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
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)
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.
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
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
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!