Cost of a Colonoscopy?

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GDen
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Date Joined May 2009
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   Posted 1/26/2010 2:28 PM (GMT -7)   
Any idea how much your gastro charges for colonoscopies? Know of any web sites that list costs for various procedures? Such sites seemed to be cropping up a few years ago.

My gastro charged me almost $900 for a cscope 3 years ago. Now it appears to be almost $600, but they also tack on a facility fee (over $800), plus they now use anesthesiologists which as you can imagine tacks on another big fee, plus any lab fees. Those are self-pay rates -- if they bill insurance then their fees are more than doubled (!).

For those of you with (good) health insurance, does it usually pick up the full cost, or does your deductible apply, or a co-pay? My (high-deductible) insurance says it covers a max of 2 lifetime preventative colonoscopies, but I'm not sure if that applies for colonoscopies for diagnosing and monitoring CD.
Cimzia, Asacol


Dagger
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Date Joined Apr 2008
Total Posts : 1522
   Posted 1/26/2010 3:31 PM (GMT -7)   
I had a colonoscopy almost two years ago. I just looked up the bills. What was billed and what the insurance company paid are two different things.

Facility Fee Billed $1,775 Paid $543
Anesthesia Billed $205 Paid $93
Doctor Billed $1,125 Paid $280
---------------------------------------------------
Total Billed $3,105 Paid $916 (plus my $75 copay for the procedure)

So they may double the fees when they BILL insurance but the insurance companies do not pay what is billed. I didn't have any biopsies so there were no lab fees.

Make sure your doc knows that you have a lifetime max on colonoscopies so he/she uses the proper code. My insurance company doesn't pay for colonoscopies for people under 50 unless there is medical need. I am under 50 but they've paid for 6 colonoscopies in about four years because I had symptoms that needed checking.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/26/2010 3:53 PM (GMT -7)   
WOW, that sucks, I'm glad it's covered by our provincial health care here in Canada...we don't pay out of pocket for hospital stuff or tests (only cosmetic surgery isn't covered).

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


GDen
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Date Joined May 2009
Total Posts : 703
   Posted 1/26/2010 4:05 PM (GMT -7)   
What's the wait time for a colonoscopy in Canada?
Cimzia, Asacol


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/26/2010 5:25 PM (GMT -7)   
It all depends, I'm sure it varies for each province...because I'm already an existing patient with my GI, if I wanted one I could probably get one with in a couple of weeks or less, still it depends on how booked they are, cancellations, ect.

We pay higher taxes in Canada, but it's worth it, especially when you have a chronic illness and having to make more trips to the docs/specialists/hospital than the average bear. That's another thing that makes universal health care so good, doesn't matter if you have insurance (cuz tests and doc/hospital visits) don't go through insurance, they go through individual provincial health care systems, so everyone is covered.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


FunGuy
Veteran Member


Date Joined Oct 2009
Total Posts : 1070
   Posted 1/26/2010 6:05 PM (GMT -7)   
Sounds very sensible to have everyone covered. I know I have to wait some weeks south of your border (USA) to get in for my colonoscopy. This time was my shortest wait, about 3 weeks. I am sure that emergencies get in quicker on both sides of the border.
 


Dagger
Veteran Member


Date Joined Apr 2008
Total Posts : 1522
   Posted 1/26/2010 7:41 PM (GMT -7)   
I developed anemia almost overnight so they thought I was bleeding internally. They took me right in for the consultation, confirmed that I needed a colonoscopy ASAP. It then took me just over 4 weeks to get an "emergency" colonoscopy here in the good old USA. I called around and no one would do it sooner.

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 1/26/2010 8:06 PM (GMT -7)   
My copay for colonoscopies just went from $400 to $900 (my doctor is out of network) so I'm going to have to see if I can have a doctor in network do mine in April. My GI is against it, but it's either that, or no colonoscopy. I'm going to call my old GI and see if he's willing to do it.
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, sublingual B12, Coumadin


Valerie3
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Date Joined Feb 2009
Total Posts : 529
   Posted 1/26/2010 8:12 PM (GMT -7)   
I'm Canadian as well, I live in Quebec. I've only had one colonoscopy but it was done in 2 weeks, and that was because my doctor was on vacation during those 2 weeks and she booked me for as soon as she got back. I have also had an endoscopy done privately, it cost me $450 and I got in after about 3 days. You can do the same for a colonoscopy here and it's about $600 if I remember correctly. I do most of my tests privately because the wait time is so short here for them, and they are usually covered under private insurance (scopes aren't unfortunately).

Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2691
   Posted 1/26/2010 8:38 PM (GMT -7)   
With our insurance I only pay $100, and it covers everything.
~Jennifer
 
Diagnosed with Crohn's Disease 2/06, and Health Anxiety/OCD 12/08 Taking Asacol, Questran, Toprol XL, and Celexa.


pillpopper
Regular Member


Date Joined Jan 2009
Total Posts : 209
   Posted 1/27/2010 4:50 AM (GMT -7)   
Same with me,$100 co-pay,with Bluepoint2.
Usually the wait is 2 months,unless there is a concern.
Bad idea to raise out of pocket co-pays,people will avoid
colonoscopies,and not get treated.
I'm sure insurance companies know the cost of surgery!
Or do they???
B-12injections,Pentasa,Loperamide,Entocort,6mp,Hydrochlorothiazide,8 week
Remicade,vitamin-D,Fluconazole.More over the counter vitamin-D. Remission since surgery and 5-years, of 8-week Remicade.
.


GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 1/27/2010 3:25 PM (GMT -7)   
I'm really starting to wonder how useful another colonoscopy would be. We seem to know where my CD is, and treatment seems to be working. Doesn't seem worth spending probably the better part of two grand.
Cimzia, Asacol


bookgal77
Regular Member


Date Joined Jul 2009
Total Posts : 83
   Posted 1/27/2010 6:01 PM (GMT -7)   
The colonoscopy I get in my doctor's office is about $1,000 total - that includes the doctor's time, the IV/anesthesia, and some other assorted stuff. My insurance is an 80/20 setup so after the negotiated rates it costs me less than $100 out of pocket. A pretty good deal, especially considering I had three of them last year.
**32 year old female; Diagnosed with ulcerative colitis in 2001; diagnosis changed to Crohn's disease in 2009
**Asacol (4000 mg daily), 6-MP (100 mg daily), Prednisone (30mg daily...for now), Nexium (40 mg daily), Flagyl (500 mg daily), Sulfasalazine (1000 mg daily), and getting ready to start Humira
**Thankfully only two major flare-ups...2001 and 2009. Hoping to have another 8 years in between the next one (sadly, I do know there will be a next one).


Howlyncat
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Date Joined Jan 2005
Total Posts : 24909
   Posted 1/27/2010 6:33 PM (GMT -7)   
I am covered by OHIP..ONTARIO HEALTH INSURANCE PLAN..tg..i am really counting my blessings when it comes to not having to pay for any procedures ect.....i cannot believe the amounts you have to pay and ya know im sure other Canucks will agree we still hv ppl that complain constantly about our hc system...i can get a scope within 2 weeks tops....counting my hc benefits blessings i am.....lyn
                          
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Grandpato2
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Date Joined Dec 2009
Total Posts : 681
   Posted 1/27/2010 8:00 PM (GMT -7)   
ok I'll speak up for British Columbia. No cost but my GI has a non emergency waiting period of around 2-3 months.
Male, 54 years old with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since early 2003. Had a gall bladder removed Nov. of 2009. Currently on Remicade every 8 weeks, Asacol, Nexium, Iron, B-12 injection every 4 weeks, Morphine Sulfate as needed for pain. Cymbalta for long term pain control. 5-asa Salofalk, Entecort, Imuran and Prednisone in the past.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/27/2010 8:51 PM (GMT -7)   
I count my blessings here in Alberta too Lyn, and keep my fingers crossed that we don't turn into complete privatization like it is in the US, all I can say is thank goodness for universal health care and that our governments run it and not some for profit only insurance company...I'm more than happy to pay higher taxes where I live in order to not pay out of pocket for doc/specialists visits, hospital visits and care and tests or for having my babies, ect, ect.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 1/27/2010 8:59 PM (GMT -7)   
Valerie3 said...
I'm Canadian as well, I live in Quebec. I've only had one colonoscopy but it was done in 2 weeks, and that was because my doctor was on vacation during those 2 weeks and she booked me for as soon as she got back. I have also had an endoscopy done privately, it cost me $450 and I got in after about 3 days. You can do the same for a colonoscopy here and it's about $600 if I remember correctly. I do most of my tests privately because the wait time is so short here for them, and they are usually covered under private insurance (scopes aren't unfortunately).

I imagine the equipment in private clinics is much more modern too? I recently saw a documentary about healthcare in Quebec and the filmmakers found it nearly impossible to get treated anytime soon. Also, more and more private clinics were cropping up.
Cimzia, Asacol


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 1/27/2010 9:11 PM (GMT -7)   
I'm pretty sure the equiptment (at least where I live) is the same regardless of private or universal...granted not all the hospitals have all the machines and such needed (talking the high tech stuff, not scopes or regular type machines)...point is, even via universal we have access to the same types of tests as private, it just takes a little longer is all...privates have wait lists too....the more that use private, the longer their wait.

:)


bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


Valerie3
Veteran Member


Date Joined Feb 2009
Total Posts : 529
   Posted 1/28/2010 5:24 AM (GMT -7)   
GDen said...
Valerie3 said...
I'm Canadian as well, I live in Quebec. I've only had one colonoscopy but it was done in 2 weeks, and that was because my doctor was on vacation during those 2 weeks and she booked me for as soon as she got back. I have also had an endoscopy done privately, it cost me $450 and I got in after about 3 days. You can do the same for a colonoscopy here and it's about $600 if I remember correctly. I do most of my tests privately because the wait time is so short here for them, and they are usually covered under private insurance (scopes aren't unfortunately).

I imagine the equipment in private clinics is much more modern too? I recently saw a documentary about healthcare in Quebec and the filmmakers found it nearly impossible to get treated anytime soon. Also, more and more private clinics were cropping up.


Lol, yeah, of course. When you go private here, you get amazing facilities and care, and our hospitals don't always have the newest facilities. I wouldn't say it's nearly impossible to get treated anytime soon though, my GI works at the Montreal General Hospital (which is the teaching hospital for McGill), and I've seen her the same day when I'm ill, gotten a scope in under 2 weeks and can get appointments whenever I want, really. Same with my family doctor, if it's important, I see her the same day, if not I wait 2-3 days tops. I've only been to the ER once, and I waited half an hour max. I know that some people have bad experiences here, but I wouldn't say it's like that for everyone. I doubt that I could get better health care anywhere else.

kia c.
Regular Member


Date Joined Jun 2004
Total Posts : 111
   Posted 1/28/2010 9:48 AM (GMT -7)   
I know this ISN'T a colonoscopy ... but I thought I'd throw my last procedure and the costs into the conversation.  My doctor told me he wanted to do a CAT scan ... 'cause I pitch a fit whenever the word colonoscopy is mentioned. 
 
CAT Scan with barium, contrast, and to add insult to injury, an enima;
 
Billed; $4069.09
Plan Paid: $1620.77
My Responsibilty; $1183.41
 
kia
 
 

FunGuy
Veteran Member


Date Joined Oct 2009
Total Posts : 1070
   Posted 1/28/2010 10:51 AM (GMT -7)   
GDEN: They really got you by the short ones. You should be scoped every two years to screen for polyps and cancer but two grand!? Maybe you should push it to three years. Set aside the money each month and/or in the year you are going to get it done do one of those tax free flexible spending medical savings accounts.
 


GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 1/28/2010 2:49 PM (GMT -7)   
Anybody know how much those pill cams cost to do? I know my gastro has 'em.
Cimzia, Asacol


GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 1/28/2010 3:03 PM (GMT -7)   
Here's a pricing site:

www.healthcarefees.com/healthcare-prices/42-outpatient-surgery/72-colonoscopy

colonoscopy: $1350 - $3700
Cimzia, Asacol


GDen
Veteran Member


Date Joined May 2009
Total Posts : 703
   Posted 1/28/2010 3:11 PM (GMT -7)   

Becky77
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Date Joined Dec 2005
Total Posts : 1768
   Posted 1/28/2010 3:23 PM (GMT -7)   
I'm thinking I may push mine to every other year because of my copay. My GI would like to do one every year, but right now I'm unemployed so I just can't afford my copay.
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, sublingual B12, Coumadin

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