Question:
If I am having my surgery at OSU and My Insurance pays 80% .

Does anyone have any Idea what I am looking at in cost for my 20%.    — daddy43302 (posted on September 25, 2003)


September 25, 2003
It will depend on the rate reduction your insurance company has worked out when they signed up OSU to be a contracted provider. For example, my bill at Sacred Heart (same general part of the country) was $25,000. My insurance had contracted a certain amount so that there was a write off of around $6,000. They paid my percentages off of the reduced amount not the charges. The best way to figure how much everything will cost is to look at your "out of pocket maximum" for your plan, and figure it can't cost you more than that. In my case, after the $6,000 was written off, they paid part at the 80%, but then my stoploss kicked in and they paid the rest at 100%. There were other providers (anesthesia, radiology, surgeon) who were paid at 20%, but all totaled, my out of pocket max is just that - my max cost. The only thing not included might be noncovered services that you chose to have anyway, like a nutritionist not on your insurance plan or something like that, and if you have a flat co-pay (like $20 a visit, not subject to deductible), and your deductible is usually on top of your OOP max, not included.
   — bethybb

September 25, 2003
OOPS - I said the rest were paid at 20% - I meant at 80% and I am paying them the 20%.
   — bethybb

September 25, 2003
It depends on the region and hospital. I had a gastric bypass with 2 days stay at the hospital and my bill was $41,000. I would suggest you talk it over with the hospital and insurance to make sure you know what you are getting into. Best wishes to you on this new journey.
   — Marcy Z.

September 25, 2003
I just got out of OSU for open RNY. I'm sure there is a difference in price but I will tell you what the hospital has billed my insurance for so far. I went in on a monday and went home on Friday. Hope it helps. Dr. Cook 6,070.00 OSU Hospital 21,884.90 Anesthesia 4,004.00 Misc Hospital charges 243.00
   — Trin2rilax Cheryl McCoy

September 25, 2003
First, I don't want to assume which OSU you are refering to. Ohio, Oklahoma, or Oregon? If you are in Ohio, I found the cash prices that OSU quoted were about $25k. The cash price at Mt. Carmel West is $13k. BTC does do cash, so I can quote pricing there. If I was going to pay 20%, I'd rather pay 20% of lessor amount. For more info, take a look at: http://www.midohiosurgical.com bob
   — rleffler

September 25, 2003
Sounds like OSU is an "in network" provider since your insurance is paying 80%. In that case, insurance should pay 80% of negotiated charge and you will be responsible for 20% of the negotiated charge up to your out of pocket maximum for "in network" coverage. Once you hit the out of pocket maximum, your insurance should pick up the balance of negotiated charges at 100% and the hospital will write off the difference between negotiated charges and what was billed.
   — Carolyn M.

September 25, 2003
Your costs will depend on what your insurance plan's contracted amount is with that provider (asumming that it's an HMO, POS or PPO plan). For example, your hospital bill could be $25,000. However, the contracted amount with the hospital is only $3000. This means the insurance company would pay 80% of the $3000 and you would pay 20% of the $3000 or $600 to the hospital. The balance of the bill is a hospital write-off that they can't charge to you. The same would apply to your doctor and any other providers. Check your company's schedule of benefits for the maximum out of pocket expenses (that $600 above would be considered part of your out of pocket expenses) and that's the most that you would have to pay in a year. Typically, most plans have a $2000 or $2500 out of pocket expense for in network services (using the doctors and hospitals in your insurance companies plan) in a year but the company you work for makes that decision as well as what plan of benefits you have. If you have a traditional plan (no HMO, POS or PPO), the insurance would pay up to the reasonable and customary amount. However, once you have met your out of pocket limit (check your company benefits) the insurance would pay 100% for the remainder of the year. Very few people have traditional plans anymore as they are not cost effective. So my guess is you have an HMO, POS or PPO plan.
   — Patty H.

September 26, 2003
You need to find out if your hosptial, surgeon, etc are in or out of network. If they are in-network you will pay 20% of the price already agreed upon by the provider & insurance. However if they are out-of network the provider can charge well above what is reasonable & customary (usually the agreed price for in-network). If the insurance is charged more than reasonable & customary by an out of network, you will be responsible for your 20% plus the amount that is not considered reasonable & customary. Ex. the agreed price is $15000 (reasonable & customary) in network you'd pay 20%=$3000, lets say out of network may charge $25000 the insurance will still only pay $15000 so you'd have to pay $10000. What exact cost is I'm not sure but 1st thing you'd want to ask is if they are in or out of network, it will make a big difference in price. Hope this helps.
   — vllgmz4

September 26, 2003
Thanks for everyones input. Yes it is Ohio State. It is great my Insurance covers WLS however, Out Of Pocket maximum does not apply to this procedure. So I am stuck with the 20%. I don't want to sound like I am complaining because I know there are people out there that would love to have 80% paid.
   — daddy43302




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