As of September 13, 2020, September 18, 2020, September 19, 2020 these are the costs of my prostatectomy.
Portion Final Bill
Pre-Surgery Labs:
Main Blood Work: 211.00
Insurance Paid: 208.60
Balance: 2.40
Blood Type and COVID-19 Test: 94.18
Insurance Paid: 89.11
Balance: 5.07
Pre-Surgery Visit
Learn Pelvic Floor Exercises: 160.00
Insurance Paid: 135.95
Balance: 24.05
Urologist’s Bill For the Surgery
LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC: 3,274.00
Insurance Paid: 2816.17
Balance: 457.83
Total Balance So Far: 489.35
Anesthesiology Practice
Anesthesiology Services: 2,079.00
Insurance: -757.47
Contractual Write-Off: -1,132.16
Coinsurance (my share): 189.37
CRNA Services: 1,701.00
Insurance Paid: -619.74
Contractual Write-Off: -926.32
Coinsurance (my share): 154.94
Balance: 344.31
Total Balance So Far: 833.63
Insurance EOB on Hospital Bill
Member Discounted Rate offset the Provider Charge for all but the Operating Room.
Operating Room Service
Provider Charge: 37,402.60
Member Discounted Rate: 23,669.49
Plan Paid to Provider: 22,670.87
My Total Cost: 998.62
Balance: 998.62
Grand Total Balance: 1,832.25
Add In PSA Tests & Biopsy
Initial Visit with Urologist (March 17, 2020)
Charge: 250.00
Insurance Paid: 68.02
My Total Cost: 181.98
Biopsy (April 29, 2020)
Charge: 527.00
Insurance Paid: 83.36
My Total Cost: 443.64
Balance: 625.62
Grand Total Balance: 2,457.87
Hospital Pending Bill
Kept for Reference
Anesthesia
Five hours general anesthesia: 3,160.62
Laboratory
Various blood work: 265.63
Pathology Lab
Pathology Tests on Prostate: 839.78
Medical/Surgical Supplies and Devices
Medication called sealant hemostase arista two 5 gram doses: 1,404
Operating Room Services
5 hours – 4,474.84 1st 30 minutes
& 1,829.32 for each of 18, 15 min. increments: 37,402.60
Pharmacy
Various medications and IV fluids for three days in hospital: 2,488.55
Recovery Room
1.74 hours Recovery Room: 1,202.20
Room and Board – Private Room
Three days at 3,226.49 per day: 9,679.47
Grand Total Pending
Billed $56,442.85
Insurance Paid -$20,724.11
You Paid $0.00
Pending Insurance $35,718.74
Your Balance —
Grand Total of Final and Pending
Billed: 60,182.03
Insurance Paid: 23,973.94
Pending Insurance: 35,718.74
Amount Owed For What is Final: 489.35
Men's Health in My Perspective 