TKR TKR Hospital Cost

[Jamie]

You're correct that because you're working your employer's insurance is your primary and Medicare would be your secondary insurance. That is quite a cost and you would be right to question it or at least contact your insurance company about it. They have ways of checking into the billing.

That said, the "billed amount" is never what an insurance company pays, so it's a pretty meaningless number. All insurance companies and Medicare negotiate lower costs with providers and only pay that. This number is the one you really want to see.

 

[HappyCatTX]

Thanks, I am contacting my insurance company.

 

[Mutti3]

Then your part A will pick up the inpatient hospitalization stay after your insurance pays. But the surgeon / anesthesia fees will go to your insurance.

 

[Eeek]

US hospital charges are funny money. As others have said, the hospital has contracts with the insurers and the reimbursement is some agreed upon amount.

Still, that‘s a lot of money and i‘d Definitely request some verification.

When I lived in the US, I remember that if you paid cash for a procedure you‘d get a 25% discount, but 25% of 100k is still 75K. A lot.

As a point of comparison, my knee replacement in Switzerland was roughly 9k.

 

[celynda]

My TKA at Mayo was over 100K. My share was less than $2500 (my out of pocket max). This is good; means my healthcare for rest of year is free to me?

 

[HappyCatTX]

My TKR recovery is going very well after two and a half weeks after surgery. On the other hand, now I am having several gout flare ups in the operated knee. Checked with the surgeon and he would like for me to keep taking the aspirins (twice a day, 325 mg, for the next two weeks), that this was very important. Read aspirin may trigger the gout flare ups. Checked with my family doctor, he suggested taking Prednisone 20 mg tablets with the aspirins. Any comments, suggestions, experiences ???? Is painful to walk, but could do the other PT exercises.

 

[Josephine]

@HappyCatTX you will notice that I have merged your two threads together as we prefer that members in recovery only have one thread.

This is for three reasons
1. if you keep starting new threads, you miss the posts others have left you in the old threads
2. it often ends up that information is unnecessarily repeated
3. it's best if we can keep all your recovery story in one place so it's easily accessed if necessary

There was also this notice in the post that Celle left earlier with the recovery guidelines
While members may create as many threads as they like in a majority of BoneSmart's forums, we ask that each member have only one recovery thread. This policy makes it easier to go back and review history before providing advice.

Thanks so much for complying with this.

 

[Izabel]

My TKR here in March was under $10,000 for hospital, surgeons, anaesthetist, private ambulance, etc, and a 5 day stay. We chose private so at our cost. Fantastic service and I will be having my Revision Hip there. Had a Lumbar MRI done there today and it was $230. Can't complain.

 

[Txmomgmom3]

Mine was submitted for $92000 but I was there 4 days due to sone recovery issues. My insurance paid out the contracted amount. That seems really high for just the surgery and an overnight stay!