costs of diagnostics,biopsies, surgery, treatments

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costs of diagnostics,biopsies, surgery, treatments

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  • momaton
    momaton Member Posts: 780
    edited December 2013


    Thought it would be interesting to compare what we pay for all of our visits ,biopsies, surgeries and treatments, given the issues with health insurance right now. I live in Orlando, Florida. No insurance.


    Diagnostic mammo bilateral.... ...$ 80


    US bilateral....................................$80


    MRI bilateral..................................$425


    US guided core biopsy...................$1475 ( $750 out of pocket. With the balance paid by Libby's Legacy a BC program here in central Florida)


    BC surgeon office visit $250


    BC surgeon charge for 3 lumpectomies (at the same time) $ 899


    will get the out patient center's charge tomorrow....have to pay it upfront :p

  • peggy_j
    peggy_j Member Posts: 1,700
    edited December 2013


    I wonder how they came up with those numbers. They are generally much lower than the full billed rate but higher than what I paid with my health insurance. For example, my bilateral B-MRI was billed at roughly $5000. I can't remember my co-pay offhand. I hit my annual max fairly early so a lot of the expensive treatment--surgery, radiation--had no out-of-pocket expense, though my co-pay kicked in again for doctor visits after treatment ended.

  • corky60
    corky60 Member Posts: 726
    edited December 2013

    Here are some costs that I encountered.  I have insurance.  These are the explanation of charges not what my insurance paid. 

    The standard mammogram: $494.  Ultrasound: $227.   Then I had to have two separate biopsies.  The first: $5770, the second: $5962.  After that was a breast MRI: $898.  More costs were appointments with the nurse navigator who explained the diagnosis and set up initial appointments for me.

    The lumpectomy charges do not include the surgeon's fee.  Charges such as pharmacy, tissue exam by pathologist, x-ray exam of breast specimen, immunohistochemistry, lymph node removal, partial mastectomy (lumpectomy), wire placement, injections, anesthesia, recovery room are included: $33,126.

    I also had radiation therapy so that is another cost.  Without a doubt the total for all this from the initial annual mammogram that first showed the lesion to the end of the radiation therapy easily totaled over $100,000.


  • DivineMrsM
    DivineMrsM Member Posts: 9,620
    edited January 2014

    I will have to get out medical bills to refresh my memory, but the costs are astronomical.  Also, it is bizarre what the hospitals charge, and then accept from the insurance companies.  Sometimes the amount is considerably less.  

    What I do remember is "with a discount" my chemotherapy in 2011, which was six rounds of cytoxan, taxotere and zometa cost $120,000.  That's one hundred twenty thousand dollars.  For 33 rounds of radiation, the cost was about $19,000.  I had a lumpectomy and then had to have a re-excision two weeks later because the margins weren't clear.  It was outpatient surgery, and I think each one cost between 5 and 7 thousand dollars.  Now I go for monthly zometa iv's and it's about $3,000 each time.  

    One more interesting note.  I did my radiation at a facility closer to home than were I had the chemo.  So the oncologist called the radiologist and they consulted on my case.  My insurance was billed $475 for the phone call.  Oh, that was the oncologist call.  Then it was billed $475 for the radiologist call.

  • momaton
    momaton Member Posts: 780
    edited January 2014

    The costs are insane. That is why with my early stage bc I am going straight for a DMX. One night in the hospital, no chemo and no rads. It kills me to have to lose both of my breasts but that is the reality.

    My DH had an emergency appendectomy last month. The overnight hospital charge was $33,000, reduced to $12,000 because we are self pay and then reduced to $100 yes $100...we didn't ask for the reduction and my DH didn't want it , however now that I am having a DMX instead of the lumpectomies I guess we won't argue with the hospital. feel weird about it though.

  • Diamond_lil
    Diamond_lil Member Posts: 76
    edited January 2014

    hi, I am in Australia and cannot believe these costs! Is this indicative of what most people pay?????? What happens if you have no insurance?

  • wyo
    wyo Member Posts: 541
    edited January 2014

    interesting to see the charges and yes for those that have insurance what is actually reimbursed is either a negotiated flat fee or a percentage of the total charges.  For those that are self- pay, what you negotiate is what you pay. 

    I have to say that seattle mammogram charge looked waaaaay high even for digital mammo but again what the charge is usually gets paid at about 30 cents on the dollar.  

    momaton- just write the check for $100 and don't feel bad about it at all- you know it did not cover the cost (not charges) of the hospital bill but your facility has chosen to write it off under uncompensated care. 

    diamond- your question is interesting because now with the "affordable" care act americans are required by law to have health insurance and my conditions must be covered and tests, treatments and medications provided.  Its a very troubled time in our healthcare system right now for providers, hospitals and most importantly patients.  I think that is all I will say about that right now

  • QuinnCat
    QuinnCat Member Posts: 3,456
    edited January 2014

    but Wyo - the hospital can write it off, but other patients with insurance, or the ability to pay (and then do pay), absorb those costs and/or higher premiums.  For those who need help, there are options.  Medicaid, Obamacare, privately purchased insurance.  Why should the rest of us absorb the costs of those that have the ability to pay, or atleast say they have the ability to pay, de facto, when they take the choice of not purchasing health insurance?

    With the ACA, no one can be turned down for health insurance and if it is "too expensive," that is a matter of prioritizing rather than affordability as ACA takes income into account.  Why should the rest of us pay for those that rather have a bigger house, nicer car, bigger bank account, etc., etc., over paying for their own healthcare?

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