Wife of Dean;

As a matter of fact I do. In my appeal I did a cost comparison self pay of a 2 level fusion and a self pay of two level ADR. The fusion is $102,625 for a 360 degree fusion. My self-pay cost for ADR is $70,000.

Keep in mind this is a self-pay cost at a specific hospital with specific doctors.

If I go through my insurance, costs are considerably higher (about 45%) and vary from one insurance company to another. From my research and interviews, I was told that insurance fees are negotiated and determined by each doctor, hospital etc...based on many factors. As a matter of fact I was unable to get the negotiated cost for my ADR procedure from my insurance company since it is a contract with the hospital and my doctors. To be honest I am not sure that my insurance company has an ADR cost even though they do have a CPT code for one level ADR.

Hope this helps, if you need a further breakdown or information shoot me an email and I will give you more details.