Archive for the 'Pregnancy Cost' Category

Don’t be so quick to write that check

So, here’s an interesting lessen: Don’t pay your hospital bills quickly.

I got a call the other day from the hospital. They offered me a 25% discount on my bill if I paid by the due date (which was in a couple weeks).  Of course I said yes.

The baby’s hospital bill really is: $678.62.

Still, this medical billing remains an exercise in silliness.  No wonder why doctors and hospitals complain so much about billing.  They keep doing silly things to themselves.

The Mother’s Hospital Bill – Caesarian Section

For fun, and before my insurance reduction, here’s the bill for my wife’s caesarian section delivery:

 

  CPT   Rack Greedy Net
  Code   Rate Markup Cost
OB/2 Beds     $3,507.00    
Pharmacy     $2,018.00    
Med/Sur Supplies     $296.00    
Non/Ster Supply     $67.00    
Sterile Supply           220.00    
Laboratory             19.00    
Lab/Immunology           326.00    
Lab/Hematology           186.00    
Anesthesia           329.00    
Drugs/Detail Code           500.75    
Recovery Room         1,766.00    
Labor         1,265.00    
Delivery Room        2,737.00    
      $13,236.75       TBD     TBD

The Baby’s Hospital Bill

As you will see, my insurance company negotiated a bulk 67% discount on the “rack rate” bill from my hospital. The final level of detail was not itemized.

Again, this is only for the baby. My wife’s care is in another bill.

(In case I don’t get back to posting for a while, the “rack rate” on my wife’s bill is only $13,236.75.  And this doesn’t include any doctor’s fees, lab work, etc.)

This a summary level bill. I’ll request an itemized bill in bit (hey, I’m paying for it).

  CPT   Rack Greedy Net
  Code   Rate Markup Cost
Nursery Level 1     $1,938.00    
Pharmacy           75.00    
Laboratory           19.00    
Lab/Chemistry          147.00    
Lab/Immunology          122.00    
Blood/Stor-Proc           74.00    
Audiology          125.00    
Drugs/Detail Code          119.50    
Circumcision          139.00    
        2,758.50   1,853.67     904.83

We had the baby via C-Section

Everyone is fine and doing well. But it’s time to pay the piper. The costs for us are broken out in 2 parts:

1) The Baby

2) The Mother

Because of some exclusions on our insurance policy (more on that later), we have resolved the baby’s portion of the hospital stay. Yes, he is weeks old and already receiving bills. Our cost will be detailed in the following posts.

More Office Visits

Here’s the details:

  CPT   Rack Greedy Net
  Code   Rate Markup Cost
OB Office Visits #7         160.00      90.00      70.00
OB Office Visits #8         160.00      90.00      70.00
OB Office Visits #9         160.00      90.00      70.00
OB Office Visits #10         160.00      90.00      70.00
OB Office Visits #11         160.00      90.00      70.00
          800.00     450.00     350.00

Office Visits 5 & 6; Glucose Tolerance Testing

Through the 28th week or so of the pregnancy; the visits are every two weeks. Here’s the latest bills. Also, we negotiated our rate with the physician doing the c-section. That will be a separate post.

  CPT   Rack Greedy Net
  Code   Rate Markup Cost
OB Office Visits #5     160.00 90.00 70.00
OB Office Visits #6     160.00 90.00 70.00
Glucose Tolerance 1hr tbd   63.45 53.45 10.00
Glucose Tolerance 3hr tbd   114.70 91.70 23.00
      498.15 325.15 173.00

Pregnancy Visit 4

No lab tests this time. And no lab work is planned for the 5th visit. But the dreaded glucose tolerance test is due at the 6th visit.

Here’s the cost:

  CPT   Rack Greedy Net
  Code   Rate Markup Cost
OB Office Visits     160.00 90.00 70.00


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