Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

XanaDUer2

(13,733 posts)
Mon Aug 12, 2024, 01:00 PM Aug 2024

Surgery/dr bill seems insanely low

I have only traditional Medicare. I had my gallbladder removed 20 days ago. I was told by 3 reps the Dr cost AND surgery cost only $130 about. I had to pay $500 facility fee. Surgery was not in hospital but outpatient facility.

How can even common surgery Dr fee be that low? I can't seem to get an answer other than that's the cost. America is not like this. I pay 20%. I get it. But that low? I'm worried I'll get a big shock later

14 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
Surgery/dr bill seems insanely low (Original Post) XanaDUer2 Aug 2024 OP
I paid about $1700 two years ago. Turbineguy Aug 2024 #1
Ill have to pay the anesthesiologist XanaDUer2 Aug 2024 #2
Well, I also got the "alternative" bill Turbineguy Aug 2024 #3
What's the alternative bill? XanaDUer2 Aug 2024 #4
I got the sum that the hospital sent to the insurers, Turbineguy Aug 2024 #10
Medicare costs bernieb Aug 2024 #5
My Medicare paid for my cataract surgery too Diamond_Dog Aug 2024 #6
I had to pay 500 XanaDUer2 Aug 2024 #8
Sounds like that is your share. Medicare likely paid the surgeon $500 or so and the facility got around $2,000. Silent Type Aug 2024 #7
$130.16 XanaDUer2 Aug 2024 #9
I had to buy my own Tylenol Laurelin Aug 2024 #11
TY XanaDUer2 Aug 2024 #12
I owed the practice 151.00 Drs fee XanaDUer2 Aug 2024 #13
Post removed Post removed Sep 25 #14

Turbineguy

(38,331 posts)
1. I paid about $1700 two years ago.
Mon Aug 12, 2024, 01:04 PM
Aug 2024

But spent 5 days in the hospital.

They can do a gallbladder in a few minutes.

XanaDUer2

(13,733 posts)
2. Ill have to pay the anesthesiologist
Mon Aug 12, 2024, 01:05 PM
Aug 2024

And for leg compressotrs. It just seems $130 for surgery in America is insanely low

Turbineguy

(38,331 posts)
3. Well, I also got the "alternative" bill
Mon Aug 12, 2024, 01:09 PM
Aug 2024

it was $81,000 if you can't afford insurance and $17,000 if you can.

XanaDUer2

(13,733 posts)
4. What's the alternative bill?
Mon Aug 12, 2024, 01:11 PM
Aug 2024

You have traditional Medicare?

I mean I'm thrilled if that's the cost but it just seems too low for the US

Turbineguy

(38,331 posts)
10. I got the sum that the hospital sent to the insurers,
Mon Aug 12, 2024, 03:30 PM
Aug 2024

$81,000. The $17,000 is what they actually paid and my share was $1700. And I have Medicare/Premera Medicare Advantage.

It could be that your insurance is more generous when you use a surgical center rather than a hospital.

bernieb

(60 posts)
5. Medicare costs
Mon Aug 12, 2024, 01:15 PM
Aug 2024

My husband had his shoulder replaced. It was $125 for everything. We were shocked. He's had it for 10 years with no problems. I had cataract surgery (outpatient) on both eyes (separately) and never paid a dime. What they told me was they can't charge more than the normal going rate and Medicare covers that. They even paid for my first pair of glasses after surgery and three check-ups with my regular eye doctor. I wish everyone had Medicare, no matter their age.

Silent Type

(6,471 posts)
7. Sounds like that is your share. Medicare likely paid the surgeon $500 or so and the facility got around $2,000.
Mon Aug 12, 2024, 01:17 PM
Aug 2024

Laurelin

(642 posts)
11. I had to buy my own Tylenol
Mon Aug 12, 2024, 04:08 PM
Aug 2024

Otherwise my gall bladder surgery was completely covered. I live in the Netherlands these days. I had to go to the hospital for a different reason yesterday and when I was sent home I strolled out the door, having signed no papers promising payment and paying nothing. It occurred to me that now I think that's normal. When I first moved here I tried to pay. They thought I was nuts.

XanaDUer, I hope you're recovering well from your surgery. I remember it took me a few weeks before I stopped having some pain and felt normal again. Take care of yourself.

XanaDUer2

(13,733 posts)
13. I owed the practice 151.00 Drs fee
Mon Aug 12, 2024, 04:27 PM
Aug 2024

Paid with credit card. Awaiting bill from anesthesia and another facility fee. Couldn't reach billing in the surgical center. The hospital had the price in the portal transpatent. This is so frustating

Response to XanaDUer2 (Original post)

Latest Discussions»Issue Forums»Social Security & Medicare»Surgery/dr bill seems ins...