- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message

Shoulder surgery cost...bananas.
Posted on 2/19/24 at 10:42 am
Posted on 2/19/24 at 10:42 am
So I had a labrum tear and bicep tenodesis (relocation of the bicep tendon) fixed last week at the Andrews Institute (Dr. James Andrews' facility) in Gulf Breeze Fl. Operation lasted 70 minutes. Guess how much the claim that went to my insurance company was.
If your guess was 12K for the use of the surgery center + 73K for the surgery you get a cookie. I have not seen the anesthesiologist cost yet but im sure that'll put me over 90K.
I mean what are we even doing here with health care costs...
If your guess was 12K for the use of the surgery center + 73K for the surgery you get a cookie. I have not seen the anesthesiologist cost yet but im sure that'll put me over 90K.
I mean what are we even doing here with health care costs...

Posted on 2/19/24 at 10:43 am to PCRammer
You don't pay for the surgery, you pay for the doctor to leave.
Posted on 2/19/24 at 10:43 am to PCRammer
Another one who doesn’t understand how medical billing works.
Posted on 2/19/24 at 10:44 am to PCRammer
Cheap.
Quick.
Good.
Pick 2.
Quick.
Good.
Pick 2.
Posted on 2/19/24 at 10:45 am to PCRammer
quote:
labrum tear
I have this as well. Contemplating on if I want to get it fixed or not.
This post was edited on 2/19/24 at 10:46 am
Posted on 2/19/24 at 10:46 am to PCRammer
You have to pay for the 10 Obamas that went through the ER and never paid their bill.
Baw
Baw
This post was edited on 2/19/24 at 10:47 am
Posted on 2/19/24 at 10:48 am to LSUnation78
quote:
Shoulder surgery cost...bananas.
Another one who doesn’t understand how medical billing works.
I mean does any normal person? I get that will be negotiated down between the ins company and the Dr/surgery center but the fact it even starts that high is ridiculous.
Posted on 2/19/24 at 10:48 am to PCRammer
Congrats on now throwing 96mph. 

Posted on 2/19/24 at 10:48 am to PCRammer
You think any of that had to do with going to the office of one of the top surgeons in the world for those types of procedures?
Posted on 2/19/24 at 10:49 am to The Torch
let us know when your ultimate portion is 350 dollars or less
Posted on 2/19/24 at 10:50 am to PCRammer
quote:
So I had a labrum tear and bicep tenodesis (relocation of the bicep tendon) fixed last week at the Andrews Institute (Dr. James Andrews' facility) in Gulf Breeze Fl. Operation lasted 70 minutes. Guess how much the claim that went to my insurance company was.
If your guess was 12K for the use of the surgery center + 73K for the surgery you get a cookie. I have not seen the anesthesiologist cost yet but im sure that'll put me over 90K.
I mean what are we even doing here with health care costs...
Just wait until you find out how much the insurance actually paid.
Your insurance has a contract where that 90k in charges is more like 9k out of the insurance companies pocket. Sometimes they do this so your reach your out of pocket max sooner. While your bill will be what your out of pocket max deductible is.
At least this happened in February instead of December where you had one procedure in December and then another one again early in the year, you would have to pay the out of pocket max deductible twice.
Posted on 2/19/24 at 10:50 am to PCRammer
quote:
Andrews Institute (Dr. James Andrews' facility)
so you went to the doctor that major league pitchers and NFL QBs use for their shoulder surgeries?
and you are shocked it cost a lot? do you realize how much money his normal clientele makes?
Posted on 2/19/24 at 10:51 am to PCRammer
quote:
I mean what are we even doing here with health care costs...
And the kicker is that's not even close to what the doctors and surgery center will receive. When you get your EOB, it always shows the "contract rate," meaning the rate the insurance company agrees to pay based on the procedures. While still high, they won't be even close to $90K.
I'm 100% convinced the only reason those high prices are initially sent to the consumer is to make the consumer say, "oh thank God I have insurance." It's a scheme by the providers and the insurers to keep the insurers in business.
Posted on 2/19/24 at 10:52 am to PCRammer
quote:
mean does any normal person? I get that will be negotiated down between the ins company and the Dr/surgery center but the fact it even starts that high is ridiculous
Well we have to pay for all those people working to negotiate.
Think of the hospital and insurance employees that wouldn't have jobs if we just had set rates for services. Stop being selfish.
Posted on 2/19/24 at 10:52 am to SulphursFinest
quote:
American the beautiful
Still preferable to waiting months for the surgery in Canada or just being crippled for life in some third world country.
Posted on 2/19/24 at 10:52 am to LSUnation78
quote:I don't understand either. How exactly does it work. Physician/Surgery Center sends over a monopoly money quote, insurance company says we'll pay $X, surgery center says, "sounds good, thanks."?
Another one who doesn’t understand how medical billing works.
What is the purpose of the insane bill sent to the insurance company? Just a game to see what they will/won't pay? Padding the bill to get more money out of insurance?
Posted on 2/19/24 at 10:52 am to PCRammer
Yea, i know. Its not uncommon for it to shock people.
But its not really the cost of healthcare because the billed amount that goes to insurance is no where close to what the actual reimbursement will be.
There is also the no surprise act now so they cant unexpectedly drop a dode hammer on you because the random anesthesiologist they used was OON. Even when you do get oon services, you can usually get them to settle for like 50% of what the billed amount is with very little fuss. I’ve done it several times after each of the kids were born.
But its not really the cost of healthcare because the billed amount that goes to insurance is no where close to what the actual reimbursement will be.
There is also the no surprise act now so they cant unexpectedly drop a dode hammer on you because the random anesthesiologist they used was OON. Even when you do get oon services, you can usually get them to settle for like 50% of what the billed amount is with very little fuss. I’ve done it several times after each of the kids were born.
Posted on 2/19/24 at 10:54 am to PCRammer
The andrews institute in Pensacola is super expensive in general because so many pro athletes have paid ridiculous money to get surgery there. My arthroscopic shoulder procedure was no more than $15,000 without insurance. The idea of paying $50,000+ for shoulder surgery is absurd unless you’re a multi-millionaire who has hundreds of thousands of dollars worth of disposable income.
This post was edited on 2/19/24 at 11:06 am
Posted on 2/19/24 at 10:54 am to PCRammer
Just cut my arm of instead of paying $100k.
Popular
Back to top
