#53260 05-29-2007 04:45 AM | Joined: Aug 2006 Posts: 294 Gold Member (200+ posts) | OP Gold Member (200+ posts) Joined: Aug 2006 Posts: 294 | I just recently received a complete to date billing summary I thought was interesting and wanted to share for whatever reasons.
I received my Tx at Emory University Hospital here in Atlanta. Acutally, the cancer center there is known as the Winship Cancer Center. Needless to say, I am still a patient there as I am still less than one year out of Tx. The billing summary I recently received from Emory for everything to date is $168K and some change. This includes PEG installation with an overnight stay as well as the follow-up direct laryngoscopy, base of tongue biopsy and neck dissection last September with one overnight stay.
Actually, I thought the tab would have been even greater than this and was mildly surprised. The $168K figure is the total amount Emory billed my insurance carrier and the actual amount paid by Aetna is shown as $113K and some change.
Bill D.
Dx 4/27/06, SCC, BOT, Stage III/IV, Tx 5/25/06 through 7/12/06 - 33 IMRT and 4 chemo, radical right side neck dissection 9/20/06.
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#53261 05-29-2007 09:29 AM | Joined: Nov 2006 Posts: 93 Supporting Member (50+ posts) | Supporting Member (50+ posts) Joined: Nov 2006 Posts: 93 | We are self insured with a very sizable deduction. I am so grateful we had the insurance but boy meeting that deductable really is tough. On top of that you still have to pay the almost $700 a month for the coverage. (Thank you to the employer who cut our insurance 13 yrs ago)
What got to me was the amount billed to the insurance co and the adjusted amount they actually paid. There was one thyroid test billed at $104.00 and adjusted to $8.00. Makes you wonder and shake your head in disbelief. Maggie
caregiver to husband right tonsil stage 3 35 IMRT TX completed 1/5/2007 PET Scan clear 3/07 biopsy 9/07 clear 1st yr PET scan 12/18/07 clear
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#53262 05-29-2007 03:16 PM | Joined: Apr 2005 Posts: 2,676 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,676 | I tried early on to keep up with the difference between what the medical folks were billing and what the Ins Co. was actually paying, but lost track along the way. In our case it was several hundreds of thousand $ billed over a 2 yr. period but that was not what the Ins. co. actually paid. Our yearly deduct and copay was $2000. and John's Ins premium was $900.00 a month. Until we all start really screaming at our congressional reps [who don't have to pay medical ins] this will continue. Your voice and your vote counts. And there is a really big game going on out there. Amy in the Ozarks.
CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease
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#53263 05-30-2007 03:49 AM | Joined: Mar 2007 Posts: 525 "Above & Beyond" Member (300+ posts) | "Above & Beyond" Member (300+ posts) Joined: Mar 2007 Posts: 525 | If not by the grace of God and the Doctors and People who came forward to help me I would be in agony right now and beginning the end stages of this disease. I am very, very, blessed and lucky to say the least. And I pray every day for all of us afflicted with this horrible disease. I was wondering about cost and price and I guestimated (without a clue) close to $300,000.00. And my brother new of someone who fell off a roof and broke his back (paraplegic) and his bills WERE $300,000.00. Thank You Bill for "putting me in the ball park". Bill's $168,000.00 would have paid for 4 years tuition at Harvard (pronounced: Haaaaaa-v-oooorrrrd) with a new cadilac thrown in for wheels. $168,000.00 x 6 = 1 cruise missle. (aka smart bomb) USA Presidential Campaign cost: $400,000,000.00 per candidate. (Which would pay for 2,381 hospital bills of $168,000.00) Have you ever heard the expression it cost an arm and a leg? Well I told a friend that I took my wife and 3 kids to Disney World and I came back with my "torso". In retrospect: Disney World is not that expensive. I'm sure if William Dozier had his druthers he would have skipped the cancer and paid for all 4,375 OCF members a 1 day ticket to Disney World and maybe would have enough change to gas up his car. Of course this is just Petey's opinion. You can PM or E-mail me anytime you feel the need for more worthless facts and meaningless comparisons. I quess it's just what some recovering cancer patients do...??? Attn: Davidcpa: To head off your upcoming questions I will nip this in the bud. 1. Yes, I am bored. 2. Yes, I have been double dipping my meds. 3. I'm doing it because I made a promise to God that I would make as many people smile as possible, everyday for the rest of my life. PS: You don't have to agree, just smile! With Love, Prayers, and Best Wishes. Petey
DX 3-21-07 L tongue,SCC Stage IV (T3N2MO) TX Slash/Burn/Poison Method. ***Rapid Aggressive Recurrence 8-4-07 with same DX/TX. Life does not cease to be funny when people die any more than it ceases to be serious when people laugh. Never Give Up! ****UPDATE**** Our dear friend Petey passed away, RIP 9-2-07
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#53264 05-30-2007 01:47 PM | Joined: Apr 2005 Posts: 2,219 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Apr 2005 Posts: 2,219 | Well Petey, it's working. You made me smile.
Looking forward to tomorrow's smile.
Jerry
Jerry
Retired Dentist, 59 years old at diagnosis. SCC of the left lateral border of the tongue (Stage I). Partial glossectomy and 30 nodes removed, 4/6/05. Nodes all clear. No chemo no radiation 18 year survivor.
"Whatever doesn't kill me, makes me stronger"
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#53265 05-31-2007 02:12 AM | Joined: Aug 2006 Posts: 294 Gold Member (200+ posts) | OP Gold Member (200+ posts) Joined: Aug 2006 Posts: 294 | Regarding the total to-date billing of $168K, I failed to mention that I personally have had to pay approx. $3K out of pocket. A small sum compared to the total, no doubt. Again, thank goodness for insurance coverage. Never again will I complain about the approx. $1K per month COBRA premium payments we are now paying.
Bill D.
Dx 4/27/06, SCC, BOT, Stage III/IV, Tx 5/25/06 through 7/12/06 - 33 IMRT and 4 chemo, radical right side neck dissection 9/20/06.
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#53266 05-31-2007 02:45 AM | Joined: Jul 2006 Posts: 446 "OCF Canuck" Platinum Member (300+ posts) | "OCF Canuck" Platinum Member (300+ posts) Joined: Jul 2006 Posts: 446 | It's really interesting to see the realities of the U.S. situation.
I was really interested in seeing what my total, all-in treatment costs had been as well. Since we have a socialized health insurance system, the cost of treatment is shared between the Provincial health care system, and the Alberta Cancer Board (a separately funded Provincial enitity)
Additional comprehensive health insurance, and disability benefits are paid by my employer and cost me nothing, however they pay roughly $130 quarterly for my family to be covered.
All of the Doctors visits (over 100 in the last 12 months), countless lab tests, MRI's, PET scans, bone scans, xrays, my 17 hour sugery, 10 days in ICU, an additional week in hospital, 6 weeks of radiotherapy, and physio/occupational therapy 3 times a week are included.
total cost of my personal battle with the Beast to the system?
$617,488.00 to date. I have another MRI scheduled immediately after my one year anniversary on June 5.
total cost out of pocket has been roughly $200. for parking, and $1200 for prescriptions ( insurance pays 80%)
Our system is far from perfect, and I am well aware that we pay for it through taxation, but I am very grateful it functions the way it does. The nonsense that Petey went through just doesn't happen here. if you're sick, you are treated, and you're treated just as well and just as promptly, be you a CEO or a street person. Wayne
SCC left mandible TIVN0M0 40% of jaw removed, rebuilt using fibula, titanium and tissue from forearm.June 06. 30 IMRT Aug.-Oct. 06
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#53267 06-01-2007 10:38 AM | Joined: Sep 2006 Posts: 8,311 Senior Patient Advocate Patient Advocate (old timer, 2000 posts) | Senior Patient Advocate Patient Advocate (old timer, 2000 posts) Joined: Sep 2006 Posts: 8,311 | PeteyB,
I already had mentally asked and answered qustions 1 and 2 before you stated them but I hadn't counted on #3 and that did bring a smile to my face so you're on the right track.
Good to read you're doing so well but you can't be yelling at the RO or the MO or your family or all the nurses you are about to meet. You can however yell at us if that will help.
David
Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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#53268 06-01-2007 12:17 PM | Joined: Feb 2007 Posts: 1,940 "OCF across the pond" Patient Advocate (1000+ posts) | "OCF across the pond" Patient Advocate (1000+ posts) Joined: Feb 2007 Posts: 1,940 | All i can say is thank god for the national health service.To date Robins 6 months of surgery and treatment cost him absolutely nothing.Ironic isnt it?
Liz in the UK
Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007 Recurrence June/07 died July 29th/07.
Never take your eye off the ball, it may just smack you in the mouth.
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#53269 06-02-2007 01:22 PM | Joined: Mar 2007 Posts: 525 "Above & Beyond" Member (300+ posts) | "Above & Beyond" Member (300+ posts) Joined: Mar 2007 Posts: 525 | WAYNE & LIZ
DO CANADIAN AND BRITISH TROOPS FACE THIS DILEMMA?
MORE EMBARRASSING TRUTH ABOUT THE INJUSTICES OF THE US HEALTH CARE SYSTEM.
Tuesday, April 03, 2007 10:07 AM Denying medical benefits is no way to
DX 3-21-07 L tongue,SCC Stage IV (T3N2MO) TX Slash/Burn/Poison Method. ***Rapid Aggressive Recurrence 8-4-07 with same DX/TX. Life does not cease to be funny when people die any more than it ceases to be serious when people laugh. Never Give Up! ****UPDATE**** Our dear friend Petey passed away, RIP 9-2-07
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