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Author Topic: Cash for Arthroscopy?  (Read 191 times)

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Offline frustrated111

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Cash for Arthroscopy?
« on: July 09, 2018, 04:36:16 PM »
I'm considering paying cash for a LPFL reconstruction after a botched lateral release.  Anyone have any advice or personal experiences paying cash for arthroscopy in the US?  Any advice is appreciated.


Offline frustrated111

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Re: Cash for Arthroscopy?
« Reply #1 on: July 17, 2018, 12:06:26 AM »
Guess I'll just have to wait til the new year to get a good insurance.  Just have to deal with my loosey-goosey kneecaps and limitations for now. 

Offline Vickster

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Re: Cash for Arthroscopy?
« Reply #2 on: July 17, 2018, 08:06:22 AM »
I'm not in the US, but self paying for private surgery here in the U.K., although a minority, is quite normal. You choose a surgeon (not all work in the private sector), hospital, get a quote from the surgeons office/hospital and schedule the operation.

Can you not do the same? Find a surgeon (for your issues I would think the list of expert candidates is very small, someone like Grelsamer in NYC maybe) and get a quote from his office. Make sure it's a fixed price with only minor leeway upwards.

http://www.kneeguru.co.uk/KNEEnotes/knee-surgeon/dr-ronald-grelsamer?action

My impression is that costs are very high in the US; here an arthroscopy daycase would be around 4000, under $6k at today's rate, an open surgery would be rather more depending on complexity, length of hospital stay etc (it's the hospital fees that are the bulk of the cost, not the surgeon and anaesthetist, those costs are capped). Also, in the U.K., reconstruction after failed surgery would not be covered by private insurance which doesn't cover pre existing conditions at any sensible price anyhow. In the US, aren't surgeons covered by specific insurance providers or policies, therefore if you get insurance, perhaps you need to choose based on the surgeon?

Good luck
« Last Edit: July 17, 2018, 08:15:37 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
LK New MRI shows lat & medial meniscus tear & other stuff
RK MRI lat meniscus tear
8/1/15 RK Steroid jab,
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation

Offline frustrated111

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Re: Cash for Arthroscopy?
« Reply #3 on: July 18, 2018, 01:13:21 AM »
Thanks for the response Vickster.

I'm seeing Dr Mark Sanders this friday after reading the stories of Grey Liston, smillie, driden, aaa. They all seem to have recovered from their disabling patellar instability.   Gonna pay out of pocket for first visit to establish the relationship.  However, on top of the many previous mistakes I made with my most recent surgery, I cancelled the insurance after it was over because I assumed I would have a good result (or at the minimum not have a nightmarish result).  Unfortunately I turned 1 problem into 2 (scar tissue into patellar instability).  Months after the insurance ended I realized it was a completely botched surgery (cutting the LPFL and MPFL of anyone's knee is a moronic decision)

The fees are weird in the U.S.  Nothing is posted, everything is kept in the dark.  The doctors charge one thing and the insurances say "screw you you greedy bastards" and give a certain amount in fee(usually a lot) to them.  So if someone wants to pay cash they are SOL and given double the rate of what insurance would pay.

I'm going to ask him for a cash price, but I definitely need both knees repaired as I would like to be able to use stairs again and dodge cars should I jaywalk (as of now I can't even jog out of the way).  I hope I'm not asking too much from life.  And since I need both knees done, I think my best option is to wait until the new insurance cycle of Jan1st.  Otherwise would prob be billed at least 10k for the surgery and then would have to give ins another 10k once I get it. It's a confusing situation but I'm basically in purgatory for at least another 6 mos and then I get to go under the knife again.  This time I will make sure the doctor doesn't add any procedures to "fix" what isn't broken this time (hoepfully).

Offline frustrated111

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Re: Cash for Arthroscopy?
« Reply #4 on: July 20, 2018, 06:24:15 PM »
Official diagnosis is iatrogenic patellar instability requiring surgical reconstruction of both LPFL and MPFL (BOTH KNEES). I was told that the patella is the "train" and the lpf and mpf ligaments are the "rails".  So now I have 2 patellas with no rails.  How perfect.  Was quoted 30k cash for a single knee so I'm just going to wait until January when I have new insurance.  This s**t is keeping me from getting a full time job.  This is hell, I'm bored out of my freaking mind.

I am so f*cking angry, how on earth are these so-called experts so stupid.  Didn't they learn in school that ligaments are important structures that probably shouldn't be cut.  Even worse I find out that my surgeon was more of a shoulder specialist.  My dumbass went to a shoulder specialist because he had his name on a bunch of pubmed articles for arthrofibrosis.  A top clinic in the world and this is the sh*t result I get.  Not siure why I expected the universe to provide anything different.  A real freaking expert in arthrofibrosis.  A complete idiot with everything else.  Spent less than 10 minutes with me before deciding to radically alter my life. To anyone reading this NEVER TRUST ANYONE.  AHHHHHHHH

In the meantime I will be pursuing legal action.  I consented to LOA, AIR, and debridement.  That was the plan post my office visit, those were the procedures listed on the consent form before surgery.  No mention at all of any LATERAL OR MEDIAL releases.  Never in a million years would did I think I would require surgical reconstruction of 4 ligaments in my knees after agreeing to surgery.  It's considered medical battery to do extra sh*t while the patient is under the gas, LR and MR were definitely not on the consent form.  It's considered negligence in the absence of informed consent. 















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