Price reports for 22558 Lumbar spine fusion

Community member

Price charged

$1,365.29

Insurance paid

$815.06

You paid

$0.00

The tech that brought the brace to me prior to my surgery told me “you could be charged as much as $950 for this brace”. The company he represented is called Rehab Products Inc. located in Kenner La. 504-468-6109. When I asked why the high cost he told me that is what Medicare is allowed to charge. If Medicare is allowed to charge this I am sure Medicaid is allowed to charge close to the same. I found this same brace online that retailed for $280. That is a little more than a 300% markup from retail not wholesale WTF. His company charged my insurance company (BCBS) $1365.29 of which $550.23 was discounted and BCBS paid $815.06 for a medical device that retails for $280.00 online. And this is only one (1) item in the medical supply system. How many more items are over priced? Hundreds of thousands I would bet. UN F***ING BELIEVABLE!!!!! I am more than willing to provide all of the paper work to show this.
Insurer: Blue Cross Blue Shield of Louisiana
Provider: Thibodaux Regional Medical Center
Address: Thibodaux, 602, North Acadia Road, LA
Community member

Price charged

$6,278.00

Insurance paid

$0.00

You paid

$2,000.00

Insurer: Blue Cross Blue Shield of Louisiana
Provider: North Institute: Dietze Donald MD
Address: Lacombe, 29301, CC 14 Road, LA
Community member

Price charged

$6,278.00

Insurance paid

$4,848.86

You paid

$0.00

Insurer: Blue Cross Blue Shield of Louisiana
Provider: North Institute: Dietze Donald MD
Address: Lacombe, 29301, CC 14 Road, LA
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Weill Cornell Medical Center
Address: New York, 525 E. 68th St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York Presbyterian Hospital Queens
Address: Flushing, 56-45 Main St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Columbia University Irving Medical Center
Address: New York, 630 W. 168th St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Lower Manhattan Hospital
Address: New York, 170 William St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: Lawrence Hospital - NYP
Address: Bronxville, 55 Palmer Ave., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Brooklyn Methodist Hospital
Address: Brooklyn, 506 Sixth St., NY
PriceCheck journalist

Price charged

$29,556.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: New York-Presbyterian Allen Hospital
Address: New York, 5141 Broadway, NY

What Medicare pays here?

Lumbar spine fusion
Region Price
Alabama $1,432.79
Alaska $2,025.85
Arizona $1,551.36
Arkansas $1,441.62
Anaheim/Santa Ana, CA $1,686.21
Los Angeles, CA $1,637.68
Marin/Napa/Solano, CA $1,659.85
Oakland/Berkeley, CA $1,682.19
Rest of California $1,569.67
San Francisco, CA $1,750.83
San Mateo, CA $1,747.62
Santa Clara, CA $1,742.75
Ventura, CA $1,648.73
Colorado $1,622.25
Connecticut $1,737.23
DC + MD/VA Suburbs $1,808.70
Delaware $1,645.65
Fort Lauderdale, FL $1,785.02
Miami, FL $1,963.18
Rest of Florida $1,656.38
Atlanta, GA $1,621.12
Rest of Georgia $1,565.34
Hawaii/Guam $1,619.90
Idaho $1,443.62
Chicago, IL $1,831.72
East St. Louis, IL $1,741.68
Rest of Illinois $1,605.73
Suburban Chicago, IL $1,763.60
Indiana $1,423.48
Iowa $1,426.73
Kansas $1,471.08
Kentucky $1,499.32
New Orleans, LA $1,645.19
Rest of Louisiana $1,586.61
Rest of Maine $1,489.06
Southern Maine $1,534.58
Baltimore/Surr. Cntys, MD $1,738.61
Rest of Maryland $1,646.71
Metropolitan Boston $1,648.88
Rest of Massachusetts $1,669.63
Detroit, MI $1,749.40
Rest of Michigan $1,563.96
Minnesota $1,469.01
Mississippi $1,395.26
Metropolitan Kansas City, MO $1,599.61
Metropolitan St Louis, MO $1,593.07
Rest of Missouri $1,528.47
Montana $1,742.10
Nebraska $1,405.25
Nevada $1,594.17
New Hampshire $1,638.47
Northern NJ $1,720.91
Rest of New Jersey $1,675.97
New Mexico $1,615.37
Manhattan, NY $1,879.07
NYC Suburbs/Long I., NY $2,000.53
Poughkpsie/N NYC Suburbs, NY $1,723.24
Queens, NY $2,001.02
Rest of New York $1,487.57
North Carolina $1,499.38
North Dakota $1,502.25
Ohio $1,560.03
Oklahoma $1,534.89
Portland, OR $1,593.07
Rest of Oregon $1,538.00
Metropolitan Philadelphia, PA $1,744.98
Rest of Pennsylvania $1,576.36
Puerto Rico $1,604.93
Rhode Island $1,652.83
South Carolina $1,457.98
South Dakota $1,469.06
Tennessee $1,446.16
Austin, TX $1,559.01
Beaumont, TX $1,527.28
Brazoria, TX $1,583.34
Dallas, TX $1,570.05
Fort Worth, TX $1,546.20
Galveston, TX $1,590.84
Houston, TX $1,612.70
Rest of Texas $1,525.33
Utah $1,600.56
Vermont $1,522.38
Virgin Islands $1,604.93
Virginia $1,575.66
Rest of Washington $1,587.73
Seattle (King Cnty), WA $1,689.30
West Virginia $1,591.87
Wisconsin $1,436.80
Wyoming $1,577.00
Bakersfield, CA $1,575.99
Chico, CA $1,563.68
El Centro, CA $1,565.44
Fresno, CA $1,563.68
Hanford-Corcoran, CA $1,564.53
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $1,669.91
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $1,669.91
Madera, CA $1,563.68
Merced, CA $1,563.68
Modesto, CA $1,563.68
Napa, CA $1,667.97
Oxnard-Thousand Oaks-Ventura, CA $1,646.10
Redding, CA $1,563.68
Riverside-San Bernardino-Ontario, CA $1,606.52
Sacramento--Roseville--Arden-Arcade, CA $1,579.26
Salinas, CA $1,583.23
San Diego-Carlsbad, CA $1,590.48
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $1,713.74
San Francisco-Oakland-Hayward (Marin Cnty), CA $1,695.19
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $1,713.74
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $1,713.74
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $1,665.79
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $1,728.80
San Luis Obispo-Paso Robles-Arroyo Grande, CA $1,569.04
Santa Cruz-Watsonville, CA $1,618.75
Santa Maria-Santa Barbara, CA $1,601.70
Santa Rosa, CA $1,597.06
Stockton-Lodi, CA $1,563.68
Vallejo-Fairfield, CA $1,667.97
Visalia-Porterville, CA $1,563.68
Yuba City, CA $1,563.68
Rest Of California, CA $1,563.68
Hawaii, GUam $1,597.56
Metropolitan Boston, MA $1,740.64