Tuesday, May 10, 2011

Lab Bill #1

     My first lab bill arrived today. It was from my first prenatal visit, when I had blood work done to confirm my pregnancy. It is called the HCG test. The charge on the bill was $110. My insurance discount on the bill was $91.25. So I only owed $18.75! Not bad, considering I have no maternity coverage!! I expected to pay around $120. I am a happy camper!

Thursday, May 5, 2011

Third Prenatal Visit- Paying for the Doctor

So now it's a week later, and it's time to see the doctor to discuss the sonogram. Before the visit though, I received a call from the billing department. I was told that since I didn't have maternity coverage, that when I came in for the next visit, they would set up a payment plan with me. I was asked what kind of delivery I thought I was going to have. Since this was baby number six, and since I have had two c-sections already, I said c-section. I was given the price...$4000 for a c-section. This includes all pre-natal visits, hospital visits by the doctor, the surgery itself, and my post natal care. I was curious and asked what a normal vaginal delivery cost. The price was $3500.
   
Hubby and I arrived for the third visit and met with the billing specialist. She had been my OB nurse years before and greeted us warmly. She showed us a very simple contract and explained what she had over the phone. The quoted cost did not include lab work, sonograms, or my hospital stay. She also let us know that our doctor was required by law, to have another doctor assist him during the surgery. We would need to budget for that separately and it would probably be around $500 for the assisting doctor. She also let us know that we would need to pay my doctor his full amount by my 20th week of the pregnancy. She then politely asked us how much we would like to pay today, and then in what increments.

My husband said that we could pay $1000 today. She said great and starting figuring out a payment plan for us. Then my husband asked if we could get a discount if we paid the whole amount ($4000) today. The billing specialist said that she wasn't sure, but that she would go check. She actually went and checked with the doctor!She came back and said that we could pay the discounted price of $3600 if we paid it all today. That's a $400 discount!! I quickly pulled out my Health Savings Account debit card and paid the full amount.

So the lesson learned here  is...don't ever be afraid to ask for a discount!

Second Prenatal Visit- First Sonogram

I scheduled my first sonogram. A few days later, I received a call from the doctor's office letting me know that the cost would be $115, and that I needed to pay it in full the day of the sonogram. I had no problem with that and actually expected it to be higher. I had spent at least $200 at an outside lab for a basic sonogram in the past, and this one was done in my doctor's office!

The day arrived. We paid the money and had the sonogram. The baby was moving all around and looked great. We could see both arms at legs and I was only 9wks 4 days! It was amazing! We got some little pictures to show our dear children, and then went out to lunch to celebrate this new life. Another precious gift from God!

My First Prenatal Visit

There was no question about which doctor in Orlando I was going to see. He had delivered three of our other children and had done an excellent job. He explained things well, had a great bedside manner, is well respected at the hospitals in town, and was there for us when I almost lost a baby.

So I scheduled my first office visit. I was told by the receptionist that the cost would be $175 for the visit. This was called the pregnancy confirmation visit. I was weighed, had my blood pressure taken, had a in office pregnancy test, and was examined by the doctor. He was glad to see me and heartily congratulated me on being pregnant again. He asked how my husband was doing and how the kids were. It was good to see him, and to know that we would be spending our money wisely, by hiring a doctor that cared about us. He said he wanted me to come back next week for my first sonogram, for dating and measurement purposes.

We shook hands and then I went to see the nurse. She drew my blood for the routine blood work that is done at the beginning of a pregnancy. I happily paid a blood draw fee $10 to have my blood drawn in the office, versus having to drive across town and wait in line at a lab.