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  • Cost for Hydro??

    Hi all,
    I was just wondering if anyone happens to know how much the cysto/hydro under anesthesia costs without insurance? Like straight cash price, just roughly? I called my insurance company to ask how much I would have to pay for that procedure. (Last time I had it done I had FABULOUS insurance, only a $50 co-pay for a bill that was over $5000!) Well now, I have to pay a percentage so I can calculate it if they'll tell me how much! But they tell me that the doc's office is the one with the prices, so the insurance can only tell me how much I owe AFTER I am billed. (Yes, they ARE that stupid.)

    The call to the doc's office didn't go much better. They can't give me an estimate because they don't know what will arise in surgery so the estimate won't be accurate. I asked for just a few specific things and they still wouldn't do it. Am I crazy?? Or is this ridiculous?? I just want a ROUGH ESTIMATE on surgery price that way I know whether or not to have $5 or $1500 ready!!
    Sorry, I rambled on. Was having a fit. Insurance companies just really get to me sometimes! Doctor's office staff too!!

    Thanks for "listening"
    Kennedy

    Promise of a cure........

  • #2
    Kennedy,
    I have a PPO with a $1500 family deductible which I had not met before my hydro was preformed in April. The dr alone charged $1800 for his surgery fee but my insurance wiped out almost all of that as ineligable. I believe the hospital charged about $6000 for the actual OR room where they preformed the hydro. I'm not sure how much of that I have to pay because the insurance will say some of it is too high and I might have met the deductible somewhere in the middle of all the charges. You know it takes forever for the insurance to process all this crap. I can tell you that it's not cheap, that's for sure, but anything that's surgery like that never will be.
    Christine



    I have been diagnoised for 6 1/2 years now. I have taken a long break from the ICN but really miss helping out my fellow IC patients and want to get back into posting.
    1st hydro 4/07 showed no visible signs of IC but tons of mast cells in all my biopsy samples which did prove IC.
    2nd hydro 4/13/09 showed dark purple glomerulations and I had a capacity of 450 cc's. This hydro proved that my IC had progressed.
    I have tried every oral medication as well as rescue instills and DMSO.

    I have been lucky enough to see Dr Hanno, the top IC specialist in PA who has told me due to the fact that I have not responded to any "standard" treatments that I have a severe, end stage case of IC with a horrible quality of life (didn't have to tell me that last part!)

    Proud wifey of Shane, mommy to Griffin, and step-mom to Logan and Gage
    Also proud mom to the best Bullmastiff on earth, Claus

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    • #3
      We are on a managed care policy and never see a bill for anything but any balance due.

      Donna
      Stay safe


      Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
      Elmiron Eye Disease Fact Sheet (Downloadable) - https://www.ic-network.com/wp-conten...nFactSheet.pdf

      Have you checked the ICN Shop?
      Click on ICN Shop at the top of this page. You'll find Bladder Builder and Bladder Rest, both of which we are finding have excellent results.

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      AUA Guidelines: https://www.ic-network.com/aua-guide...tial-cystitis/

      I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.
      [3MG]

      Anyone who says something is foolproof hasn't met a determined fool

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      • #4
        This is so wrong ! I just finished watching Sicko and can not belive the crap that USA patient's have to deal with to get the help they need ! I had no idea what you all had to deal with, It just boggles my mind. Here if I need a hydro I just call my uro and have it booked, The longest I had to wait was 4 weeks , Go to the hospital get the procedure and sent home, No bill's .Only for medication's. That will be covered by my insurance company . I pray that the system there will change , So everyone will get the help they need & care they deserve, without lossing thier homes!
        Hugs Sandra
        "Never Give Up."

        To view pictures of my creative interests and Maine Coon kittens click here: http://www.flickr.com/photos/[email protected]/

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        • #5
          I think the total charges for the cysto/hydro (doctor & hospital) for me were $11,000. I had to pay $1300 in copays. I spent most of the day at the hospital though because I had an allergic reaction to the antibiotic they gave me, so I was there longer than planned.

          Just a note about cost, remember we're all from different parts of the country here, so costs may vary a lot. I live in the SF Bay Area, one of the most costly places to live in the country & everything is more expensive here.
          Kadi

          -------------------------------------------------------------
          I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.
          ------------------------------------------------------


          New favorite quote: "God gives us only what we can handle. Apparently God thinks I'm a bad-ass" ~Author Unknown
          Source - Pinterest
          "


          Current treatments:
          -IC diet
          -Elavil 50mg at night
          -Continuous use birth control pills (4-5 periods/year)
          -Heparin/Marcaine/Sodium Bicarb home instills at night 3-4x per week, more often if needed
          -Pyridium if needed,
          -Pain medicine at bedtime daily, as needed during the day several times per week
          -Antibiotic when doing an instillation to prevent UTI
          -Colace & SmartFiber to treat chronic constipation from meds, Fleet enema as needed
          -Dye Free Benadryl 50 mg at bedtime
          -"Your Pace Yoga: Relieving Pelvic Pain" dvd, walking, treadmill at gym
          -Managing stress= VERY important!
          -Fur therapy: Hugging the cat!

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          • #6
            Yup Kadi, that's true, I'm in Lancaster, PA. The cost of living is much cheaper here than even where my parents live in Baltimore. I do have really crappy insurance, I hate having a deductible. It's the first time in my life I've ever had one.
            I really like my boss and my job but there are days when I think about trying to get some kind of customer service job at one of the hosptials so hopefully I could have better benefits!
            Christine



            I have been diagnoised for 6 1/2 years now. I have taken a long break from the ICN but really miss helping out my fellow IC patients and want to get back into posting.
            1st hydro 4/07 showed no visible signs of IC but tons of mast cells in all my biopsy samples which did prove IC.
            2nd hydro 4/13/09 showed dark purple glomerulations and I had a capacity of 450 cc's. This hydro proved that my IC had progressed.
            I have tried every oral medication as well as rescue instills and DMSO.

            I have been lucky enough to see Dr Hanno, the top IC specialist in PA who has told me due to the fact that I have not responded to any "standard" treatments that I have a severe, end stage case of IC with a horrible quality of life (didn't have to tell me that last part!)

            Proud wifey of Shane, mommy to Griffin, and step-mom to Logan and Gage
            Also proud mom to the best Bullmastiff on earth, Claus

            Comment


            • #7
              I just looked at my EOB's (Explaination of Benefits) from my last hydro- and all the things that goes along with it) and it was around $5500.00. Of that I had to pay around $450.00; thats because I hadn't met my deductable yet.
              By the way, this is Texas so its not cheap, but not expensive (we are expensive in a lot of things, including medical, but I work with the state and I found out that the benefits that I have are one of the things that are really great. I guess, that is one reason why I won't leave this employment, plus the fact if I do, I don't have insurance for at least 3-6 months and I can't go without it due to the IC and my heart condition, and whatever else I have.

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