44388 Colonoscopy

Veterans only

This was just a routine colonoscopy. I am not sure about the total cost but I paid out of pocket $231.91 for the procedure and $241.42 for the anesthesiologist.

your form does not fit my case: based solely on age, my PA recommended a colonoscopy. I called all hospitals within 200 miles for estimates, although Medicare would pay all. Most could not/would not give an estimates. One billing department truthfully told me that they would only bill Medicare for the most expensive coding, regardless of what the doctor did or found. I refused to do any colonoscopy with these crooks. I waited until Medicare accepted Exact Sciences do-it-yourself kit, then I had it done. Meanwhile, I had been dropped from my health provider clinic, GHC, because I refused to pay a vaccination bill. I had a one month job in Brazil, my PC recommended a yellow fever shot, as I had not had one in 20 years. The CDC also recommended this vaccination for anyone going to that area of Brasil. Medicare refused to pay, my Medicare Supplement by WPS, refused to pay, the provider billed me the total, non-Medicare discount, price. I refused to pay, they tried to use a collection agency, I refused, I was asked to NEVER use that HMO provider again. Then there is my recent cataract surgery trauma, resulting in my choice of a wonderful, transparent provider hospital 75 miles away, while there are four hospitals and a large medical school here in Madison, Wisconsin

I was giving a colonoscopy

Under Allowable Amount the insurer entered the value of $308.80 which apparently was the total paid to this doctor. Besides the doctor cost there were additional expenses like pre-procedure doctor visit (total $150, insurance disallowed $74.39, insurance paid $45.97, patient (me) paid $29.84), anesthesia (total charged $1,262.50, insurance disallowed $903.51, insurance paid $203.39, patient paid $155.60) PS: Your site does not recognize my doctor's name (Daniel L Cohen). I entered it and for several iterations it would not send the info. So, I used a RANDOM name from your list just to be able to complete this entry. The doctor who was 100% responsible for this procedure was Dr. COHEN.

Dr name : Dr James R Roat.Actually non of your codes matched the code on my statement . My code was G0121 Additional charges included $2,100 facility fee at Pierce Street Same Day Surgery, Sioux City, IA. Insurance pd $327.69 of that charge. Labs were billed from EXACT SCIENCES LABORATORIES 145 E. Badger RD, Suite 100, Madison WI 537132723 charge: $649 paid $508.87 Total billing = $3,649.

With no insurance, I shopped around to find an affordable colonoscopy. No doctor or hospital could give me a definite cost because of the different charges involved. Anesthesiologist, Doctor, Facility, Drugs, etc. My estimates ranged from $4,000 to $8,000. I found this website and was given a flat rate fee all-inclusive, except for the prep medication, which they also offered a coupon which saved me 50%. The total cost was $1125 and the staff was excellent and the procedure went without a hitch.

Did not include anesthesiologist or doctor's (gastroenterologist) fees.

I understand that medicine is expensive, I'm in the medical field but this is really expensive. Thankfully I have insurance which covered almost all of it but how about those that do not have insurance. I remember when I didn't have insurance and you are always afraid if something were to happened. Although I have insurance copayments are still outrageously expensive.

Self employed. I believe I may have payed a $100 or $200 copay to the Surgery but cannot remember so I didn't include it in the cost

This doesn't include the physician's fee (2 visits, total billed = $955, insurance paid $318, I paid $43).

Anesthesia, yes. Polyp was removed, but not biopsied as it was lost.

This colonoscopy was for screening purposes only, the patient was not experiencing symptoms. The patient's primary care physician recommended the procedure due to the age of the patient (61) and the fact that the patient had never previously had a colonoscopy. The preparation fluid at Costco Pharmacy was $25.09. We were told that pathology services for testing any specimens taken would be charged separately, but no specimens were taken, so there were no separate pathology charges, and no abnormalities were found.

my husband has ulcerative colitis whiich he must take meds for and follow up with f/u colonoscopies problem is that he has a condition that requires this but the insurance will not pay for exam. they pay for diagnositic colonoscopy but not for the maintance colonoscopy exams if he has flair up. the cost is then transfered to us.

Was told routine screening colonoscopy was covered in full prior to procedure. Both hospital (I called them) and my insurance (read covered screenings) stated procedure covered in full. After procedure insurance denied entire bill because polyps were found. Said that made a routine screening into a diagnostic procedure... And that diagnostic procedure was not covered at all. It was horrible. There was also an anesthesiology bill, for a deductible, that I had to fight for same reasoning. Ployps found - no coverage.. I was forced to spend hours researching the issue and many more hours on endless phone calls to get these bills paid. ( Which is saying if any routine test finds something wrong the insurance gets to deny coverage?) May not have been a huge amount of money but the bills were unexpected and I was getting collection calls.....

Was told in pre-services procedure would cost $1000

Colonoscopy billed: $800, Anesthesia billed: $1750.

I am a military retiree - I use Tricare Prime which in South Florida is Tricare Humana Military - South

I went for a routine colonoscopy that was supposed to be covered by my insurance as preventative. The doctor said he found "something very tiny" but not a polyp and wanted to have it checked. The insurance company decided that it was no longer a preventative test and refused to pay for it. The doctor's bill was $199.56, the anesthesiologist was 335.48, and the hospital was $2407.42.

I do not have a code on my explanation of benefits, so I have used the first colonoscopy code given in the list (not knowing if this is correct)This is the whole cost charged (after discounts to Cigna by the providers).It includes the anaesthesiologist, the facility charge, and the doctor fee.

My EOB did not say which colonoscopy code was applied, so I picked the first one, My EOB shows $0 for copay, deductible, and coinsurance.

This was just the outpatient facility not any other bills

I can't get them to explain why I am charged 1700. twice. they just tell me I was charged 4718.10, and they don't know why I keep telling them 1700. was on my EOB twice. I'"m not paying until I get a clear answer. This could be a computer error.

Done at Surgery Center of of Ft. Lauderdale (outpatient) The charge from the Surgery Center was $3340.00 and AvMed paid $517.00. The surgeon fee was $739. and AvMed paid $209. The anesthesiologist fee was $910. and AvMed paid $137. I paid nothing. NOTE: Your code numbers don't match the codes on my EOB paperwork, so I used your first one on the list.

I did an initial colonoscopy in October 2016 at the age of 51. They found 3 polyps, removed them and asked that I return 3 years later. I missed the appointment in October 2019, and I couldn’t arranged for a convenient time during Covid and was comfortable to do the procedure in December. While checking in they shared my out of pocket expense. I questioned the bill and they explained that the first one is preventative and the second is up keep for lack of a better word. Considering the difficulty to prep for the procedure I decided to follow through. . I have no idea how I’m going to pay for that one.

I am self-insured through BCBS of MS. I had colon cancer in 1999. This is for a follow-up colonoscopy. There are no codes on my bill, but charges are listed as follows: digestive procedure $967.00; anesthia 489.91; laboratory/pathology $76.00; anesthia $244.59; Endoscopy $4108.86.

I was very diligent in researching my network. I had an emergency room visit earlier in the year and had capped out my out of pocket so all procedures after should be covered at 100 percent. The thing that shocked me is I could not get a straight answer on the anesthesiologists. Some facilities contract with companies and some don’t meaning it could be an individual. I was told I could receive up to 4 bills. Facility - insurance paid - in network. Doctor - insurance paid - in network. Doctor “company” - insurance paid - in network. The big surprise is the bill I got from the anesthesiologists. Two in fact. One was the lead and one administered the drugs. Why I needed two. They said one was the doctor in case anything went wrong. In a couple of weeks I got two bills. One from each of the anesthesiologists. Each in the amount of 2,200.00. Shocking because I was there for an hour and everything else was covered. In these procedures the patient does not get to choose the anesthesiologists I was told. Out of network I think is a loop hole for them in this type of situation. My insurance did follow up with me and only paid their piece of the out of network. They stated I may get a bill directly from the anesthesiologists and if and when I did to contact them to have their company negotiate a settlement. As hard as you try to keep thing transparent they are not. This is an example of a gotcha....

This bill excludes doctor's and anesthesiologist's bills.

PPO Discount: 5567.12

I have medical billing experience and even I can't understand or be certain of some of the things I am billed for. I know that I had a colonoscopy where 2 benign polyps were removed but I have no idea what the actual CPT code is that was submitted. While I know that a procedure may have many different CPT codes, can't the insurance company give at least a broad breakdown of these costs so that I can at least attempt to understand if I am being charged for the correct service? Additionally, I know that this charge does not include the charge for the pathology analysis of the polyps that were removed and I'm not entirely sure that the Anesthesiologist charge is included.

Dr sent for extra labs, conveniently to a lab not covered my insurance, caused a lot of stress but center said it would probably be dropped. It seems to be.

I had not yet met my deductible; the insurer would have paid more if I had. The insurer's contracted rate for the whole thing was $4,055.29. This was for a diagnostic colonoscopy, with polyp removal, under anesthesia, and includes the biopsy charges. Not included is the required pre-procedure office visit, which happened a couple of weeks earlier

How can the list price be justified? If I didn't have Medicare, I would have had a white coat mugging. No discussion of price, except a disclosure that they were not in the preferred provider network of my secondary insurance.

Insurance said it would be 100% paid if billed correctly .Hospital refused to change billing.?????

This does not include the fee for the gastroenterologist or anesthesiologist. Those charges are still processing. I am fortunate to have insurance that covered all of the negotiated cost.

Does not include anesthesia that was billed separately.

preventative screening 10-yrs pre-approved by UHC which paid UHC negotiated cost portion