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Double mastectomy, not going to be an admit thy said it’s observation instead. No recon yet cause of my slow healing. They couldn’t tell me when they would know the costs.

March 17
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MyBCTeam

How much will a double mastectomy with observation (not admission) cost, and when will you know the costs?

Unfortunately, the hospital often can't provide exact costs upfront because pricing varies widely based on your insurance coverage, the specific procedures needed, and your individual plan's deductibles and copays Show Full Answer

How much will a double mastectomy with observation (not admission) cost, and when will you know the costs?

Unfortunately, the hospital often can't provide exact costs upfront because pricing varies widely based on your insurance coverage, the specific procedures needed, and your individual plan's deductibles and copays. Breast cancer treatment is expensive, and costs can include the surgery itself, anesthesia, observation time, and follow-up care.

Here are some steps you can take to get cost information and financial help:

Before Surgery:
* Ask for an appointment with the hospital's financial counselor or billing department. They can provide estimates based on your insurance
* Contact your insurance company directly to understand your coverage, deductibles, and out-of-pocket maximums
* Ask about pre-authorization requirements

Financial Assistance Options:
* Hospital financial assistance programs - many hospitals have resources specifically for cancer patients
* Pharmacy discount programs for medications
* Copay assistance programs from drug manufacturers
* Nonprofit organizations like Susan G. Komen, Living Beyond Breast Cancer, and Facing Our Risk of Cancer Empowered

A MyBCTeam member shared: "Let the financial person at the hospital and oncology center know about your loss of insurance. They may have resources." Another added, "Ask for an appointment with either the social worker or financial officer and bring a list of everything you might need help with."

Don't wait to address costs - getting ahead of billing can prevent stress later.

March 17
A MyBCTeam Member

Wow!

March 21
A MyBCTeam Member

$55,000 for 21 days of radiation before Insurance coverage in 2022.

March 21
A MyBCTeam Member

There sound be a financial navigator to ask for help with an estimate.
But the answer, a lot!
February of 2019 I had breast reduction, and a partial mastectomy with sentinel lymph node testing with reconstruction. I had a breast surgeon and a plastic surgeon, port removal, my surgery was 4 hours, 1 night in the hospital. I added up all my explanations of benefits, for the surgeons, OR time, recovery room, anesthesiology, radiology to place a wire to the biopsy site with mapping dye injected, over night and whatever supplies/medications used, it was billed at over $45,000. I am sure it would much more now. I don’t remember how much I had to pay. I was on a payment plan.
Wishing you well!

March 20
A MyBCTeam Member

The costs will vary based on a bunch of factors like your medical insurance coverage, what hospital you have your surgery at, what the general surgeon and anesthesiologist charge, what supplies are used (IVs, drugs, sponges,bandages, lab fees for lab tests like blood work and biopsies, and every other little thing they use to perform the surgery or anything else related to the surgery), how long the surgery takes to perform, if you have any complications, if you end up needing to spend the night in the hospital, post-op prescriptions like pain meds and antibiotics, etc. I know you said you are supposed to be having an out-patient surgery, but there's no guarantee that you won't need to spend at least a night in the hospital after surgery. There can be a very surprising cost difference based on what hospital you choose. Private for profit hospitals tend to charge more than non-profit hospitals. Another thing to consider is making sure your surgeon and anesthesiologist are part of your insurance network. If they don't take your insurance then it will cost more and your insurance will cover less of those costs. A good starting point would be to check with your surgeon about their cost, check with the hospital about their charges for various drugs, pre-op care, surgery, and post-op care, and ask the hospital what anesthesiology group that they use so you can contact their office and see what the charges are for a typical mastectomy without reconstruction. Even if you do all that at best you're going to get a guestimate on part, not all, of the costs.

March 19

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