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  1. #1
    Forum Official Personal Life Coach BacktoBasics's Avatar
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    Having surgery. Its a tooma. Not a deadly one and not even a traditional tumor. Unfortunately this surgery will involve cutting into my marble sack which will be quite painful and limit my ability to walk for a week or so.

    I was told the surgery would cost around 20k-24k which is about what I expected. I told the doctor that I don't have medical insurance and I would just live with what I have since its not considered life threatening. I just wanted to make sure it wasn't cancer or anything. The doctor comes back a few minutes later and all of sudden the surgery now only cost about 4k including the anesthesiologist and the facility charges. The pitch was that I was a cash buyer . I'm sure the doctor can write this one off so I'm guessing that's his real motivation. I couldn't tell you. Perhaps its the legitimate going rate for that type of work minus all the ridiculous add-ons that show up on the bill.

    I suppose I'm grateful for the affordable price but it just confirms why our current health care structure is so ed up. I already knew this but to see it action just made me sick to my stomach.

    I know I know we live in a day and age where ethics takes a back seat to profit.

    If I die on the table johnsmith and Joe Chalupa will be in charge of any Ghosts of B2B trolls.

  2. #2
    i hunt fenced animals clambake's Avatar
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    keep it in a jar and take it to work.

  3. #3
    Goodwill Ambassador spurs_fan_in_exile's Avatar
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    Best of luck to you. Once you're back on your feet make sure you show off your scars to any prospective buyers to get some sympathy points and make some sales.

  4. #4
    Esse quam videri ploto's Avatar
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    If you are paying cash you can sometimes get them to agree to what they would have accepted from an insurance company- which is much less than the fee they charge. And they get it up front without the cost of billing the insurance company and waiting for payment.

  5. #5
    Veteran
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    Having surgery. Its a tooma. Not a deadly one and not even a traditional tumor. Unfortunately this surgery will involve cutting into my marble sack which will be quite painful and limit my ability to walk for a week or so.

    I was told the surgery would cost around 20k-24k which is about what I expected. I told the doctor that I don't have medical insurance and I would just live with what I have since its not considered life threatening. I just wanted to make sure it wasn't cancer or anything. The doctor comes back a few minutes later and all of sudden the surgery now only cost about 4k including the anesthesiologist and the facility charges. The pitch was that I was a cash buyer . I'm sure the doctor can write this one off so I'm guessing that's his real motivation. I couldn't tell you. Perhaps its the legitimate going rate for that type of work minus all the ridiculous add-ons that show up on the bill.

    I suppose I'm grateful for the affordable price but it just confirms why our current health care structure is so ed up. I already knew this but to see it action just made me sick to my stomach.

    I know I know we live in a day and age where ethics takes a back seat to profit.

    If I die on the table johnsmith and Joe Chalupa will be in charge of any Ghosts of B2B trolls.
    Good luck, and think of it this way, you get some time off from work.

  6. #6
    Forum Official Personal Life Coach BacktoBasics's Avatar
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    Good luck, and think of it this way, you get some time off from work.
    I am looking forward to the time off work but since I work 100% commission I'm worried. I'll be playing a load of UFC Undisputed.

  7. #7
    License to Lillard tlongII's Avatar
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    Good luck and I'm sorry you're losing one of your testicles.

  8. #8
    Veteran ATRAIN's Avatar
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    If I die on the table johnsmith and Joe Chalupa will be in charge of any Ghosts of B2B trolls.
    hey wtf!!!

  9. #9
    Master of Information Dr. Gonzo's Avatar
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    You are going to die.

  10. #10
    Forum Official Personal Life Coach BacktoBasics's Avatar
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    Good luck and I'm sorry you're losing one of your testicles.
    I'm not losing a testicle moron.

    Calm down you can be in charge of my weekly rants.

  11. #11
    DAMAGE INC. BruceBowenFan's Avatar
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    I'll be playing a load of UFC Undisputed.
    That game is intense. well when i was playing with my friends.

  12. #12
    Forum Official Personal Life Coach BacktoBasics's Avatar
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    You are going to die.
    Its possible. Going under makes me feel out of control. You go down and never wake up is definitely a fear of mine.

  13. #13
    Veteran ATRAIN's Avatar
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    I'm not losing a testicle moron.

    Calm down you can be in charge of my weekly rants.
    LOL ok thats better.

  14. #14
    Veteran ATRAIN's Avatar
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    Its possible. Going under makes me feel out of control. You go down and never wake up is definitely a fear of mine.
    actually its a great way to go cause you would never know and not feel pain.

  15. #15
    Cinnamon Girl mrsmaalox's Avatar
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    Yvonne
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    If you are paying cash you can sometimes get them to agree to what they would have accepted from an insurance company- which is much less than the fee they charge. And they get it up front without the cost of billing the insurance company and waiting for payment.
    That's exactly what they are doing. When I was in nursing school I worked part-time for a pulmonologist as a Medicare liasion. I filed all the paperwork and kept the patients informed of what they were covered for. I'd say about 75% of our cases were "benefits only" cases, nothing out of pocket from the patient. I know it's hard for people to understand but it's not healthcare that's the racket. It's the insurance companies. The healthcare system's downfall is actually generosity, not greed. They give away millions of times more services than they are ever compensated for. Eventually the well runs dry and the insurance companies continue to refuse to reimburse while pocketing our premiums.

    As impossible as it may seem B2B, healthcare providers really do care about you and your nuts! Good luck to you

  16. #16
    Master of Information Dr. Gonzo's Avatar
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    Enjoy the morphine high when you get out.

  17. #17
    Forum Official Personal Life Coach BacktoBasics's Avatar
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    That's exactly what they are doing. When I was in nursing school I worked part-time for a pulmonologist as a Medicare liasion. I filed all the paperwork and kept the patients informed of what they were covered for. I'd say about 75% of our cases were "benefits only" cases, nothing out of pocket from the patient. I know it's hard for people to understand but it's not healthcare that's the racket. It's the insurance companies. The healthcare system's downfall is actually generosity, not greed. They give away millions of times more services than they are ever compensated for. Eventually the well runs dry and the insurance companies continue to refuse to reimburse while pocketing our premiums.

    As impossible as it may seem B2B, healthcare providers really do care about you and your nuts! Good luck to you
    Then what would be the reason to bill an insurance company 24k. That's 20k or so more than what I'm going to have to pay. Surely the cost of billing doesn't run 20k.

  18. #18
    Veteran marini martini's Avatar
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    Go ahead and default on the $4 K, let a collection agency take over. Pay collection agency $5.00 a month for about 3 years. Then offer to pay them off @ $500 to $1000. Your $25,000. surgery should come out to @ $680 to $1180. It worked for me. You won't ruin your credit, cuz your making a steady payment to the collection agency each month!!! And if the collection agency calls & threatens you about turning you over to the DA, just laugh, and tell them you just sold him a RV, and took $2000. off the list price, and now you two are new BFF'S!!!

    Glad you're getting your swollen ball taken care of!

  19. #19
    Cinnamon Girl mrsmaalox's Avatar
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    Yvonne
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    Then what would be the reason to bill an insurance company 24k. That's 20k or so more than what I'm going to have to pay. Surely the cost of billing doesn't run 20k.
    Just because they bill the insurance company 20 or 24K doesn't mean they are going to get it. They obviously already know an insurance company would have only reimbursed 4K of it.
    So they can only count on that 4k and whatever they can get out of the patient for the difference. And since most people don't have that kind of money, they settle for payments of usually $25 to $100 per month. And since most patients are over 50, it doesn't amount to much because the patient dies before it's paid off or just continues to ac ulate more healthcare bills. So what can they do to try to recoup some of their losses? Inflate prices of course!

  20. #20
    Baltimore Spurs Fan florige's Avatar
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    Its possible. Going under makes me feel out of control. You go down and never wake up is definitely a fear of mine.


    Or you could be one of the 10% of Americans each year who aren't actually asleep, but who can't move, or talk and feel every ounce of pain imaginable to man.

  21. #21
    Cinnamon Girl mrsmaalox's Avatar
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    Yvonne
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    Or you could be one of the 10% of Americans each year who aren't actually asleep, but who can't move, or talk and feel every ounce of pain imaginable to man.

  22. #22
    Forum Official Personal Life Coach BacktoBasics's Avatar
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    Just because they bill the insurance company 20 or 24K doesn't mean they are going to get it. They obviously already know an insurance company would have only reimbursed 4K of it.
    So they can only count on that 4k and whatever they can get out of the patient for the difference. And since most people don't have that kind of money, they settle for payments of usually $25 to $100 per month. And since most patients are over 50, it doesn't amount to much because the patient dies before it's paid off or just continues to ac ulate more healthcare bills. So what can they do to try to recoup some of their losses? Inflate prices of course!
    This theory doesn't hold up.

    My insurance company (when I had one) was billed around 23k for a hernia operation and paid out 90% of it. So are they going to give some of it back. No.

    This win some lose mentality is unethical in my opinion.

    I did figure that most places over bill knowing they won't receive the full amount. However some times and in my case I started receiving bills for the difference. Pretty ty way to do business.

  23. #23
    Forum Official Personal Life Coach BacktoBasics's Avatar
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    Or you could be one of the 10% of Americans each year who aren't actually asleep, but who can't move, or talk and feel every ounce of pain imaginable to man.

  24. #24
    Shutty.. Bukefal's Avatar
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    All the best mate

    Health care in the states is really ed up. There's something usa could learn from europe.

  25. #25
    Cinnamon Girl mrsmaalox's Avatar
    Name
    Yvonne
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    San Antonio, Texas
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    This theory doesn't hold up.

    My insurance company (when I had one) was billed around 23k for a hernia operation and paid out 90% of it. So are they going to give some of it back. No.
    Give some back?? To who? They didn't even get paid what they billed.

    This win some lose mentality is unethical in my opinion.

    I did figure that most places over bill knowing they won't receive the full amount. However some times and in my case I started receiving bills for the difference. Pretty ty way to do business.
    You know many doctors? They aren't exactly great businessmen. They go to school for 20yrs to learn medicine, not business. So then they go and dig up some of those famous CEO types to run things....

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