Health at any price (but thankfully a low one)
2021-Mar-04, Thursday 09:13The bills have started to come in from my appendectomy, and because this is America I'm getting several different bills from different places. That's normal and I wouldn't usually make a post about it, but the contents of the bill is worth remembering for how stark the difference between pre- and post-insurance pricing. These are the bills I've gotten so far:
Also, if you're not familiar with American health insurance, a lot of physicians work at hospitals but aren't directly employed by those hospitals, so they bill separately. Furthermore, insurance companies are notorious for denying these claims even if they explicitly authorized treatment at the hospital, because obviously getting anesthesia has nothing to do with anything else that happened that day
Same here with the diagnostic radiology, which was a separate charge from the surgery or the anesthesia.
I'm glad that I don't have to pay thousands of dollars for my surgery, but it's because I'm lucky with my employment. Everyone should be that lucky.
- Anesthesiologists pre-insurance: $2750
---Anesthesiologists post-insurance: $57.72 - Diagnostic Radiologists pre-insurance: $455
---Diagnostic Radiologists post-insurance: $170.07 - Physician pre-insurance: $458
---Physician post-insurance: $23.96 - Labs pre-insurance: $481
---Labs post-insurance: $5.43
Total cost pre-insurance: $4144Something something greatest healthcare in the world...if you can pay for it. I'm very lucky that the AMA's insurance plan always pays for everything--it never denies any claim, because the nice thing about working for an organization run by doctors is that they think that a doctor should be the one deciding on appropriate care, not some insurance claims agent who has a vested interest in making money for the company. But you shouldn't have to work for a group of doctors to get the same benefits.
Total cost post-insurance: $257.48
Also, if you're not familiar with American health insurance, a lot of physicians work at hospitals but aren't directly employed by those hospitals, so they bill separately. Furthermore, insurance companies are notorious for denying these claims even if they explicitly authorized treatment at the hospital, because obviously getting anesthesia has nothing to do with anything else that happened that day

I'm glad that I don't have to pay thousands of dollars for my surgery, but it's because I'm lucky with my employment. Everyone should be that lucky.