Saint Marys Estimated the procedure to cost $13700-$17,900. I was able to obtain from my insurance that Saint Marys was charging me for everything. The pillows on the bed,the scalpel, the kit used for the surgery, as if these items can’t be reused. For example the knife and camera to cut me with they were going to charge me $6000. Given that my share of the surgery is 10% they wanted $1370.
After speaking with my insurance I discovered that the hospital has a $5000 cap for the procedure. This means that St. Mary inflates the price well above the contracted rate so they can bill me my maximum out of pocket cost of $1790 but then only bill the insurance $5000. Meaning the hospital gets $6790 instead of $5500. Anesthesia would’ve been an additional bill.
A different company who competes with Saint Marys was a better deal. The Surgery Center of Athens is charging $1450 for the facilities. This means my out-of-pocket cost is $145. I also confirmed that number with my insurance.
So surgery center of Athens is $1645 cheaper for me than Saint Marys.
This type of billing scam should be illegal.