Buy-opsy
When the doc gave me a colonoscopy, EGD, etc. on April 6th 2011, he found and removed two polyps in my colon and eight in my stomach. He said the stomach ones were generally just a nuisance and that colon polyps tend to be a greater concern, since they are more likely to become cancerous. He did the colonoscopy because it had been five years since my last (at that time they discovered I have diverticulosis) and I have a family history of colon cancer. He wouldn't have done an EGD (down the esophagus) this time, except that I'd been experiencing intense chest pain off and on for the past year and my family doctor had ruled out any heart problems (I passed a stress test with flying colors). In 2006, I'd been diagnosed with Barrett's esophagus and prescribed Nexium, which was intended to alleviate symptoms and help me heal. But Nexium and Prilosec no longer work so well for me (hence the pain), so he also did an EGD on April 6th and discovered an increase in scar tissue in my esophagus. I got the sense that he was more concerned with this than with the polyps. He said that he'd done several biopsies while he was inside me and that we should have results in about two weeks.
When the two weeks were up, I called (I believe it was last Wednesday) to see if my results were in — but the doc and his staff were out of the office for the Easter holiday. So I waited til Monday (yesterday) and called again. A woman there checked my file and told me "all" my results were not yet in (I should've asked if "some" were) and someone would call me when they were and after the doctor had had a chance to review them.
Then today I received a bill in the mail. My procedure(s) had cost $7428. Since I went to a doctor whose facility has a contract with my insurance company (Medical Mutual of Ohio), they made a $4085.40 adjustment (in my favor) to the bill. Then they billed my (actually my wife's) insurance, which paid $2755.38 of the balance, whereupon they sent me a bill for the remaining $587.22.
I find it darkly humorous they can bill an insurance company, get a payment from that company, and send me a bill for what's left in less time than it takes to take a look at my biopsies and tell me whether it's safe to sigh in relief and worry about how I'm gonna pay the bill instead of about whether I have cancer. Too bad the billing department doesn't have a microscope and oncological expertise.

When the two weeks were up, I called (I believe it was last Wednesday) to see if my results were in — but the doc and his staff were out of the office for the Easter holiday. So I waited til Monday (yesterday) and called again. A woman there checked my file and told me "all" my results were not yet in (I should've asked if "some" were) and someone would call me when they were and after the doctor had had a chance to review them.
Then today I received a bill in the mail. My procedure(s) had cost $7428. Since I went to a doctor whose facility has a contract with my insurance company (Medical Mutual of Ohio), they made a $4085.40 adjustment (in my favor) to the bill. Then they billed my (actually my wife's) insurance, which paid $2755.38 of the balance, whereupon they sent me a bill for the remaining $587.22.
I find it darkly humorous they can bill an insurance company, get a payment from that company, and send me a bill for what's left in less time than it takes to take a look at my biopsies and tell me whether it's safe to sigh in relief and worry about how I'm gonna pay the bill instead of about whether I have cancer. Too bad the billing department doesn't have a microscope and oncological expertise.






Wow you fought and won.... sort of...Hope all is Okay.
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I had nose polyps out in 2006 and the hospital charged me $500 each for two swabs of cotton to stuff up my nose. "bill" is not my friend.
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My experiences with what you have gone through are the following. The billing for the colonoscopy here at Allen Mercy hospital was about the same as yours. Aetna Medicare paid this although I had quite a bit of trouble getting this resolved. Since a colonoscopy is a preventative procedure it was covered. Perhaps the problem with the EGD was that it wasn't preventative procedure and so that it why you were billed for it. I would find this out. I'll write you more about this..
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could be worse. could be MUCH worse. all the issues with my leg two years ago? my insurance paid a grand total of... wait for it... $10.12. yes. ten dollars and twelve cents. they refused payment for all the visits to the woundcare clinic, refused to cover the prescription silvadine cream, refused to cover the special prescription sponge pad things (i can't remember the name) that cost over $620 for four, and refused to cover any of the compression wraps. every visit to woundcare, i had to pay for the previous visit before they'd let me in for my appointment. all said and done, i ended up with over $8000.00 charged to credit cards. and folks wonder why i'm so adamant in my support for socialized healthcare...
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I'm very fortunate to have the health insurance I do.
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so did you ever get your test results?
I assume no news is good news...
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Not yet, alas.... I hope you're right.
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