How much does a mammogram cost? $0 to $2,786.95

Filed Under: Costs, Health plans, Patients

How much does a mammogram cost? $0 to $2,786.95

How much does a mammogram cost? As with everything in health care, that depends. The cost can be $0 or it can be as high as $2,786.95. Why the differences? Let us help you sort it out. First, is it a screening mammogram or a diagnostic one? First, screening (preventive) mammograms for women over 40 […]

How much does a Doppler stress test cost — $4,464 or $700?

Filed Under: Costs, Health plans, Patients

How much does a Doppler stress test cost — $4,464 or $700?

A friend writes about an experience here in New York: So my husband’s at a routine checkup with our primary care provider’s physician’s assistant, Maria (whom we really like). He tells her he has this ongoing thing with his heart where he sometimes gets lightheaded going upstairs. He’d seen a cardiologist but didn’t really get […]

How much does Olmesartan (Benicar) cost? $11.05 or $45 or $76 or $159 or $601?

Filed Under: Costs, Health plans, Patients

How much does Olmesartan (Benicar) cost? $11.05 or $45 or $76 or $159 or $601?

So I went to fill a prescription on Saturday, and talked the price down from $76 to $45 — though I think I could have gotten it down to $11.05 with a little more work. It’s for olmesartan, the generic for Benicar, a high blood pressure medication. With my insurance card for Medicare Part D, […]

How much does a transvaginal ultrasound cost? $200? $421.29? Or $2,165?

Filed Under: Health plans, Patients

How much does a transvaginal ultrasound cost? $200? $421.29? Or $2,165?

How much does a transvaginal ultrasound cost? It depends. In this case, she was billed for two ultrasounds, one pelvic (non-obstetric) and one transvaginal, for a total of $1,092.38. The insurer completely disallowed the pelvic (non-obstetric) one, for $614.18, and charged her $421.29 for the transvaginal one, which applied to her deductible. The insurer wrote, […]

How much does Truvada cost? Or, when your PEO insurance goes sideways

Filed Under: Costs, Health plans, Patients

How much does Truvada cost? Or, when your PEO insurance goes sideways

The man on the phone said his insurance company quintupled his premiums for next year, from $333 to $1,700, and he was really upset. He was even more upset that the only thing that had changed in his health care situation was that he had started taking Truvada, the anti-HIV drug. Truvada, also known as […]

How much does olmesartan-HCTZ (Benicar) cost, $771.99 or $6?

Filed Under: Costs, Health plans, Patients

How much does olmesartan-HCTZ (Benicar) cost, $771.99 or $6?

A friend writes: So, I have three prescription drugs: two to lower my blood pressure, the other a potassium supplement needed because the two blood pressure medications leach potassium from my body — is this a great country, or what?! My pharmacy is my nearest grocery store. I changed my prescription drug plan effective 2021. […]

How much does Linzess cost? $468 or $600? Or maybe $3?

Filed Under: Costs, Health plans, Patients

How much does Linzess cost? $468 or $600? Or maybe $3?

A woman we know had a problem: Her doctor prescribed Linzess for constipation. But her insurance, the New York State version of Medicaid, wouldn’t cover it. So she would need to have $600 to get the medication, paying cash, or skip it. She had tried several other over-the-counter and lower-cost medications to resolve this problem. […]

How much does Eylea cost? Or how to use copay waivers to increase sales: Whistleblower Law Collaborative

How much does Eylea cost? Or how to use copay waivers to increase sales: Whistleblower Law Collaborative

“The Massachusetts U.S. Attorney’s Office announced that it will sue drug manufacturer Regeneron Pharmaceuticals for health care fraud,” David W.S. Lieberman writes over at The Whistleblower Law Collaborative. “The False Claims Act complaint alleges that Regeneron paid tens of millions of dollars to induce prescriptions for its drug Eylea. Regeneron’s scheme to use a third-party […]

How much does Medicare cost? Well, it depends.

How much does Medicare cost? Well, it depends.

So I recently went on Medicare, and wanted to put down some thoughts in case they are of assistance to anyone else. I suggest that anyone who’s doing this consider their own specific circumstances very carefully; I am not a licensed insurance broker, and I am not making recommendations here — rather, I am telling […]