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$100,000 part


RandyA
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I've received the statement from my insurance company for my back surgery including doctor, OR, hospital, meds, and the metal device that was implanted in my spine.  The total bill was $260,000 - $100,000 of that was for the white thing you see in the copy of the x-ray that is screwed into my vertebrae.  It sort of puts you in a different frame of mind about the cost for repair parts for my Volvo 😁.  BTW - the insurance company did not pay that amount.  It was "discounted" to $4,211.00.  My cost was zero.

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10 minutes ago, phoenix2013 said:

My wife has metal hip, I have two knees, We had a "discussion" with "the folks"  about what will happen after cremation. They actually have a service where a person shows up and "retrieves the spare parts".

Phoenix,

Be sure to have that same discussion about gold teeth, lol.  Can be worth a lot of $$$.  BTW prosthetic hip stem would make a great gear shift knob.

Edited by SuiteSuccess
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I have always wondered about medical pricing for "components". Why put a price tag on it for $100,000 when it gets discounted to $4211. Same thing with knees and hips. If a company is OK being paid $4211 for a list price product of $100,000 something is very wrong with the pricing model.

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2 hours ago, SWharton said:

I have always wondered about medical pricing for "components". Why put a price tag on it for $100,000 when it gets discounted to $4211. Same thing with knees and hips. If a company is OK being paid $4211 for a list price product of $100,000 something is very wrong with the pricing model.

The same issue is true of most medical and pharmacy expenses in the US relative to the difference between "billed price" and "insurance reimbursement".  I think that there are probably lots of tax issues involved in the pricing.  The higher price may represent a "fully amortized" cost including investment, research, etc., whereas the "insurance settlement" may just cover operating costs and associated profit.  Depending on how you do your accounting you might well be able to show that you're operating at a net loss relative to total investment.

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Medical billing in general is a confused mess. DH had surgery this spring. We received a letter with the estimated cost(I think this is a useless govt. requirement now), $3200. That was fine for the surgeon but not the other $100,000 or so of the bill. Operating room, hospital room, meds, anesthesiologist etc. etc.Totally gives a false impression of actual cost either before or after insurance. Totally misrepresents your actual cost.

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10 hours ago, SuiteSuccess said:

Phoenix,

Be sure to have that same discussion about gold teeth, lol.  Can be worth a lot of $$$.  BTW prosthetic hip stem would make a great gear shift knob.

Good point, I have one gold crown installed in the 1960'a, it was the material of choice then, my dentists still marvel over it in the days of plastic. I should make point of it in my family trust so that my kids can retrieve it and sell it.

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13 hours ago, SuiteSuccess said:

Phoenix,

Be sure to have that same discussion about gold teeth, lol.  Can be worth a lot of $$$.  BTW prosthetic hip stem would make a great gear shift knob.

We've reached the "metalic age."  Silver in our hair, gold in our teeth, and lead in our ass.

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