-network and then the rates are discounted. If it's out of network then you will pay alot more out of pocket. Your plan should also have an " out of pocket " maximum so once you've paid out so muich then it caps and the remaining charges are paid at 100% for the rest of the calendar year. I have a PPO and my out of pocket max is $2,500. Hospital charges can be steep and be higher than the surgery depending on how long you were in. Sounds like you only had one overnight stay so it shouldn' be too bad. My surgeon estimates my hospital bill would be around $80,000 for 3 nights and his surgery fee is $16,000. My responsibility would be $2,500. Hope that helps. Kim __________________________________ Start your day with Yahoo! - Make it your home page! http://www.yahoo.com/r/hs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 That's actually not bad at all. For my orthognathic surgery, my surgeon's fee was $18,000 of which I had to pay $5800. The total hospital bill was $85,000 and we had to pay about $6000 for that. I can't remember how much my other surgeries cost me but the hospital bill for my joint replacements was $120,000. Luckily I had a different insurance for that so my total out-of-pocket expense was " only " $6000. BCBS varies from state to state but has a terrible reputation in NC where I live and pays very little for orthognathic surgeries. It sounds like yours is pretty good. > > hey all I just got the bill from my surgeon, total cost for him was > $8450, on the bill under insurance estimated says $5880, part I owe > $2750. I really never got a surgery before only used my insurance > for doctor visits and such, I had no idea it was gonna cost me that > much? I have blue cross/blue shield and its suppose to be pretty > good I thought. > > I guess the hospital bill will be coming soon and I have no idea how > much that is going to be, I had to get two surgeries done so I was > in the hospital twice, once for 23 hours and the other I went > directly home. > > Im going to call my insurance company up and get some more details > and ask them if this is correct but I will have to wait until I can > speak, Im wired now and talking is tough > > I was curious what some of you paid out of pocket for your surgery, > and will the hospital bill be more than the surgeon bill? I think I > have a $500 deductible and I knew I would have to pay some after > that and now im scared of the hospital bill coming. > > just wondering what some other people had to pay? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 Hi, I have Aetna HMO and I only have a $50.00 co pay to the surgeon and $500.00 co pay to the hosp..not to bad , huh.. My surgeon bill was about $19,000 and hosp was over $30,000. minirascal2002 <no_reply > wrote: That's actually not bad at all. For my orthognathic surgery, my surgeon's fee was $18,000 of which I had to pay $5800. The total hospital bill was $85,000 and we had to pay about $6000 for that. I can't remember how much my other surgeries cost me but the hospital bill for my joint replacements was $120,000. Luckily I had a different insurance for that so my total out-of-pocket expense was " only " $6000. BCBS varies from state to state but has a terrible reputation in NC where I live and pays very little for orthognathic surgeries. It sounds like yours is pretty good. > > hey all I just got the bill from my surgeon, total cost for him was > $8450, on the bill under insurance estimated says $5880, part I owe > $2750. I really never got a surgery before only used my insurance > for doctor visits and such, I had no idea it was gonna cost me that > much? I have blue cross/blue shield and its suppose to be pretty > good I thought. > > I guess the hospital bill will be coming soon and I have no idea how > much that is going to be, I had to get two surgeries done so I was > in the hospital twice, once for 23 hours and the other I went > directly home. > > Im going to call my insurance company up and get some more details > and ask them if this is correct but I will have to wait until I can > speak, Im wired now and talking is tough > > I was curious what some of you paid out of pocket for your surgery, > and will the hospital bill be more than the surgeon bill? I think I > have a $500 deductible and I knew I would have to pay some after > that and now im scared of the hospital bill coming. > > just wondering what some other people had to pay? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 3, 2005 Report Share Posted November 3, 2005 For what it's worth... I'm in upstate NY... At the time of my surgery, I had blue choice which, if I understand correctly is affiliated with blue cross/blue shield. My surgeon was a provider with the company... so basically, regardless of what he billed them, they had a certain allowed amount that they would pay him for the surgery. As a provider, he then had to write off the remaining difference. He was not allowed to charge me the difference. So, my surgeon costs were $60... basically 3 copays of $20 each for my preop visit, surgery, and then one post op visit (not bad cosidering that he's seen me several dozens of times with my incessant worries and questions!). My genio was separate and not covered by my insurance. I paid the price agreed upon with my surgeon- $1300- I was lucky, he misquoted me by $200, so he let me have it for the price he misquoted to me. Anyway, the genio cost, since it was cosmetic, was arranged directly between us and I was billed for it directly. No insurance coverage for it. As far as the hospital goes... I wasn't there over 23 hours so they didn't consider me technically admitted to the hospital. They have some provision about 23 hour stays or less. Because I wasn't officially admitted into the hospital, my insurance's hospital copay didn't apply. I paid nothing to the hospital or for anesthesiology or anything. My insurance covered it entirely. Look into that aspect of your bill because if you weren't even there one full 24 hour period either . Btw, my 23 hour period did include staying overnight... the clock started ticking once I was taken up to my room postop. I left the following afternoon before 23 hours had passed. So, my total bill was $1360, all said and told. Anyway, I hope this helps. Good luck sorting it out! I'm sure you don't feel very up to dealing with it now, but you'll get it figured out. Definitely look into the specific provisions of you plan and look into whether your surgeon is a provider with that plan/company. Take care, Katja > > hey all I just got the bill from my surgeon, total cost for him was > $8450, on the bill under insurance estimated says $5880, part I owe > $2750. I really never got a surgery before only used my insurance > for doctor visits and such, I had no idea it was gonna cost me that > much? I have blue cross/blue shield and its suppose to be pretty > good I thought. > > I guess the hospital bill will be coming soon and I have no idea how > much that is going to be, I had to get two surgeries done so I was > in the hospital twice, once for 23 hours and the other I went > directly home. > > Im going to call my insurance company up and get some more details > and ask them if this is correct but I will have to wait until I can > speak, Im wired now and talking is tough > > I was curious what some of you paid out of pocket for your surgery, > and will the hospital bill be more than the surgeon bill? I think I > have a $500 deductible and I knew I would have to pay some after > that and now im scared of the hospital bill coming. > > just wondering what some other people had to pay? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 4, 2005 Report Share Posted November 4, 2005 Hi Sriram, I had that with another surgery. My surgeon and the hospital were in network, but the anesthesiologist was not. I was sent a bill for the 20% of the anesthesiologist fee. I called the anesthesiologists office and they cancelled the 20% due to a contract they have with the hospital. Some offices will do this, some won't. Good luck with this. Let us know! Hugs, Fran > > > > hey all I just got the bill from my surgeon, total cost for him > was > > $8450, on the bill under insurance estimated says $5880, part I > owe > > $2750. I really never got a surgery before only used my insurance > > for doctor visits and such, I had no idea it was gonna cost me > that > > much? I have blue cross/blue shield and its suppose to be pretty > > good I thought. > > > > I guess the hospital bill will be coming soon and I have no idea > how > > much that is going to be, I had to get two surgeries done so I was > > in the hospital twice, once for 23 hours and the other I went > > directly home. > > > > Im going to call my insurance company up and get some more details > > and ask them if this is correct but I will have to wait until I > can > > speak, Im wired now and talking is tough > > > > I was curious what some of you paid out of pocket for your > surgery, > > and will the hospital bill be more than the surgeon bill? I think > I > > have a $500 deductible and I knew I would have to pay some after > > that and now im scared of the hospital bill coming. > > > > just wondering what some other people had to pay? > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 5, 2005 Report Share Posted November 5, 2005 > just wondering what some other people had to pay? Both upper and lower jaws done. Surgeon's fee was $12,000, of which I haven't gotten a bill yet. The hospital already billed us for $22,000 for the 3 day stay. No idea on the other people that helped with the surgery and their fees. Most of mine were out of network, so I pay 80% up to my max yearly deductable which is $3200. (of which I already paid) So I'm free and clear from here on out I think. Considering how much the insurance costs me, I think billing them $40,000 plus for 3 days work is well worth it. Quote Link to comment Share on other sites More sharing options...
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