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The cost of a Appendectomy - Help wanted from a Brit!!
06/23/08 | vanity

Posted on 06/23/2008 8:34:39 AM PDT by vimto

My lad is in America waiting for a visa to live there and marry a lovely American lass. He was taken ill and went to hospital where an appendectomy was performed. The bill is $28,000 minimum. We think he has medical cover but we don't know the datils ...is ths figure about right? Anyone out there with any advice?


TOPICS: Health/Medicine
KEYWORDS: health; healthcare; hillarycare; insurance; medicalcare
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1 posted on 06/23/2008 8:34:42 AM PDT by vimto
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To: vimto

What hospital is he in?


2 posted on 06/23/2008 8:37:09 AM PDT by CaptainK (...please make it stop. Shake a can of pennies at it.)
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To: vimto

That sounds almost right for surgery, especially emergency.


3 posted on 06/23/2008 8:37:22 AM PDT by Southerngl
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To: vimto
First: I hope he is well and recovering.

Next: Emergency Appendectomys are expensive, but I cannot tell you the cost. Someone may be able.

Lastly: You think that was expensive, wait'll we get free health care.

4 posted on 06/23/2008 8:37:47 AM PDT by theDentist (Qwerty ergo typo : I type, therefore I misspelll.)
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To: vimto

Yea, I believe it. I was in the hospital for about 36 hours doing some tests for chest pain. The bill was over $9000 nad they didn’t do much of nothing.


5 posted on 06/23/2008 8:38:34 AM PDT by caver (Yes, I did crawl out of a hole in the ground.)
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To: CaptainK

He’s in Palms of Passadina.


6 posted on 06/23/2008 8:38:50 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: vimto

If that includes the OR fee, Doctor fee, and room fee, it sounds about right. Most hospitals in the US have charity options if a person cannot afford the bill, or they have payment plans you can work with. I have found as long as you send them some money each month they are happy.


7 posted on 06/23/2008 8:38:53 AM PDT by LukeL (Yasser Arafat: "I'd kill for a Nobel Peace Prize")
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To: vimto

Critical data item. Hospitals quote a different price for an insured person than an uninsured person — because the insurance companies tell them NO! The hospitals, when they get an uninsured person, use it to try to make up for indigents they must treat.

He needs absolutely to say he is insured. Simply doing that will cut that price. And above all — tell him do NOT put it on a credit card, nor his wife-to-be. Let the situation get complex for the hospital, with him being a Brit.


8 posted on 06/23/2008 8:38:56 AM PDT by Owen
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To: Southerngl
Thanks that helps
9 posted on 06/23/2008 8:39:51 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: CaptainK
There are agencies which exist that will go over a bill to see if you were overcharged. You can always try to negotiate the bill amount. Most hospitals will also let you set up a payment plan.
10 posted on 06/23/2008 8:40:22 AM PDT by CaptainK (...please make it stop. Shake a can of pennies at it.)
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To: theDentist

He’s recovering but not a quickly as we had hoped. but he’ll be OK. Appreciated.


11 posted on 06/23/2008 8:41:38 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: vimto

Prayers that he’s doing better now!!
Hope you all get the financial aspect all figured out!

Did the thought occur to anyone else that had he entered the US illegally, then he could have gotten his health care/operation for free?? What a bizarro world we live in...


12 posted on 06/23/2008 8:42:15 AM PDT by pillut48 (CJ in TX --Soccer Mom and proud Rush Conservative with no dog in the presidential race now *sigh*)
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To: vimto

My appendix ruptured just over 25 years ago when I was 15, the surgery and hospitalization was nearly $20,000 back then (I had peritonitis which complicated things). So, what you are being quoted sounds about right. Keep in mind that an appendectomy is nearly ALWAYS emergency surgery, it’s not something you can put off (otherwise it WILL rupture and then it gets a lot more expensive).


13 posted on 06/23/2008 8:42:32 AM PDT by wagglebee ("A political party cannot be all things to all people." -- Ronald Reagan, 3/1/75)
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To: vimto

Hospitals inflate their bills terribly to those without insurance, but if you are firm and resolute they will negotiate.

Try to find out what they are paid for these services by a major insurance company, such as Aetna. You will probably find that it is less than half of what they have billed you.

Don’t pay any part of the bill until they become reasonable. Then pay the whole thing.


14 posted on 06/23/2008 8:43:09 AM PDT by devere
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To: All

No.

Don’t be thinking of payment plan. A young man starting out who thinks he was properly insured and a guest from another country should not be saddled for possibly a decade with an inflated hospital bill.

Sign nothing. Do not put it on credit card. Get full details from the insurance company before agreeing to anything at all by the hospital.


15 posted on 06/23/2008 8:43:09 AM PDT by Owen
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To: vimto
It's whatever they want to charge.

I recently called my GP's office to find out what an "office visit" would cost. They could/would not tell me.

I called the insurance company to find out what a "reasonable and customary" charge for an office visit would be. They could/would not tell me.

So much for the patient taking charge of their health care.

We are at the mercy of the the system. It's all about big bucks. Insurance companies are taking in record earnings and raising co-pays and rates.

Our health should not be dependent on dividends and bonuses.

16 posted on 06/23/2008 8:44:40 AM PDT by raybbr (You think it's bad now - wait till the anchor babies start to vote!)
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To: Owen
Hospitals quote a different price for an insured person than an uninsured person — because the insurance companies tell them NO! The hospitals, when they get an uninsured person, use it to try to make up for indigents they must treat.

That hasn't been my experience, though it is limited.

I had knee surgery a couple of years ago, and was uninsured/self-pay. I received a 40%+ reduction in the cost of services, but had to pay upfront.

The same thing happens for all my normal doctor's visits.

I would imagine that if you are uninsured and make no provisions for payment, the cost you will be quoted for non-emergency treatment would be exorbitant, as you suggest.

17 posted on 06/23/2008 8:46:56 AM PDT by Trailerpark Badass (Happiness is a choice!)
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To: devere; vimto
Try to find out what they are paid for these services by a major insurance company, such as Aetna.

Good luck with that! I couldn't even find out what my GP charged for an office visit - from them!

And, they have different rates for every insurance company.

The best rate would be the Medicare rate if you could find that out.

18 posted on 06/23/2008 8:47:05 AM PDT by raybbr (You think it's bad now - wait till the anchor babies start to vote!)
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To: pillut48

Yep, I know we do everything by the book - we should have sent him to Mexico and got him to cross the boarder! :^(


19 posted on 06/23/2008 8:47:48 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: vimto
My sister had hers removed on Thanksgiving morning. She was out of work for 4 weeks, and even at that it was kind of rushing it a bit.

She is a nurse who works in a hospital ER.

As stated in earlier posts, as long as you make some sort of monthly payment, (even as small as $25) they dont bother you.

I had an emergency gall bladder operation last year and it ran over 25K.

20 posted on 06/23/2008 8:47:56 AM PDT by mware (F-R-E-E, that spells free, freerepublic.com baby)
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To: mware

Thanks indeed - good luck to your sister and yourself!


21 posted on 06/23/2008 8:49:28 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: vimto
Try this.
22 posted on 06/23/2008 8:50:02 AM PDT by raybbr (You think it's bad now - wait till the anchor babies start to vote!)
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To: vimto

procedures performed, age, sex and discharge status. One DRG is assigned to each inpatient stay.
DRG
Description
Average Length of Stay (Days)5
National Average DRG Payment5
338
Appendectomy w complicated principal diag w MCC
10.9
$14,672.93
339
Appendectomy w complicated principal diag w CC
7.1
$10,662.56
340
Appendectomy w complicated principal diag w/o CC/MCC
4.3
$7,455.98
341
Appendectomy w/o complicated principal diag w MCC
7.3
$10,134.41
342
Appendectomy w/o complicated principal diag w CC
4.3
$7,301.47
343
Appendectomy w/o complicated principal diag w/o CC/MCC
2.3
$5,322.93


23 posted on 06/23/2008 8:51:18 AM PDT by raybbr (You think it's bad now - wait till the anchor babies start to vote!)
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To: vimto

Sounds about right.

Isn’t it outrageous than in the 21st century, an appendectomy can cost $28,000?

(Well, not really, considering the 19th century treatement was “you die.”)


24 posted on 06/23/2008 8:52:25 AM PDT by Our man in washington
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To: raybbr

wow, thanks I will digest that information.


25 posted on 06/23/2008 8:52:46 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: Our man in washington

Er...point taken:^)


26 posted on 06/23/2008 8:53:27 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: vimto

If he’s a British subject travelling overseas, the NHS ought to pick his the tab for emergency care. If I were him I’d get in touch with them.


27 posted on 06/23/2008 8:53:48 AM PDT by Mr Ramsbotham (Barack Obama--the first black Jimmy Carter.)
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To: raybbr

Thanks much appreciated!


28 posted on 06/23/2008 8:54:59 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: vimto

I’ll do it for half that.


29 posted on 06/23/2008 8:56:46 AM PDT by keat (What I wouldn't give for a nice pair of Moccasocks.)
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To: Mr Ramsbotham

I think the NHS won’t cover him - mind you they would do it for free for an Islamic terrorist on bail over here!

Strange world hey?


30 posted on 06/23/2008 8:57:40 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: keat

Thanks, next time I’ll contact you first!


31 posted on 06/23/2008 8:59:59 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: vimto
If you do not have insurance, call the billing office and tell them you are self pay. Most hospitals will reduce the charge to the amount they charge an insurance company. Insurance companies negotiate for reduced rates with the hospitals and medical care providers. The "official" undiscounted bill is pure BS.

My daughter had an auto accident and we received a bill for $5000 from the hospital, mostly from the tests they ran. When I called the billing office and explained she didn't have insurance they adjusted the bill down to less than $900.

You may need to negotiate with the hospital, the anesthesiologist, the surgeon, etc separately, but they will negotiate.

32 posted on 06/23/2008 9:00:24 AM PDT by 6ppc (It's torch and pitchfork time)
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To: vimto

The comments regarding negotiating payment are correct. A 50% reduction is in order, plus you can simply tell them to get stuffed, come collect.

Also, if I recall correctly, I believe Brits abroad are basically insured -— they turn the bill over to the Brit health system and it acts as a psuedo-insurance company.

Next thing to check and see how you paid for the trip. When I use one card (used for this purpose — not otherwise a credit card fan) for travel -— any emergency medical while I am there is covered by an insurance program. This is a very common benefit on Gold/Platinum type cards.


33 posted on 06/23/2008 9:00:53 AM PDT by MeanWestTexan (Kol Hakavod Mossad!)
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To: raybbr

It a shame doctors do not have a price list to offer patients. Fair disclosures should be offered.


34 posted on 06/23/2008 9:02:30 AM PDT by Orange1998
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To: vimto

My Canadian mother-in-law, and all the Canadians I know are hyper about getting travel health insurance for their trips here. I kind of chuckle at them about it, but I guess it can kind of come in handy sometimes. I know it is too late now, but you might want to consider it for future trips.


35 posted on 06/23/2008 9:04:06 AM PDT by Dr. Sivana (There is no salvation in politics)
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To: caver
The bill was over $9000 nad they didn’t do much of nothing.

Nothing except create, maintain and fund a 24/7/365 capability to diagnose and intervene in case you were having a heart attack, thereby limiting or preventing heart damage and perhaps saving your life.

Do you have any idea how much having that capability an ambulance ride away from your home at all hours of the day or night COSTS?

Who do you think should pay for it?

36 posted on 06/23/2008 9:07:47 AM PDT by Jim Noble (Cut the birth certificate crap! It's the communism, stupid!)
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To: MeanWestTexan

Thanks for the tips, we will investigate....


37 posted on 06/23/2008 9:08:55 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: 6ppc

Thanks, we have paid some upfront but we look to reduce the rest of the bill.

It’s harder when you just don’t know the system...


38 posted on 06/23/2008 9:10:40 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: vimto

Remember in American you pay for yourself and at least one illegal family getting free health care.


39 posted on 06/23/2008 9:13:45 AM PDT by bmwcyle (If God wanted us to be Socialist, Karl Marx would have been born in America.)
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To: LukeL

I had two emergency room visits last winter (thankfully all was ultimately OK) which ran about $4,000 EACH, $8,000 total.

The hospital and subsidiary providers were all very amenable to a range of payment options.

$28,000 sounds right for an emergency appendectomy.

If I ever need elective surgery I’m off to Thailand, India, or Malaysia, all of which provide superior medical care at low cost.


40 posted on 06/23/2008 9:15:13 AM PDT by angkor (Conservatism is not now and never has been a religious movement.)
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To: Jim Noble

Hit a nerve? Are you a doctor?

I don’t care what kind of excues you come up with, it wasn’t worth $9000. I mentioned nothing about anyone else paying for it. I think I should pay for it.

We just had our local hospital flooded out. Now the hospital officials are on the media saying the public has to come up with $2 million before they will open up the emergency services. Sounds like extortion to me.

And don’t bother responding to me, Im done with you already.


41 posted on 06/23/2008 9:15:18 AM PDT by caver (Yes, I did crawl out of a hole in the ground.)
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To: angkor

Thailand?


42 posted on 06/23/2008 9:18:26 AM PDT by LukeL (Yasser Arafat: "I'd kill for a Nobel Peace Prize")
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To: Trailerpark Badass
Your experience is different because apparently you negotiated your bill beforehand and paid up front.

Hospitals generally get about half (sometimes less) from insurance companies than what they bill individuals. They say it is because the insurance company will pay whereas hospitals typically only get a fraction of what what is billed to individuals.

Hospitals will negotiate but you get the best deals before the procedure.

Correction: you get the best deals if you tell them your name is Jose and give them a phony address.

43 posted on 06/23/2008 9:22:01 AM PDT by ladyjane
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To: caver
And don’t bother responding to me, Im done with you already.

Don't be so sure, you might be receiving an invoice. LOL
44 posted on 06/23/2008 9:23:02 AM PDT by mkjessup (Obama-flakes! = Little suntanned Jimmy Carters with twice the empty rhetoric , from DNC cereals!)
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To: bmwcyle

Well, in a roundabout way the same is true over here. Seems like thsoe who work hard get milked the most. Wait till you get the price tag for what Obama intends to do to America. We will both be weeping in our beers!


45 posted on 06/23/2008 9:24:21 AM PDT by vimto (To do the right thing you don't have to be intelligent - you have to be brave (Sasz))
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To: mkjessup

“Don’t be so sure, you might be receiving an invoice. LOL”

Ha! I had to laugh at that. That is true! I got bills from doctors or whoever that I didn’t even see. Maybe they looked in the room and seen me. That’s the part about hospital bills that disgusts me.


46 posted on 06/23/2008 9:30:26 AM PDT by caver (Yes, I did crawl out of a hole in the ground.)
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To: Trailerpark Badass

You’re right.
When I’m unisured and self-pay, I get around a 40% discount on everything, office visits to births.


47 posted on 06/23/2008 9:30:59 AM PDT by frankenMonkey (101st Airborne Army Dad)
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To: pillut48

I have informed everyone I know that has no insurance that if they need to go to the hospital er for any reason......look them straight in the eye and tell them you are in the country illegally, no ss#, live at 1234 Main St. and phone number is whatever. Dare them to ask otherwise.
If everyone in the country started doing this the hospitals would be screaming for the free care to illegals to cease as they would all be going broke.


48 posted on 06/23/2008 9:32:34 AM PDT by sheana
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To: vimto

Pricing for various medical procedures in the USA by HCA http://www.hcahealthcare.com/CustomPage.asp?guidCustomContentID={C7403AAF-2EFC-4CC9-BEC9-3D5815D11C45}


49 posted on 06/23/2008 9:33:09 AM PDT by politicalwit (AKA... A Tradition Continues...Now a Hoosier Freeper)
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To: vimto
Creeping Socialism has hit the shore. The American voter now thinks they can get something for nothing. I rather cry in British beer. There is nothing better than the smooth double fermented British beer.
50 posted on 06/23/2008 9:34:11 AM PDT by bmwcyle (If God wanted us to be Socialist, Karl Marx would have been born in America.)
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