Any kind of surgery can be both costly and necessary to a patient. When you are being recommended to have surgery, knowing what you will pay out of pocket is often a factor in deciding whether to get treatment. Here are some things to know about this tricky subject.
All Facilities Are Different
There are often fair market ranges for different general surgery procedures, but each facility sets its own prices within these specialties. The cost could depend on your location, the facility's amenities, and the number of staff in the department. Thus, you need to ask for pricing from the facility you are considering for surgery.
Your Insurance Matters
Whether you are insured or not, this can affect your prices. For example, some hospitals offer discounts to patients who don't have insurance coverage. Your insurance company may also negotiate a deal with the health care facility for lower rates. Definitely provide your insurance information when you are seeking quotes on a general surgery procedure. Find someone within your network or seek insurance approval for out of network care.
More Things Are Considered Surgery Than You Realize
You might be surprised to find that a procedure like an endoscopy or colonoscopy is actually considered surgery when it comes to medical billing. It involves an invasive procedure that requires anesthesia or sedation, although nothing is being removed or incised. So, make sure that you follow the appropriate deductibles or out-of-pocket limits for your procedure type. Also note that the intention of a procedure can affect how it's billed. For example, a routine colonoscopy that is meant to screen for cancer can be billed as a preventative service, which may greatly reduce its cost. A procedure that is meant to fix or diagnose a problem will be billed in a different way.
Price Isn't Everything
If you are recommended to have general surgery, chances are that price is just one of many factors. You'll also need to weigh the risks of a surgery procedure against the potential benefits of the surgery. You will want to get reviews of any surgeon or anesthesiologist that you will be under the care of so that you can ensure the highest rate of success for an invasive procedure. Although cost can be concerning to many patients, it is perhaps not the biggest factor to pay attention to; your health and safety matter a lot more in these situations.
For more information, contact companies like Aspen Mountain Medical Center.