For background, I belong to a corporate PPO plan with a $300 individual deductible/$600 family deductible. Keep in mind the numbers below don't include my monthly premiums and my pregnancy did not span multiple years, so I only had to pay the deductibles once. My copay is 10% for hospital stays.
I saw a hospital based CNM and had an uncomplicated (except for meconium) vaginal delivery at a local hospital. I did have an epidural. We also left one day early, but I don't think it made too much of a difference in the final numbers. Also, I didn't include any of the baby's care after the newborn exams in the hospital.
Also:
Billed=the base amount billed by the provider. I assume this is what anyone "off the street' (without insurance) would be charged, though I've heard you can negotiate this quite a bit.
Negotiated=The amount the insurance company actually has to pay due to the rates they have negotiated with the provider.
My portion= The amount I was actually responsible for paying
Billed | Negotiated | My Portion | |
Prenatal Care/Midwife Fee | $3,900.00 | $2,302.16 | $230.21 |
Early visit to hospital (not dilated enough) | $473.47 | $317.22 | $63.44 |
Delivery/Hospital Stay including Epi supplies (Mom) | $7,081.55 | $1,948.92 | $389.73 |
Epidural--Anesthesiologist Fee | $1,978.20 | $1,114.70 | $111.47 |
Delivery/Hospital Stay (Baby) | $1,452.26 | $507.00 | $41.40 |
Newborn Exam (Possibly for Meconium--unsure) | $326.00 | $325.39 | $32.53 |
Newborn Exam | $400.00 | $89.66 | $8.96 |
Baby Labs/Bloodwork | $39.78 | $29.00 | $2.90 |
Mom Deductible | $300.00 | ||
Baby Deductible | $300.00 | ||
Total | $15,651.26 | $6,634.05 | $1,480.64 |
That epidural worked out to something like $95/min because I waited until 9cm and turned it off after 45 minutes to push. Granted, I didn't pay that much, but isn't that amazing!? If someone had told me the base cost without telling me an out-of-pocket estimate (I didn't know either), you can bet I would have found a way to push through that pain!
Its amazing! We are still arguing with our insurance over all this - thank goodness we are not with that company anymore!! Crazy to look at the epidural that way...its a pretty penny to be "pain free"
ReplyDeletePraise the Lord for an incredible insurance plan! That is AWESOME you only had to spend that much out of pocket!
ReplyDeleteKrista--good luck!
ReplyDeleteJenny--we are VERY happy!