Cost of services Midwest USA 2006

[IowaBrian]

This is in no way intended to scare anyone off from surgery and treatment there is no price that can be put on your life. If you have trouble paying your med bills talk to the providers most will take a payment over many months at ZERO interest.
Cost before any insurance reduced the bill in a city of 100,000 plus.
This is more of a real world cost I know there are numbers out there but they seemed very old and out dated.
I will update this with what insurance has allowed to the provider and my out of pocket, in the future.
But every visit there is a 20.00 co-pay which along with the 90-10 network insurance split for hospital charges, is my out of pocket cost.

Before Surgery 4-28-06
First visit to GP 79.00
Ultrasound 373.32
Ultrasound Radiology reading 79.00
Urologist Pre surgery visit 214.00
CT Scan W/O Contrast 1,721.58
CT Scan Contrast 1,815.06
Chest Xray 185.09
Rad Fee CT & X ray 507.00
Blood Work Lab 426.70

Total 5,400.75

Day of Surgery 5-1-06
Hospital Fee 4,460.99
Doctor’s Fee Removal of Testis 1,550.00
Anesthesia 612.00
Path Report 386.00

Total 7,008.99

Urologist Follow Visits and Test Ordered by Uro
5-5-06 87.00
5-5-06 Blood Work BHCG 49.50
5-15-06 NO CHARGE
6-9-06 69.00
6-14-06 Ultrasound ****
6-14-06 Ultrasound Rad Fee 196.00
8-28-06 Doctor Visit ****
3-5-07 Doctor Visit

Total 401.50



Oncologist Visits and Test Ordered by Onc at Cancer Center
First Visit will need to get billing ****
5-17-06 Chest CT Contrast 793.00
5-17-06 Rad Fee for CT 211.00
6-20-06 Doctor visit 82.00
6-20-06 Blood work 53.00
6-20-06 Chest X ray 266.00
6-20-06 Rad Fee Chest X ray 30.00
7-24-06 Doctor Visit 82.00
7-24-06 Blood Work 53.00
7-24-06 Chest X Ray 266.00
7-24-06 Rad Fee Chest X ray 30.00
8-24-06 CT Scan Contrast *****
8-24-06 Rad Fee CT Scan *****
8-29-06 Doctor visit *****
8-29-06 Blood work *****
10-2-06 Doctor Visit

Total 1,866.00

**** = waiting for bill or researching the billed amount

This so far is all of the BIG bills you could add 100.00 for other items.
My cancer center has a CT scanner, Digital X Ray and has their own lab so I can kill many birds with one stone or visit or co-pay

[Don]

This is in no way intended to scare anyone off from surgery and treatment there is no price that can be put on your life. If you have trouble paying your med bills talk to the providers most will take a payment over many months at ZERO interest.
Cost before any insurance reduced the bill in a city of 100,000 plus.
This is more of a real world cost I know there are numbers out there but they seemed very old and out dated.
I will update this with what insurance has allowed to the provider and my out of pocket, in the future.
But every visit there is a 20.00 co-pay which along with the 90-10 network insurance split for hospital charges, is my out of pocket cost.

Before Surgery 4-28-06
First visit to GP 79.00
Ultrasound 373.32
Ultrasound Radiology reading 79.00
Urologist Pre surgery visit 214.00
CT Scan W/O Contrast 1,721.58
CT Scan Contrast 1,815.06
Chest Xray 185.09
Rad Fee CT & X ray 507.00
Blood Work Lab 426.70

Total 5,400.75

Day of Surgery 5-1-06
Hospital Fee 4,460.99
Doctor’s Fee Removal of Testis 1,550.00
Anesthesia 612.00
Path Report 386.00

Total 7,008.99

Urologist Follow Visits and Test Ordered by Uro
5-5-06 87.00
5-5-06 Blood Work BHCG 49.50
5-15-06 NO CHARGE
6-9-06 69.00
6-14-06 Ultrasound ****
6-14-06 Ultrasound Rad Fee 196.00
8-28-06 Doctor Visit ****
3-5-07 Doctor Visit

Total 401.50



Oncologist Visits and Test Ordered by Onc at Cancer Center
First Visit will need to get billing ****
5-17-06 Chest CT Contrast 793.00
5-17-06 Rad Fee for CT 211.00
6-20-06 Doctor visit 82.00
6-20-06 Blood work 53.00
6-20-06 Chest X ray 266.00
6-20-06 Rad Fee Chest X ray 30.00
7-24-06 Doctor Visit 82.00
7-24-06 Blood Work 53.00
7-24-06 Chest X Ray 266.00
7-24-06 Rad Fee Chest X ray 30.00
8-24-06 CT Scan Contrast *****
8-24-06 Rad Fee CT Scan *****
8-29-06 Doctor visit *****
8-29-06 Blood work *****
10-2-06 Doctor Visit

Total 1,866.00

**** = waiting for bill or researching the billed amount

This so far is all of the BIG bills you could add 100.00 for other items.
My cancer center has a CT scanner, Digital X Ray and has their own lab so I can kill many birds with one stone or visit or co-pay

Beating Cancer== PRICELESS
Sorry - I couldn't resist making this sound like a mastercard commercial!!!

[IowaBrian]

"Beating Cancer== PRICELESS
Sorry - I couldn't resist making this sound like a mastercard commercial!!!"

And Beating the high prices with HMO I love it when they chop a bill down over 50% I still think they should get paid but 3000.00 for a CT scan that should take 30 minutes I am in the wrong business!!!!!!! No wonder my doctor bought his own CT machine He charges 1/2 the hospital rate and it is right in the cancer center.

[matthias]

Just to add to Brian's numbers. This is all from the top of my head; discounted $figures are for BCBSGA PPO:

CT scans, w/ contrast, ab and pelvis: approx. $4,500 per ride;
CXR: approx. $250 per occurence;
Markers: approx. $250 per occurence.

Don't forget to add $250 for CT and CXR for radiologists' fees.



Hi-res U/S: approx. $500 per occurence.

Initial I/O w/ all the fixins (surgery, O/R, anesthesia): about $5-6k.

Of course, I do deductibles and co-pays which ever since I entertained this new "hobby" of mine, tend to max out at $2k per year.

This is in no way intended to scare anyone off from surgery and treatment there is no price that can be put on your life. If you have trouble paying your med bills talk to the providers most will take a payment over many months at ZERO interest.
Cost before any insurance reduced the bill in a city of 100,000 plus.
This is more of a real world cost I know there are numbers out there but they seemed very old and out dated.
I will update this with what insurance has allowed to the provider and my out of pocket, in the future.
But every visit there is a 20.00 co-pay which along with the 90-10 network insurance split for hospital charges, is my out of pocket cost.

Before Surgery 4-28-06
First visit to GP 79.00
Ultrasound 373.32
Ultrasound Radiology reading 79.00
Urologist Pre surgery visit 214.00
CT Scan W/O Contrast 1,721.58
CT Scan Contrast 1,815.06
Chest Xray 185.09
Rad Fee CT & X ray 507.00
Blood Work Lab 426.70

Total 5,400.75

Day of Surgery 5-1-06
Hospital Fee 4,460.99
Doctor’s Fee Removal of Testis 1,550.00
Anesthesia 612.00
Path Report 386.00

Total 7,008.99

Urologist Follow Visits and Test Ordered by Uro
5-5-06 87.00
5-5-06 Blood Work BHCG 49.50
5-15-06 NO CHARGE
6-9-06 69.00
6-14-06 Ultrasound ****
6-14-06 Ultrasound Rad Fee 196.00
8-28-06 Doctor Visit ****
3-5-07 Doctor Visit

Total 401.50



Oncologist Visits and Test Ordered by Onc at Cancer Center
First Visit will need to get billing ****
5-17-06 Chest CT Contrast 793.00
5-17-06 Rad Fee for CT 211.00
6-20-06 Doctor visit 82.00
6-20-06 Blood work 53.00
6-20-06 Chest X ray 266.00
6-20-06 Rad Fee Chest X ray 30.00
7-24-06 Doctor Visit 82.00
7-24-06 Blood Work 53.00
7-24-06 Chest X Ray 266.00
7-24-06 Rad Fee Chest X ray 30.00
8-24-06 CT Scan Contrast *****
8-24-06 Rad Fee CT Scan *****
8-29-06 Doctor visit *****
8-29-06 Blood work *****
10-2-06 Doctor Visit

Total 1,866.00

**** = waiting for bill or researching the billed amount

This so far is all of the BIG bills you could add 100.00 for other items.
My cancer center has a CT scanner, Digital X Ray and has their own lab so I can kill many birds with one stone or visit or co-pay

[dadmo]

The most important thing in this thread is what Don wrote:
Beating Cancer = Priceless
In the N.Y.C. area Jasons treatment for I/O 4EP and an RPLND around 200K.
passing the 2 year mark = priceless.

[jdbob]

"CT Scan Contrast 1,815.06"

Boy, what a scam. I thought the $1200 in our little town of 5000 was expensive so went 3 hours west and got it for $700.

Somewhere on this board is a post of my expenses going to Germany for I/O and RPLND. There was a recent article in Deutsche Welle regarding Medical Tourism.

[IowaBrian]

Day before surgery almost cost as much as the surgery day I would rather pay the doctor to a little more. When I lived in Kansas City I knew doctors that were so tired of insurance reductions that they built their own surgery center that way they don't sub out to the hospital to use the O.R.
Brian

[Vinny]

Here are some of my costs in Missouri; these are the "full-freight" charges, often the insurance contracted rates were substantially less:

Ultrasound & Radiologist $405

Orchiectomy:
Surgeon's Fee $1815
Hospital Fee $5693
Anesthesiologist $750
Pathologist $425
TOTAL $8723 (Insurance contracted amount $2427)

Port-a-cath Implantation $4981
Port-a-cath Removal (same dr, same hospital) $2499

CT (Chest/Abdomen/Pelvis) $2463 (insurance $1167)
Radiologist Fee $724

One round of BEP Chemo $18492 (insurance $6083)
Neulasta shot $3190

RPLND @IU:
Dr. Foster $11682
Hospital $12903
Oher Docs $3396
TOTAL $27981 (Insurance $25440)

Followup Oncologist Visit w/labs & tumor markers $379

Lung Surgery (Thoracoscopy):
Testing (lung function, EKG) $1073
Surgeon $2375
Anesthesia $2466
Hospital $17739
Pathology $1305
TOTAL $24958 (Insurance $8557)

To date the total costs have been almost $200k, but the insurance contract amounts have been only $108k. I'm in an MSA and have no co-pay, just a large deductible every year ($1750 - about the after insurance charge for a CT and radiologist review) but after that as long as I stay in network, the charges are covered 100%.

[IowaBrian]

I have 2000.00 ded and 20.00 co-pay Got to love out of pocket cost I guess without insurance I would be screwed living in a tent at the park so I won't say to much.
I will set up a flexible spending account for next year I just have to figure out how much to put in since if you don't use it you give up those funds.
I guess everyone on here that has that option for a flex account needs to get that figured out since sign up is just around the corner.
Brian

[IowaBrian]

Bumped for those new to our group.

[Jilleighn]

from the very first doctors visit until today my husbands treatment, surgeries, scans, bloodworks, and all that Jazz has added up to about 450k. All we are responsible for is copays for each doctors visit (20 dollars), but that does not come cheap either... For a family of 3 we pay close to 750 dollars a months in health insurance.

CT scans are usually billed at about 4k to the insurance and that is with them done inside the Oncologist office. When they are done at the hospital iti s about 5k.

What I thought was expensive was the Nulasta shots. Those are billed to the insurance at 5k a pop and when you 6 of them through treatment it sucked. All to get "rehydrated" just a bag of fluids it was charged 800 dollars.

[RTC]

Sorry to replying to an old tread . . but I couldn't resist . .

advice and support from members of this forum are also priceless.

[k.strehle]

i'll echo dadmo's priceless

4 rnds bep
3 rnds tip
1 i/o
1 rplnd
several ct's
blood workup's
low redblood count shot
list goes on and on
hovering around 260k
beating this thing......priceless

Happy Thanksgiving

[BrooklynJoe]

200k ??? R U F-ing Kidding Me???

The most important thing in this thread is what Don wrote:
Beating Cancer = Priceless
In the N.Y.C. area Jasons treatment for I/O 4EP and an RPLND around 200K.
passing the 2 year mark = priceless.

looks like i'am heading for THE FULL BOAT of RPLND and all goodies that come with it and i'am wondering is that the coast of pretty much everything??? Hopefully i get High Thread count LINENS...

[k.strehle]

not sure bout linens but it should come with decent care . i was really surprised about what the insurance picked up which was everything.