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Thread: Any idea what all this will cost??

  1. #1
    Join Date
    Jun 2011
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    Any idea what all this will cost??

    I will be facing a third surgery in the very near future to correct Flatback Syndrome (including having osteotomies), remove my harrington rods and hooks, replace L5-S1 disc and fuse L1-S1 going into my pelvis (fusing sacrum to spine). Currently i am fused from T5-L5 i believe. I have health insurance and with that, our insurance pays 90% and we pay 10%. In order to plan financially for all of this, i wanted to get an idea of what it will cost (assuming no complications). All of the surgeons i've seen have either said it will be one big operation (12+hrs) and 7-10 days in the hospital or a 2-stage operation one week apart where i would be in the hospital the entire time (about 2 weeks). I'm not sure but i might need inpatient rehab afterwards for a couple weeks but that's yet to be determined. I work as an Occupational Therapist and deal with mostly Medicare billing, not private insurance - but that being said, i have no clue how much these things cost so if you have any idea please share them with me! I need to know how many extra weekends i'll need to work before hand so that we'll be able to pay our bills!

    THANKS!!!
    1993/1995: PSF w/ Harrington rods T3-L4
    Jan. 24, 2012: ALIF of L4-L5, L5-S1 w/ cage spacer and BMP
    Jan. 31, 2012: PLIF of L1-S1 w/ pelvic anchors
    Scheduled Nov.15, 2012: Fusion T2-S1 w/ pelvic anchors to fix T12 fracture
    http://i31.photobucket.com/albums/c3...ot/myback2.jpg - BEFORE
    http://i31.photobucket.com/albums/c3...CT2342x406.jpg - AFTER
    http://i31.photobucket.com/albums/c3...CT1410x229.jpg - AFTER
    www.jerseyot.blogspot.com

  2. #2
    Join Date
    Sep 2003
    Location
    Northern California
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    6,801
    Quote Originally Posted by jerseyot View Post
    I will be facing a third surgery in the very near future to correct Flatback Syndrome (including having osteotomies), remove my harrington rods and hooks, replace L5-S1 disc and fuse L1-S1 going into my pelvis (fusing sacrum to spine). Currently i am fused from T5-L5 i believe. I have health insurance and with that, our insurance pays 90% and we pay 10%. In order to plan financially for all of this, i wanted to get an idea of what it will cost (assuming no complications). All of the surgeons i've seen have either said it will be one big operation (12+hrs) and 7-10 days in the hospital or a 2-stage operation one week apart where i would be in the hospital the entire time (about 2 weeks). I'm not sure but i might need inpatient rehab afterwards for a couple weeks but that's yet to be determined. I work as an Occupational Therapist and deal with mostly Medicare billing, not private insurance - but that being said, i have no clue how much these things cost so if you have any idea please share them with me! I need to know how many extra weekends i'll need to work before hand so that we'll be able to pay our bills!

    THANKS!!!
    Hi...

    First, you might want to check to see if you definitely have Harrington rods. They were pretty much out of use by 1993, at least here in the U.S. Most surgeons used C-D rods and hooks in the early to late 90's.

    Second, check your insurance policy. I think that many insurance policies that pay x% of the bills, cap the out-of-pocket costs. Hopefully, that's the case for you. I had revision surgery in January, and the bills were somewhere in the neighborhood of $500,000. I was only in the hospital 5 days. (7-10 days seems excessive for surgeries performed in the same day.)

    Regards,
    Linda
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    If you've signed up and are having trouble posting, please check your spam folder. An email was sent to the email address which you subscribed. You have to follow the instructions in that email. Done that and still having trouble posting? Contact Joe O'Brien at jpobrien@scoliosis.org.

  3. #3
    Join Date
    Jun 2011
    Location
    South Jersey
    Posts
    133
    Hi Linda -

    Thanks so much for your reply! And to answer your question, YES they are DEFINITELY harrington rods, believe me! They certainly were not out of use in 1993 and again in 1995 with my revision when Dr. Balderston did my surgeries so unfortunately, yes, they ARE harrington rods...the source of all my problems today
    I really appreciate your suggestion to check with my insurance company! I will be doing that in the upcoming days so thanks again! With regard to the 7-10 day stay, i've had 2 surgeons tell me that and one said he we would do it in 2 surgeries one week apart and that i'd be in the hospital the whole time (so 2 weeks total). Either way stinks!

    All the best,
    Michele
    1993/1995: PSF w/ Harrington rods T3-L4
    Jan. 24, 2012: ALIF of L4-L5, L5-S1 w/ cage spacer and BMP
    Jan. 31, 2012: PLIF of L1-S1 w/ pelvic anchors
    Scheduled Nov.15, 2012: Fusion T2-S1 w/ pelvic anchors to fix T12 fracture
    http://i31.photobucket.com/albums/c3...ot/myback2.jpg - BEFORE
    http://i31.photobucket.com/albums/c3...CT2342x406.jpg - AFTER
    http://i31.photobucket.com/albums/c3...CT1410x229.jpg - AFTER
    www.jerseyot.blogspot.com

  4. #4
    Join Date
    Jun 2011
    Location
    South Jersey
    Posts
    133
    I forgot to mention: i had 2 docs tell me 7-10 days if it were one big surgery and another would stage it in 2 operations one week apart but i'd be in the hospital the whole time (so 2 weeks total)...either way stinks!
    1993/1995: PSF w/ Harrington rods T3-L4
    Jan. 24, 2012: ALIF of L4-L5, L5-S1 w/ cage spacer and BMP
    Jan. 31, 2012: PLIF of L1-S1 w/ pelvic anchors
    Scheduled Nov.15, 2012: Fusion T2-S1 w/ pelvic anchors to fix T12 fracture
    http://i31.photobucket.com/albums/c3...ot/myback2.jpg - BEFORE
    http://i31.photobucket.com/albums/c3...CT2342x406.jpg - AFTER
    http://i31.photobucket.com/albums/c3...CT1410x229.jpg - AFTER
    www.jerseyot.blogspot.com

  5. #5
    Join Date
    Jun 2011
    Location
    Southern CA
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    I just had my 2nd surgery in July and I was on the table about 15 hours and I was in the hospital 4 nights and then went to rehab for 2 weeks. I have not gotten my hospital bill yet but did get my rehab bill and that was $800 per day which BCBS paid for in full.

    7-10 days in the hospital sounds very long to me

    Melissa
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  6. #6
    Join Date
    May 2008
    Location
    Central NJ
    Posts
    1,956
    Yes, check to see if you have a yearly out-of-pocket maximum. Also, if you do end up owing a large chunk to surgeon, hospital, etc, I bet you could pay them back in installments.
    __________________________________________
    Debbe - 50 yrs old

    Milwalkee Brace 1976 - 79
    Told by Dr. my curve would never progress

    Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
    Pre-Surgury Thorasic: 66 degrees
    Pre-Surgery Lumbar: 66 degrees

    Post-Surgery Thorasic: 34 degrees
    Post-Surgery Lumbar: 22 degrees

  7. #7
    Join Date
    Jun 2011
    Location
    South Jersey
    Posts
    133
    Thanks so much ladies for your replies! I do appreciate it. I checked with my insurance and we DO have an out of pocket maximum ($3000) which is GREAT news for us. I was thinking we would owe 10% of the total (hospital/surgery/doctor/etc) fees but as it turns out, with using an in-network doctor and hospital, once we meet our OOP maximum (individually for me) everything else will be covered at 100%. Thanks for suggesting i call my insurance company - i didn't think to do that since i hadn't had the surgery yet - so thanks again!
    1993/1995: PSF w/ Harrington rods T3-L4
    Jan. 24, 2012: ALIF of L4-L5, L5-S1 w/ cage spacer and BMP
    Jan. 31, 2012: PLIF of L1-S1 w/ pelvic anchors
    Scheduled Nov.15, 2012: Fusion T2-S1 w/ pelvic anchors to fix T12 fracture
    http://i31.photobucket.com/albums/c3...ot/myback2.jpg - BEFORE
    http://i31.photobucket.com/albums/c3...CT2342x406.jpg - AFTER
    http://i31.photobucket.com/albums/c3...CT1410x229.jpg - AFTER
    www.jerseyot.blogspot.com

  8. #8
    Join Date
    Jun 2011
    Location
    Southern CA
    Posts
    2,224
    I just got my BCBS EOC for my July surgery and hospital stay- 4 nights in the hospital. This is just the hospital bill. not doctors or my surgeon bill. I have not
    received that yet.The total that the hospital billed was $1,054,944.00. They received from BCBS $196,895.86. We owe nothing. Last year in NC my surgery was
    $300,000 and I had to pay $300

    Melissa
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  9. #9
    Join Date
    May 2009
    Posts
    3,745
    Melissa...am i reading that figure correctly...it goes into the millions??!!
    does that make it like $300,000 a nite...?! unreal!! i knew hospitals were expensive, but
    that sounds crazy! i realize the insurance didn't pay that much....

    good luck on Friday....thoughts and prayers with you into the OR, & right up until you are
    back on your feet again...

    jess

  10. #10
    Join Date
    May 2008
    Location
    Central NJ
    Posts
    1,956
    Quote Originally Posted by mabeckoff View Post
    I just got my BCBS EOC for my July surgery and hospital stay- 4 nights in the hospital. This is just the hospital bill. not doctors or my surgeon bill. I have not
    received that yet.The total that the hospital billed was $1,054,944.00. They received from BCBS $196,895.86. We owe nothing. Last year in NC my surgery was
    $300,000 and I had to pay $300

    Melissa
    OMG, over a million?? that is just insane.
    __________________________________________
    Debbe - 50 yrs old

    Milwalkee Brace 1976 - 79
    Told by Dr. my curve would never progress

    Surgery 10/15/08 in NYC by Dr. Michael Neuwirth
    Pre-Surgury Thorasic: 66 degrees
    Pre-Surgery Lumbar: 66 degrees

    Post-Surgery Thorasic: 34 degrees
    Post-Surgery Lumbar: 22 degrees

  11. #11
    Join Date
    Jun 2011
    Location
    Southern CA
    Posts
    2,224
    I know .I cannot believe how expensive this surgery was

    Melissa
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  12. #12
    Join Date
    Jul 2011
    Posts
    535
    You're on your way to becoming the 6-million-dollar-woman!
    44 years old at time of surgery, Atlanta GA

    Pre-Surgery Thorasic: 70 degrees, Pre-Surgery Lumbar: 68 degrees, lost 4 inches of height in 2011
    Post-Surgery curves ~10 degrees, regained 4 inches of height

    Posterior T3-sacrum & TLIF surgeries on Nov 28, 2011 with Dr. Lenke, St. Louis
    2 rods, 33 screws, 2 cages, 2 connectors, living a new life I never dreamed of!

    http://thebionicachronicles.blogspot.com/

  13. #13
    Join Date
    Jun 2011
    Location
    Southern CA
    Posts
    2,224
    I cannot imagine what the surgeon and the other doctors will cost

    Melissa
    Melissa

    Fused from C2 - sacrum 7/2011

    December 8, 2014 - Another Broken Rod Surgery

  14. #14
    Join Date
    Sep 2003
    Location
    Northern California
    Posts
    6,801
    Quote Originally Posted by jerseyot View Post
    Hi Linda -

    Thanks so much for your reply! And to answer your question, YES they are DEFINITELY harrington rods, believe me! They certainly were not out of use in 1993 and again in 1995 with my revision when Dr. Balderston did my surgeries so unfortunately, yes, they ARE harrington rods...the source of all my problems today
    I really appreciate your suggestion to check with my insurance company! I will be doing that in the upcoming days so thanks again! With regard to the 7-10 day stay, i've had 2 surgeons tell me that and one said he we would do it in 2 surgeries one week apart and that i'd be in the hospital the whole time (so 2 weeks total). Either way stinks!

    All the best,
    Michele
    Hi Michele...

    I looked at your x-rays for the first time just now. The rods you have implanted are not Harrington rods.

    --Linda
    Never argue with an idiot. They always drag you down to their level, and then they beat you with experience. --Dilbert
    I'm sarcastic... what's your super power? --Unknown
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    Surgery 2/10/93 A/P fusion T4-L3
    Surgery 1/20/11 A/P fusion L2-sacrum w/pelvic fixation
    ---------------------------------------------------------------------------------------------------------------------------------------------------
    If you've signed up and are having trouble posting, please check your spam folder. An email was sent to the email address which you subscribed. You have to follow the instructions in that email. Done that and still having trouble posting? Contact Joe O'Brien at jpobrien@scoliosis.org.

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