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Pediatrician costs

  1. MamaG

    pomelo / 5298 posts

    @babypugs: is that what you will pay or the charges the office submitted to insurance?

  2. babybysurprise

    cherry / 107 posts

    $0 for well visits...$20 for sick visit

  3. LovelyPlum

    eggplant / 11408 posts

    $10 for sick visits
    $0 for well
    $20 for urgent care
    $100 for ER

    This thread is so crazy to me. People should not have to make medical decisions like whether or not to take their child to the doctor based on a cost before they even do anything!!!!!

  4. lamariniere

    pineapple / 12566 posts

    Works out to about €16 per visit after insurance reimburses us, but that's through private insurance with a private doctor. If we used my public insurance and a public doctor, it would be free.

  5. avivoca

    watermelon / 14467 posts

    No copay. Our HRA covers everything up to $1000 and once that is done, we pay full price for everything until we meet our deductible. After that we pay 20%.

  6. babypugs

    persimmon / 1101 posts

    @MamaG: According to our insurance, we're responsible for about $360 of it. On the plus side (I guess...) after this and her follow up, we're close to meeting her portion of the deductible for the year! Silver linings....

  7. babypugs

    persimmon / 1101 posts

    @LovelyPlum: Agreed. Luckily we have savings, but I'm sure there are many who would not have been able to front it right after the holidays (or at all).

  8. Littlebit7

    nectarine / 2243 posts

    @babypugs: I don't think our premiums would be similar. We have a hdhp and our premiums are about 75% less for family coverage than if we had gone with a traditional PPO or managed care insurance (copays and such). We have a HUGE savings on a monthly basis.

  9. babypugs

    persimmon / 1101 posts

    @Littlebit7: Nope, you're right, yours is probably much less expensive! That's why I'm bewildered by my pediatrician's pricing...for a traditional plan and average(ish) premium, I don't think I should have to pay close to $400 for a sick visit! I'm definitely going to keep calling. Thanks for the responses, folks!

  10. Littlebit7

    nectarine / 2243 posts

    @babypugs: hmm that seems weird. Is that what the pediatrician charges or is that the negotiated rate with the insurer? If I was looking at strictly what our ped charges it would be around $400. But we pay the negotiated rate.

  11. babypugs

    persimmon / 1101 posts

    @Littlebit7 We owe about $360 after the insurance adjustment. I know we're paying most of it since we haven't met our deductible, but $120 for a flu test?! Seems high!

  12. Littlebit7

    nectarine / 2243 posts

    @babypugs: yeah something seems wonky with that. It is an in-network doc, correct? That seems like it wasn't adjusted at ALL. Have you had that experience with other docs or just this pediatrician? Small practice or under a large hospital group? We the labs run in house or via a third party?
    I'd call your insurance and get someone to explain what each charge was and how each one was adjusted.

  13. LilSprinkles

    clementine / 778 posts

    It's always $0 (appointment, shots, labs, surgeries, etc.)

  14. sapphire

    nectarine / 2173 posts

    We pay 10% of visit cost for sick visits after the deductible.

  15. BSB

    hostess / wonderful apple seed / 16729 posts

    $20 copay but with twins it's $40. That's something I didn't think of. Oh preventative visits or well visits are free. Labs depend on the test and what lab they use. I have to try to stay in network since I have an EPO for insurance.

    ER visits are $100.

  16. snowjewelz

    wonderful kiwi / 23653 posts

    Used to be $25 copay but we got switched to a higher deductible, so I don'tk now. Waah, I don't want to find out b/c we've had to go to the dr ALL the time lately...

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