The Cost

If you are new to the Lap-Band world, you might be wondering just how much this little tool costs.
Every surgeon/insurance is different and I can only give you my info but here it is, in all it's ridiculous medical/insurance glory!



My Lap-Band Surgery - March 2010

Surgeon Fee:

What was charged: $6,000.00
What Insurance Paid: $1792.00
What my copay was: $100.00


Facility Fee (Hospital):

What was charged: $12,289.57
What Insurance paid: $8,159.01
What my copay was: $75.00


Durable Medical Fee (my actual Lap-Band equipment):

What was charged: $6,614.00
What Insurance paid: $3,101.97
What my copay was: $1,329.41 (20% of total cost)

Anesthesia:

What was charged: $1,530.00
What Insurance paid: $901.00
What my copay was: $0.00

Total out of pocket cost for me:  $1504.41







Now for the really stupid part, I'll give you the original lowdown and then tell you what the cheapest way will be for me to get fills is.
 

Fills

Surgeon Fee: $150.00
What Insurance says is a an appropriate amount to pay: $83.53
How much is insurance paying: $0.00
What I will have to pay: $83.53
ALSO:
Medical Fee: $89.00
What Insurance will pay: $29.08
What I will have to pay: $16.47

Total out of pocket cost for me: $100.00

OR

I can self pay for my fills (avoid sending to Insurance) and pay: $75.00

Ahhh, duh... I guess Self Pay wins! I hate the medical/insurance funk that happens.



There you have it. My Lap-Band costs.... Good luck and happy banding!