$13K Self Pay DS Surgery in NJ by vetted Bariatric Surgeon
I wanted to share this with anyone interested in self-pay for DS surgery. I am not a candidate for DS surgery through Cigna *****quires a minimal BMI of 50 (I think with Co-morbidities) and this is the only surgery I want. I was only looking at Mexico as I thought financially that would be my only option when I saw something on one forum or another regarding self pay in Pennsylvania being a reasonable option. Upon doing more research, I found a highly vetted surgeon in NJ (Dr. Greenbaum) who quoted me $13k for the procedure whi*****ludes 4 days hospitalization, surgery, anesthesia) the additional things I must get are an endoscopy (my insurance should pay) and a appt with a nutritionist (again - looking to have insurance pay, we'll see.
I spoke to the patient coordinator asking her "is there ANYTHING ELSE that could be an out of pocket expense?" She said that Dr Greenbaum also does a liver biopsy (CPT code 47000/47100) and a radiological "leak"test post surgery (CPT code 74240/74241 depending). My next question was - ok what does that cost? She didn't know - WTF. Luckily, I found a terrific person in the billing office at the hospital that gave PHENOMENAL service and did a couple things - 1) since I was having surgery there they worked on the price 2) being self pay, only paying 12% of cost - she is sending me paperwork for approval and confirmation/documentation that allows me to pay 12% of the cost as a self pay - the 2 additional procedures would cost $2100 and at self pay will cost me $252 - I can deal with that.
I was prepared to go to either Dr. Aceves or Dr. Ungson - whose prices are almost the same but this saves me from flying from Philadelphia to San Diego or deeper into Mexico for Ungson. Ungson seems amazing too as a doctor yet I don't love flying that far after surgery and at a lower price (unless complications) I have a vetted DS surgeon about 1 hour away. If I do have complications, Greenbaum says the hospital will cost about $850/day additional. Luckily, I also have a voluntary plan that will pay $500/day to me when I'm hospitalized for the first 5 days and a surgery benefit then $100/day after that - so that too will help with the cost. Wish me luck and no complications!!!! Scheduled 6/30/2014, nervous but I can't wait!!!