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. […]

Coronavirus (Covid-19) and the vaccine: Who will pay? And how much will the vaccine cost?

Filed Under: Costs, Health plans, Patients

Coronavirus (Covid-19) and the vaccine: Who will pay? And how much will the vaccine cost?

As the coronavirus (Covid-19) vaccine rolls out nationwide, it’s a common question: Who will pay? As with many other health care cost questions, it might be complicated. Or, it might be really simple. It seems obvious that the initial round — front-line doctors and nurses, and long-term care facility residents — will be free to […]

How much does an MRI cost, $848 or $1,069? She saved $200 by putting away her insurance card.

Filed Under: Costs, Patients, Providers

How much does an MRI cost, $848 or $1,069? She saved $200 by putting away her insurance card.

Our community member reported to us that an MRI of the lower extremity without dye (CPT code 73721) had cost $848 at X-Ray Associates of New Mexico (Xranm) in Albuquerque, N.M., in October. The note said: “This is for an MRI of the knee. This is the cost for self-pay and not running it through […]

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 […]

How much does an X-ray of the spine cost? For this woman, $351.41

Filed Under: Costs, Health plans, Patients

How much does an X-ray of the spine cost? For this woman, $351.41

It was a crazy expensive X-ray price, shared by a community member – a $415 charge for an X-ray of the spine, “Lumbosacral, Complete, W Oblique Views,” (CPT code 72110). The insurer paid $351.41, she told us. We have documented X-ray prices from $20 to $988, and we’re always interested in the topic — they’re […]

How much does an MRI cost, $450 or $4,685?

Filed Under: Costs, Health plans, Patients

How much does an MRI cost, $450 or $4,685?

He shared the price of an MRI of the joint/lower extremity without dye, CPT code 73721, at Trident Medical Center, North Charleston, S.C. The insurer was Aetna.. CHARGED: $4,685.0 INSURANCE PAID: $2,435.35 YOU PAID: $1,046.65 His comment “Never I repeat NEVER go to Trident Regional Medical Center in North Charleston, SC. My wife had the […]