consultation fee

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Regular Member

Date Joined Feb 2008
Total Posts : 493
   Posted 2/3/2009 6:58 PM (GMT -6)   
I have an appt to see an Inflammatory Bowel Specialist at a well-known medical center in NYC. The fee is $750. My insurance (while pretty great in most everything else) will not cover this b/c the doc is out of state and only takes medicare.

Is $750 normal? outrageous? high/low? I have no idea.
24+ years with Crohn's/colitis; fistulizing crohn's; pentasa; started humira 7/1/08;codeine for D; sometimes supplements: MSM, e, selenium, C, B complex, multi, iron; recent meds to get through til surgery include propranolol and xanax

Veteran Member

Date Joined Jul 2008
Total Posts : 674
   Posted 2/3/2009 7:27 PM (GMT -6)   
I was paying around 150 dollars to see my GI, but when he sent me to a Crohns specialist that was around 350 dollars. 750 sounds extremely high, but I guess it all depends on their experience and where they work.  But seeing as how my Crohns specialist actually has Crohns and will only take the toughest cases (the ones no doctors have been able to help) and my surgeon who is also a professor and writes texts books for medical students, came no where close to 750 to see.  Id say call the office and explain the situation and that your insurance wont cover you seeing him...most will help out.  After my initial visit to my surgeon and him suggesting surgery he waved all fee's because I had no insurance and still continues to do so.

Dianogsed with Crohns: At 16 years old. 22 years old now.
Surgeries:2 Bowel Resections, Gallbladder Removed.
Current Meds: Humira (bi-weekly)

Veteran Member

Date Joined Apr 2006
Total Posts : 686
   Posted 2/3/2009 9:07 PM (GMT -6)   
That's insane unless it includes some tests.

Remicade and 6MP

Regular Member

Date Joined Jan 2009
Total Posts : 394
   Posted 2/3/2009 9:15 PM (GMT -6)   

Being that you are in NYC I don't think $750 is totally outrageous. It stinks you have to pay out of pocket - perhaps they will give you a cash discount?

We paid $18,000 for my daughter's colonoscopy/endoscopy at a hospital in Beverly Hills and I was told by the billing person that we were paying higher costs because of the location and the size of the facility!  rolleyes   I wish I knew that before the procedure was done!

Veteran Member

Date Joined Apr 2008
Total Posts : 1753
   Posted 2/3/2009 9:25 PM (GMT -6)   
Wait, in the fee just to get IN the office? Or is this the bill after the appointment?
$750.00 seems a bit steep, but I know it's better than a lot of others....I don't think I could ever pay it though. At that point, I would be relying on myself. Not out of my own free will mind you.
20 years old, Diagnosed with moderate to severe Crohn's and Colitis in May of 2008.
Currently taking:
Prednisone 15 mg, pentasa 2 pills 4x a day, bentyl as needed, omeprazole in the morning, multivitamin, humira every other week, and good probiotics.
Surgery for ectopic pregnancy most likely the result of severe Crohn's inflammation in July of 2008.
Attempting a diet without refined sugars, high fat content, bleached or bromated flour, most dairy, red meat, and avoiding anything spicy like the plague. Also refuse to eat anything with trans fat or high fructose/corn syrup.
"He who has a why to live for can bear with almost any how."

Veteran Member

Date Joined Apr 2008
Total Posts : 1522
   Posted 2/3/2009 10:27 PM (GMT -6)   
What do you expect to get out of this visit? What can this doctor offer that your local docs can't? What if this doc recommends tests, procedures, etc; can you afford continuing treatment at this facility?

While this sounds expensive, is it worth it to you?

Veteran Member

Date Joined Apr 2006
Total Posts : 686
   Posted 2/4/2009 7:01 AM (GMT -6)   
I live in NYC and have never paid more than $500 to see an out of network/no insurance Doctor. And the doc new I would get partial reimbursement from my insurance. There are plenty of excellent IBD docs in NY who charge a lot less than $750 for a consult.

Remicade and 6MP

New Member

Date Joined Nov 2007
Total Posts : 18
   Posted 2/4/2009 12:45 PM (GMT -6)   
I paid $750 as a new patient for a top NY specialist.  Let me tell you, it was well worth the money.  After going through three other gastros, he was the only one who got me better.  You have to pay for the best!

Regular Member

Date Joined Jul 2008
Total Posts : 186
   Posted 2/4/2009 1:29 PM (GMT -6)   
about eight years ago, I paid $600 to see a top NYC specialist too. And, quite frankly, I am thinking of seeing him again. He didn't take insurance so I was forced to pay out of pocket. In his words, he was there to give me his "pearls of wisdom" of which I think he did. I left knowing more about the disease, more hopeful, and felt like I had other options that I didn't even know about at the time. (Based on his visit, I was put on Cipro which actually put me in remission for five years.) I went with my mother and sister and we all felt that it was definitely worth the trip. (ps - I live in the Boston area.) So, in short, do I think $750 is a lot of money... um, yes! But, would I do it again. Definitely!
39 years old female, Dx'd 2000 Crohn's Colitis in entire colon
Allergic to Asacol/Pentasa/6MP/Immuran and many others
Past meds that worked: Cipro, Prednisone
Just stopped Humira 1/1/09
Started Remicade 1/15/09 ... and waiting for it to work

Daily: Folic Acid, Vitamin C, Fergon Iron Supplement, Omega 3, Multi-Vitamin

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