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Insurance Hell All insurance-related matters are here: Medicare, worker's compensation, appeals, denials, insights, wins, losses. PRICING is here too. Note: This forum has posts from 2006 forward. Older ones are in the Big File. |
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#1
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Actual Cost of Prodisc-L Device
I thought that this might deserve a new thread. I was told by my hospital that the Prodisc-L device cost is $32,000. This is for the device only. Has anyone seen a device cost on their billing personal or insurance? It's not as if Synthes would just tell me if they called.
----------------------------------------------------------------------------- L5S1 Herniation and Annular tear Over 10 epidurals, DDD, 2 discograms (positive), Countless attempts at conservative therapy. Surgery date 5-26-09 |
#2
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If I remember correctly, I read an article by Synthes stating the cost of a ProDisc L was $8,000 - $8,500. The article was printed over a year ago. If I can dig it up, I'll try to post it.
The cost of my second Maverick was $4,000 Euro which at the time was $5,400.00. I can't imagine there's a $28,000 difference in disc cost. Bob
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04/06 L5/S1 Rupture 05/06 MRI shows DDD @ L2-S1 06/06 Diskectomy/ Laminotomy L5/S1 04/07 Recurrent Disc L5/S1 4 Ortho and 1 Neuro Surgeon, 5 MRIs, 1 EGM, 1 Myleogram & 11 EDIs later: 03/27/09 L4/5 & L5/S1 Maverick disc at Stenum |
#3
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That's Criminal!
Man, that really pisses me me off. If you find that article please let me know. I will stick it up their ...
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#4
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Prodisc L cost
My wife and I just paid for ADR surgery at one level with a fusion at the level below. We had to pay for the ADR. Estimated that the hospital charged us $12,500 for the Prodisc.
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Tigerpaw75 Birmingham, AL Concerned Husband of Hybrid ADR (L4-L5)/Fusion (L5-S1) - 4/2/2010 at Texas Back Institute Lots of Lortab and Percocet L5-S1 Laminectomy/Discectomy - Sept 2008 2 epidural steriod injections One quack chiroprator Lots of physical therapy Several small back injuries while working as a nurse |
#5
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Pricing for Artificial Discs
Y’all…
There are 1.2 zillion variables which can account for confusing price differences among institutions. Here are some of them: 1. Domestic device prices vs. International prices (they are substantially different)These account for most of the differences in pricing. As patients become vocal (both pre and post-op) and competition increases, it appears that providers are actually improving their price transparency. But are costs coming down?! Time will tell. Here’s another perspective. I’ll have my seventh pain-free anniversary in June with my Charite’ at L5-S1. If that device lasts a lifetime, it’s worth every penny. And then some.
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"Harrison" - info (at) adrsupport.org Fell on my ***winter 2003, Canceled fusion April 6 2004 Reborn June 25th, 2004, L5-S1 ADR Charite in Boston Founder & moderator of ADRSupport - 2004 Founder Arthroplasty Patient Foundation a 501(c)(3) - 2006 Creator & producer, Why Am I Still Sick? - 2012 Donate www.arthropatient.org/about/donate |
#6
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Pro L Disc cost
Hi all, I am hoping to have a hybrid procedure with Pro L disc at L4-5 and fusion at L5/S1. I think my insurance will pay for all but the device. I live in Texas. Does anyone have any idea what the actual device costs? Do you have to buy it from your particular surgeon or can you get it direct from the manufacturer or maybe overseas? Can anyone share their experience with the hybrid surgery?
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#7
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Hi there, any ideas of Pro L disc cost now? Will Synthes or anyone sell to individuals? Or is it available overseas?
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#8
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I have been offered multi level fusions paid for, or 2 Bryan disc's (it is what's available here in Fl.) as long as I pay, Then I can go after the ins. co. The Drs. office said the disc's were 10k each, cost of surgery is 40k (including disc's) I asked what fusion would be and they said between 50 and 60k.
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1979 car accident: rear ended 1980 ACDF C4-5 4/8/11 stopped, hit again 3 epidurals, PT, 2 MRI's,etc. scheduled 3 times for C5-6, 6-7 fusion, plus laminectomy at C3-4, and C 7, advised to do Bilateral lamino-foraminotomy C5-6, C6-7,a Percutaneous Discectomy L4 -L5 7/14 RFA on L3 to L5 (awake, local only) C5-6,6-7 M-6 ADR with Dr. Clavel 9/17/14, 12/7/15 RFA L2-S1, Facet injections C2-7 6/3/16 RFA L2-S1, epidural L4,5, 8/26/16 RFA C1-7 |
#9
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US pricing is still crazy! $60,000 for a 2 level compared to $40,900 (31,000 euros @1.32) for the 3 level I just had with Dr. Bierstedt in Germany which included 6 days in hospital after surgery and then 8 days of rehab (full days of rehab, see me thread) including hospital meals for both myself and my wife and lunch at the rehab center for both of us.
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*9/10: Unstable pelvis & SI joint, sore IT band. Chiro care, I would shift out hours to days after adjust *12/10: PT & chiro *4/11 to 11/11: 5 sessions prolo and 3 prolo w/ PRP *12/28/11 ESI L L4/L5 - 1/13/12 ESI R L4/L5 - 1/24/12 L SI joint capsule - 3/8/12 TPI - 3/23/12 L L5/S1 - 4/11/12 ESI caudal - 5/23/12 TPI - 7/10/12 Facet inj L3/L4, L4/L5, L5/S1 *9/12/12: 30 - DRX9000 *12/21/12 schedule. for L4/L5 fusion-CANCELLED 1/7/13 *7/16/2013: 3 level M6(S1-L3) w/ Dr. Bierstedt |
#10
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40k for everything. That is just the surgery, no hospital, therapy, etc. I think I will be going to Germany as soon as I get my lumbar MRI and see how bad that is.
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1979 car accident: rear ended 1980 ACDF C4-5 4/8/11 stopped, hit again 3 epidurals, PT, 2 MRI's,etc. scheduled 3 times for C5-6, 6-7 fusion, plus laminectomy at C3-4, and C 7, advised to do Bilateral lamino-foraminotomy C5-6, C6-7,a Percutaneous Discectomy L4 -L5 7/14 RFA on L3 to L5 (awake, local only) C5-6,6-7 M-6 ADR with Dr. Clavel 9/17/14, 12/7/15 RFA L2-S1, Facet injections C2-7 6/3/16 RFA L2-S1, epidural L4,5, 8/26/16 RFA C1-7 |
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adr prices, adr pricing, artificial disc pricing |
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