Price reports for 44970 Laparoscopy appendectomy

PriceCheck journalist

Price charged

$956.86

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.smmcnj.com/for-patients-visitors/financial-assistance/ .
Provider: St. Michael's Medical Center
Address: Newark, 111 Central Ave., NJ
PriceCheck journalist

Price charged

$1,992.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.saintclares.com/463483967_SaintClaresHealth_standardcharges.json .
Provider: St. Clare's Denville
Address: Denville, 25 Pocono Rd., NJ
PriceCheck journalist

Price charged

$4,584.10

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Good Samaritan Hospital
Address: West Islip, 1000 Montauk Hwy., NY
PriceCheck journalist

Price charged

$4,878.56

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Francis Hospital
Address: Roslyn, 100 Port Washington Blvd., NY
PriceCheck journalist

Price charged

$5,746.52

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Joseph Hospital
Address: Bethpage, 4295 Hempstead Tpke., NY
PriceCheck journalist

Price charged

$5,746.52

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Charles Hospital
Address: Port Jefferson, 200 Belle Terre Rd., NY
PriceCheck journalist

Price charged

$5,746.52

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health St. Catherine of Siena Medical Center
Address: Smithtown, 50 NY-25A, NY
PriceCheck journalist

Price charged

$5,746.52

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.chsli.org/pricing-transparency .
Provider: Catholic Health Mercy Hospital
Address: Rockville Centre, 1000 N. Village Ave., NY
PriceCheck journalist

Price charged

$6,122.06

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.montefioreslc.org/patients/billing-insurance-information/ .
Provider: Montefiore - St. Lukes Cornwall Hospital
Address: Newburgh, 70 Dubois St., NY
Community member

Price charged

$6,414.00

Insurance paid

$5,621.25

You paid

$792.75

Insurer: Cigna
Provider: O'Connor Hospital Emergency Room
Address: San Jose, 2105, Forest Avenue, CA
Community member

Price charged

$6,892.10

Insurance paid

$3,535.26

You paid

$2,356.84

I'm self employed and have Personal Choice Insurance through IBC. I am disputing the Bryn Mawr Hospital Billing because the doctor coded the pre and post Op observation period as OUTPATIENT OBSERVATION resulting in a 60/40 split for me with insurance vs an 80/20 split for INPATIENT OBSERVATION coding. They have you sign a form agreeing to this just prior to surgery while you are in pain and scared.
Provider: Bryn Mawr Hospital
Address: Bryn Mawr, 130, South Bryn Mawr Avenue, PA
Community member

Price charged

$7,990.00

Insurance paid

$9,856.69

You paid

$4,224.30

I previously entered info but provided the wrong medical code for service. The hospital only billed $7990 and I have a 30% coinsurance due. But my insurance allowed them to bill $14,080.99 increasing the amount I owe by 40%. I will fill out another one, but they also denied the CT Scan required to diagnose my appendicitis and are making me pay entirely out of pocket for that.
Insurer: Regence Blue Cross Blue Shield of Oregon
Provider: Legacy Salmon Creek Medical Center
Address: Vancouver, 2211, Northeast 139th Street, WA
PriceCheck journalist

Price charged

$8,429.15

Insurance paid

$0.00

You paid

$0.00

Price from pricing page: https://elih.stonybrookmedicine.edu/patients_visitors/patient_financial_services/understanding_your_hospital_charges .
Provider: Stony Brook Eastern Long Island Hospital
Address: Greenport, 201 Manor Pl., NY
PriceCheck journalist

Price charged

$10,100.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.westchestermedicalcenter.org/billing-insurance-and-financial-assistance .
Provider: Westchester Medical Center
Address: Valhalla, 100 Woods Rd., NY
PriceCheck journalist

Price charged

$10,100.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.midhudsonregional.org/billing-insurance-and-financial-assistance .
Provider: MidHudson Regional Hospital
Address: Poughkeepsie, 241 North Rd., NY
Community member

Price charged

$11,000.00

Insurance paid

$0.00

You paid

$6,000.00

Insurer: Kaiser Permanente
Provider: Kaiser Permanente Orange County - Anaheim Medical Center
Address: Anaheim, 3440 East La Palma Avenue, CA
PriceCheck journalist

Price charged

$15,844.40

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stonybrookmedicine.edu/patientcare/oon/charges .
Provider: Stony Brook University Hospital
Address: Stony Brook, 101 Nicolls Rd., NY
PriceCheck journalist

Price charged

$17,135.70

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.stjosephshealth.org/about-st-josephs/patient-and-visitor-information/itemlist/category/791-paying-for-your-care .
Provider: St. Joseph's University Medical Center
Address: Paterson, 703 Main St., NJ
PriceCheck journalist

Price charged

$26,789.50

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.downstate.edu/patient-care/patient-family-support/insurance-billing/index.html .
Provider: University Hospital at SUNY Downstate
Address: Brooklyn, 450 Clarkson Ave., NY
PriceCheck journalist

Price charged

$27,487.00

Insurance paid

$0.00

You paid

$0.00

From pricing page: https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency .
Provider: NYP Hudson Hospital
Address: Cortlandt Manor, 1980 Crompond Rd., NY
PriceCheck journalist

Price charged

$29,717.00

Insurance paid

$0.00

You paid

$0.00

Price from pricing page: https://southampton.stonybrookmedicine.edu/patients-visitors/financial-services/hospital-charges .
Provider: Stony Brook Southampton Hospital
Address: Southampton, 240 Meeting House Lane, NY
Community member

Price charged

$32,406.00

Insurance paid

$31,718.60

You paid

$687.40

Insurer: UnitedHealthcare
Provider: Baptist Hospital
Address: Miami, 8900, North Kendall Drive, FL
Community member

Price charged

$33,048.80

Insurance paid

$0.00

You paid

$0.00

My son had an emergency laparoscopy appendectomy at EvergreenHealth Monroe hospital. Upon arrival at the hospital at approximately 4:00 pm on 9-1-18, he immediately informed the staff that he didn't have insurance and requested only necessary procedures. He was told by the admitting personnel that a C-T scan fee would be waived plus anything else that would be possible to waive. My son was safely released from the hospital 6.5 hours later and told that his bill would be mailed to him. It took six weeks for the bill to arrive despite my son calling and returning to the hospital to get the bill. (The EvergreenHealth Monroe hospital billing statement is separate from the doctor and anesthesiologist bills which were charged from "Evergreen Health," located in Kirkland, WA, and operating separately from EvergreenHealth Monroe. I was told that if my son had been admitted in Kirkland, he would've received financial assistance. The doctors reduced their fees by half.) EHM demanded payment in full of $33,048.75 upon receipt. If it wasn't paid within two months, the bill would be turned over to a collection agency. When my son met with financial assistance personnel at the hospital, he was told that he made $300 too much to qualify for a reduced bill, therefore, his request form wasn't even submitted to the "finance team." He was also strongly encouraged to apply for two VISA cards, each with a $15,000 limit, and then use them to pay his hospital bill. When he said no, that there's an 18% interest rate, the woman said, "At least you'll get miles." His bill was turned over the a collection agency in December 2018 and a $5,000 fee from the agency was promptly added to his statement bringing the total to $38,048.75. My son is currently paying $100 per month to the collection agency and $120 per month to the doctors. Questions about billing that EvergreenHealth Monroe never answered: (1) Why weren't any fees waived? CT Scan $4,558.73 (2) What supplies are included in the "Sterile Supply" Code 272 that cost $5,026.60? Med/Surgical supplies $311.85? ( 3) What drugs did he receive, Code 636 $332.65 and Pharmacy, Code 250 $244.12? IV Therapy $907.67? (4) What happened in the Recovery Room that cost $1,942.59? (5) If sterile supplies/drugs/doctor fees are separate, what is covered in the $14,311.80 Operating Room fee? My son and I sent letters to the Administrative Board requesting financial assistance. Their response was that if he was found eligible, a two-year, $1,377.04 per month payment plan could be considered. When I asked if EHM considers that amount an affordable average monthly payment, I was told that it would depend on "the finance team's" approval. Regarding the collection agency: My son gets repeated calls requesting that he increase his monthly payment because his $100 payment includes a $30 late penalty fee. Therefore, he's only paying $70 on the $33,048.75 hospital bill. Thank you for your attention and help. T. Barich
Provider: EvergreenHealth Monroe Emergency Department
Address: Monroe, 14701, 179th Avenue Southeast, WA
PriceCheck journalist

Price charged

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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

$35,703.60

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
Community member

Price charged

$39,456.30

Insurance paid

$10,741.00

You paid

$1,166.91

I was in the hospital (ER, surgery and released) total 11 hours
Insurer: Blue Cross Blue Shield of Illinois
Provider: Mountain Vista Medical Center
Address: Mesa, 1301, South Crismon Road, AZ
Community member

Price charged

$39,936.00

Insurance paid

$23,412.40

You paid

$4,920.70

Health insurance cost for employee +1= $3756/year. Calendar year out-of-pocket Maximum medical payment for individual is $5000. Family Max is $10,000. 74177-CT Scan-$4054 44970-Surgery-$4628 99285-Emergency Care-$2032 0272-Sterile Supply-$14,189 These are just some of the codes/cost for this one medical event.
Provider: Memorial Hospital
Address: South Bend, 615, North Michigan Street, IN
Community member

Price charged

$44,500.00

Insurance paid

$40,000.00

You paid

$0.00

This is just the hospital bill The dr bills are still coming in. I feel for the lady as so far the insurance has not paid any of the drs fees and says that is my cost. last count it was over 6000 for those and they are still coming in
Insurer: Blue Cross Blue Shield of North Carolina
Provider: Atrium Health Lincoln
Address: Lincolnton, 433, McAlister Road, NC
Community member

Price charged

$48,192.20

Insurance paid

$18,168.20

You paid

$30,024.00

This insurance comes through Ohio Police and Fire for retired employees. Worked 35 years as a police officer. Was completely maxed out on time and had no choice but to retire. This year starting in January Ohio Police and Fire decided to drop all healthcare and had us contact AON to choose healthcare on the marketplace. I am paying $1,156 per month for just healthcare coverage. On this date i had a sudden severe abdominal pain and we tried to call the insurance company to find out what hospital was in network. We could not reach anyone as it was after hours. My wife took me to Atrium Medical Center Emergency Department. I was then taken to surgery for an appendectomy and was kept in the hospital overnight. The insurance states that this is out of network and that they paid the maximum allowed amount. We have contacted the insurance and filed an appeal which was denied. We have contacted Premier Health and they are telling us to contact the insurance again and file another appeal so we are trying to do that. We have made phone calls with no one returning our calls. I am not sure why I should have to pay more than my insurance deductible for an emergency procedure wether it’s in network or out of network.
Insurer: Anthem Blue Cross Blue Shield
Provider: Premier Health Hospitalists
Address: Middletown, 1, Medical Center Drive, OH
Community member

Price charged

$80,000.00

Insurance paid

$72,000.00

You paid

$8,000.00

I'm self employed
Insurer: Blue Cross Blue Shield of Illinois
Provider: Laredo Medical Center
Address: Laredo, 1700, East Saunders Street, TX

What Medicare pays here?

Laparoscopy appendectomy
Region Price
Alabama $564.36
Alaska $798.97
Arizona $608.51
Arkansas $567.35
Anaheim/Santa Ana, CA $662.04
Los Angeles, CA $643.33
Marin/Napa/Solano, CA $653.04
Oakland/Berkeley, CA $661.47
Rest of California $617.35
San Francisco, CA $688.20
San Mateo, CA $686.96
Santa Clara, CA $685.14
Ventura, CA $647.77
Colorado $634.89
Connecticut $678.56
DC + MD/VA Suburbs $706.49
Delaware $643.64
Fort Lauderdale, FL $694.05
Miami, FL $759.10
Rest of Florida $646.50
Atlanta, GA $634.22
Rest of Georgia $612.71
Hawaii/Guam $635.71
Idaho $568.45
Chicago, IL $711.58
East St. Louis, IL $677.34
Rest of Illinois $627.66
Suburban Chicago, IL $687.05
Indiana $561.33
Iowa $562.37
Kansas $578.56
Kentucky $588.45
New Orleans, LA $642.60
Rest of Louisiana $620.31
Rest of Maine $585.24
Southern Maine $602.85
Baltimore/Surr. Cntys, MD $678.92
Rest of Maryland $644.27
Metropolitan Boston $646.64
Rest of Massachusetts $653.38
Detroit, MI $680.81
Rest of Michigan $612.46
Minnesota $579.04
Mississippi $550.46
Metropolitan Kansas City, MO $625.97
Metropolitan St Louis, MO $623.55
Rest of Missouri $598.85
Montana $678.29
Nebraska $554.59
Nevada $624.72
New Hampshire $641.13
Northern NJ $674.10
Rest of New Jersey $656.50
New Mexico $631.19
Manhattan, NY $732.02
NYC Suburbs/Long I., NY $776.17
Poughkpsie/N NYC Suburbs, NY $672.80
Queens, NY $776.64
Rest of New York $585.04
North Carolina $589.10
North Dakota $591.00
Ohio $611.00
Oklahoma $601.53
Portland, OR $625.04
Rest of Oregon $603.60
Metropolitan Philadelphia, PA $680.95
Rest of Pennsylvania $617.18
Puerto Rico $628.45
Rhode Island $647.28
South Carolina $573.80
South Dakota $578.92
Tennessee $569.36
Austin, TX $611.91
Beaumont, TX $599.17
Brazoria, TX $621.11
Dallas, TX $616.23
Fort Worth, TX $607.04
Galveston, TX $624.01
Houston, TX $631.98
Rest of Texas $598.63
Utah $625.87
Vermont $598.51
Virgin Islands $628.45
Virginia $617.54
Rest of Washington $622.24
Seattle (King Cnty), WA $661.73
West Virginia $621.85
Wisconsin $566.65
Wyoming $618.20
Bakersfield, CA $619.38
Chico, CA $614.90
El Centro, CA $615.54
Fresno, CA $614.90
Hanford-Corcoran, CA $615.24
Los Angeles-Long Beach-Anaheim (Los Angeles Cnty), CA $655.66
Los Angeles-Long Beach-Anaheim (Orange Cnty), CA $655.66
Madera, CA $614.90
Merced, CA $614.90
Modesto, CA $614.90
Napa, CA $656.22
Oxnard-Thousand Oaks-Ventura, CA $646.28
Redding, CA $614.90
Riverside-San Bernardino-Ontario, CA $630.53
Sacramento--Roseville--Arden-Arcade, CA $621.02
Salinas, CA $622.54
San Diego-Carlsbad, CA $625.27
San Francisco-Oakland-Hayward (Alameda/Contra Costa Cnty), CA $674.37
San Francisco-Oakland-Hayward (Marin Cnty), CA $666.88
San Francisco-Oakland-Hayward (San Francisco Cnty), CA $674.37
San Francisco-Oakland-Hayward (San Mateo Cnty), CA $674.37
San Jose-Sunnyvale-Santa Clara (San Benito Cnty), CA $654.81
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty), CA $680.46
San Luis Obispo-Paso Robles-Arroyo Grande, CA $616.98
Santa Cruz-Watsonville, CA $636.34
Santa Maria-Santa Barbara, CA $629.77
Santa Rosa, CA $627.87
Stockton-Lodi, CA $614.90
Vallejo-Fairfield, CA $656.22
Visalia-Porterville, CA $614.90
Yuba City, CA $614.90
Rest Of California, CA $614.90
Hawaii, GUam $627.51
Metropolitan Boston, MA $681.01