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billryan
billryan
Joined: Nov 2, 2009
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March 7th, 2018 at 3:34:45 PM permalink
Quote: AZDuffman

I can't get my oil changed for a price that low!




That explains a lot.
The difference between fiction and reality is that fiction is supposed to make sense.
SOOPOO
SOOPOO
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March 7th, 2018 at 4:17:10 PM permalink
Quote: boymimbo

For propofil? My understanding is that you used to get 5 "units" for colonoscopy + the work units, but now get 3 "units" at $22/unit from Medicare.

Why do the rates vary so widely???? How does the AET get to charge $910, insurance gets to pay $378, and Medicare get to pay $66?



It's 3 base units plus probably 2 'time units', so 5 total units. A 'time unit' is 15 minutes. As I've said repeatedly, Medicare gets to pay $110 because THEY CAN! It is a LAW! They fix the rates at WHATEVER they want! They know anesthesiologists will be essentially forced to accept whatever they pay. That is not true for the gastroenterologist, for example. If they go too low for them they will just not do the cases, and when grandma can't find a GI doc to do her scope, her congressman will hear about it. Since there is never not an anesthesiologist to do the case no matter how little they pay, they unethically pay a ridiculously low rate.
SOOPOO
SOOPOO
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March 7th, 2018 at 4:19:00 PM permalink
Quote: AZDuffman

I can't get my oil changed for a price that low!



If I do the anesthesia for a Medicaid patient for an outpatient colonoscopy, I get paid LESS than the Medicaid cabbie.


Edit- If a mod wants to split this off please do.
billryan
billryan
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March 7th, 2018 at 7:33:08 PM permalink
Quote: SOOPOO

If I do the anesthesia for a Medicaid patient for an outpatient colonoscopy, I get paid LESS than the Medicaid cabbie.


Edit- If a mod wants to split this off please do.



You should have studied harder and been a dermatologist.
The difference between fiction and reality is that fiction is supposed to make sense.
AZDuffman
AZDuffman
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March 8th, 2018 at 2:31:12 AM permalink
Quote: SOOPOO

If I do the anesthesia for a Medicaid patient for an outpatient colonoscopy, I get paid LESS than the Medicaid cabbie.


Edit- If a mod wants to split this off please do.



It always cracks me up when people complain what routine medical stuff costs, like an office visit. They will say how it "costs $50!" or whatever. When you mention what your car service costs, then they say, "but people NEED it!"

Doesn't change things. I figure my personal doctor needs to run $10,000 thru the place to cover costs and make a fair profit. Do a little math and the numbers make sense. The idea that you can pay $10 a visit is insane.
All animals are equal, but some are more equal than others
AxelWolf
AxelWolf
Joined: Oct 10, 2012
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March 8th, 2018 at 4:02:49 AM permalink
Quote: SOOPOO

Thank you. Pretty accurate. When a patient asks me how much it costs to be put to sleep, my answer is always the same..... "It's free! You pay me to wake you up!"

Assuming you administer the proper amount of Propofol and do everything proper prior and during the ordeal, I'll take the chance ill wake up on my own if I can forgo paying you.
♪♪Now you swear and kick and beg us That you're not a gamblin' man Then you find you're back in Vegas With a handle in your hand♪♪ Your black cards can make you money So you hide them when you're able In the land of casinos and money You must put them on the table♪♪ You go back Jack do it again roulette wheels turinin' 'round and 'round♪♪ You go back Jack do it again♪♪
RS
RS
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March 8th, 2018 at 5:03:13 AM permalink
Quote: AZDuffman

It always cracks me up when people complain what routine medical stuff costs, like an office visit. They will say how it "costs $50!" or whatever. When you mention what your car service costs, then they say, "but people NEED it!"

Doesn't change things. I figure my personal doctor needs to run $10,000 thru the place to cover costs and make a fair profit. Do a little math and the numbers make sense. The idea that you can pay $10 a visit is insane.


Same thing with....practically every business. Businesses have expenses and people can't seem to figure that out. When you go to a restaurant and they serve you a $5 piece of meat that you buy for $50 (example), they don't make $45 in profit on that. They have to pay the chef, the waiter/waitress/busboy (even if it's cheap), the hostess, not to mention the electricity/lights, rent for the property, dish washing, laundry (uniforms[?], table cloth, napkins), behind the scenes people like accountants probably, new dishes and glasses (sh** breaks), plus fade people dining & dashing or giving free desserts/meals to people who b**** about food and other stuff that breaks & stolen steak knives, idk if they have insurance but probably that, plus likely other stuff I don't know about b/c I'm not in the restaurant business....and on top of all that, the owner needs to turn a "sizable-enough" profit to make the venture worthwhile.

Granted, I don't know what kind of costs there are in a doctors office or a hospital or what kind of costs insurance companies have, but chances are their costs are significantly higher (and their profit is significantly lower) than most people would think.
ams288
ams288
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March 8th, 2018 at 5:58:04 AM permalink
Man, It's Always Sunny in Philadelphia has really jumped the shark...

Ding Dong the Witch is Dead
AZDuffman
AZDuffman
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March 8th, 2018 at 7:26:44 AM permalink
Quote: RS

Same thing with....practically every business. Businesses have expenses and people can't seem to figure that out. When you go to a restaurant and they serve you a $5 piece of meat that you buy for $50 (example), they don't make $45 in profit on that. They have to pay the chef, the waiter/waitress/busboy (even if it's cheap), the hostess, not to mention the electricity/lights, rent for the property, dish washing, laundry (uniforms[?], table cloth, napkins), behind the scenes people like accountants probably, new dishes and glasses (sh** breaks), plus fade people dining & dashing or giving free desserts/meals to people who b**** about food and other stuff that breaks & stolen steak knives, idk if they have insurance but probably that, plus likely other stuff I don't know about b/c I'm not in the restaurant business....and on top of all that, the owner needs to turn a "sizable-enough" profit to make the venture worthwhile.



Back when I was in pest control lead calls in, talking to one of the office girls. She asks me what the minimum is for some kind of service, which we were not supposed to quote anyhow. I tell her $150. She tells them. Says, "they want to know how much if he just does this one little part?"

"$150."
"Why is it the same they want to know?"
"Because we do not roll the truck for less. We have all kinds of costs, we do not charge just a few bucks to be there a few minutes."
"Thanks, have a nice day!"

Then there is the "do you know what they are making on this?" argument. To which I say, "why do you care, don't like the price, don't buy it."
All animals are equal, but some are more equal than others
boymimbo
boymimbo
Joined: Nov 12, 2009
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March 8th, 2018 at 8:07:12 AM permalink
Quote: AZDuffman

It always cracks me up when people complain what routine medical stuff costs, like an office visit. They will say how it "costs $50!" or whatever. When you mention what your car service costs, then they say, "but people NEED it!"

Doesn't change things. I figure my personal doctor needs to run $10,000 thru the place to cover costs and make a fair profit. Do a little math and the numbers make sense. The idea that you can pay $10 a visit is insane.



The difference is that I can change my own oil with the right tools and a bit of effort. You can also do your own car repairs. In fact, you can read a book and do whatever you want to your car. And if the car is ruined as a result, you live.

You can also self-represent in court.
You can pretty much do any service activity on your own, except be a witness to your own signature.

Except for healthcare. I can't get my hands on my own anesthesiology drugs nor can I administer it to myself, or perform my own colonoscopy. The end result (by not doing anything) is a small risk for colon cancer. And the price is set by the doctors (private) who choose their own price and don't get paid most of the time anyway.
----- You want the truth! You can't handle the truth!

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