How much can I expect to pay for my D&C tomorrow

[Anonymous]

Just got off the phone with the pre-insurance people from Holy Cross in anticipation of my D&C tomorrow. I had assumed it would be covered, but they told me it's my deductible +20% on my side (I have Aetna). Thankfully I paid my deductible already. Anyone have an idea of what the cost will be?

[Anonymous]

You need to call Aetna.

It can vary a lot.

So far, I've seen three claims made to my insurance: One for the facility/hospital; one for the doctor; and one for the anesthesiologist.

But the problem with answering your question is that the 20 percent isn't 20 percent of what they bill you; it's likely 20 percent of the contracted rate that Aetna has with the provider.

That's why you need to call Aetna or just wait until the bills come in.

[Anonymous]

Thanks PP, just talked to Aetna, they were of no assistance as they would need the 5 digit procedure code. I guess I will wait until I get the bill. Here's hoping they have a decent contracted rate.
Thanks

[Anonymous]

Yay for insurance, transparency and trying to be informed consumers! OP, we have the same deal (and are packing in all our visits now at the end of the year the deductible is paid) but I cringe because I just never know the cost I will share. Bad system even when you are trying.

Good luck tomorrow.

[Anonymous]

Anonymous wrote:Yay for insurance, transparency and trying to be informed consumers! OP, we have the same deal (and are packing in all our visits now at the end of the year the deductible is paid) but I cringe because I just never know the cost I will share. Bad system even when you are trying.

Good luck tomorrow.

Thank you.

[Anonymous]

Yuck. So sorry. Been there before and on Top of the heartache, insurance is just a headache.

Under carefirst last summer, I had reached the deductible earlier and had an 80/20 coinsurance. my share of my d&c at WHC was around $315 if I remember right. Plus doctor's fees of 20% which I think was about 150. Also had a copay for a hematologist who we had to consult before the procedure. So all in all about $500.

[Anonymous]

Under general in a surgical setting or local and an office setting?
I don't want to scare you, but the official bill for just the hospital part of my D&C under general at GW this summer (at what would have been 10w) was $12k, although a UHC contracted rate of $2600. (RIDICULOUS.) The doctor's fee was another $1400 (contracted rate $650). Then there was $1305 for anesthesia (contracted rate unknown - all my EOB says is UHC denied it because the hospital didn't get preapproval, although I was not on the hook either and the hospital probably worked it out some other way).
Thankfully I paid "only" my $200 outpatient surgery copay.