Please advise what the approximate fee is for the surgical procedure of hip resurfacing in the US.
I am just inquiring about the surgeon's fee only which is CPT code 27130. I live in NY and am considering a procedure with an out of network provider.
I am trying to figure out my out of pocket cost since I know the customary and reasonable fee schedule for my insurance carrier.
Thanks.
Contact the surgeon or the hospital for a quote.
When I looked into this it varied from $4k to $18k among the surgeons I consulted - surgeon fee only. For example, Dr. Gross quotes fees of $4.8k, or $6k if you include his assistant, in his global pre-payment option. (Though possibly not relevant to you, as you probably know, it is incredibly difficult to get accurate quotes/estimates for hospital and associated costs from most providers in the US and usually requires contacting each of the service providers separately. My all-in estimates varied from $24k to $80k among a selection of reputable HR surgeons.)
My doc's fees for the surgery itself was about $5K.
I left the hospital a day early on the second hip. I saved insurance a lot of money, I would if they would allow me to not pay the $500 copay they just instated, since I saved them several thousands? Doubtful.