Post # 1
I know quite a few Bees had an HSG and I’ve read all of those posts about what it feels like and so on. This time, I’m wondering: how much did you pay? I know some insurances will pay for it. Mine will only cover the initial diagnosis of infertility. That’s it. But I wonder if there is someway they can code an HSG to get it to be covered…? Anyone have an experience they’d like to share?
Post # 3
@Peffy: I live in the Seattle area, and the price of the HSG without insurance was $850.
I had a referral from my OB for recurrent miscarriages, so I won’t have to pay anything since it was considered a diagnostic test, the RE clinic used the code 629.81 (habitual aborter w/o pregnancy).
Below is the response I got from the RE’s finance department when I asked about the HSG:
The HSG is typically coded with a diagnosis code of 628.8, which is a fertility code and would more than likely not be covered
Hope it helps!
Post # 4
I’ve seen prices ranging anywhere from $500 to about $2300, depending on who performs the test (OBGYN, RE), where it’s performed (fertility clinic, hospital), location and so on. I’m in the Midwest and have yet to call and double-check on the price for mine.
I will have to pay totally out of pocket. Only after a condition that ALSO causes infertility is diagnosed, like fibroids or endometriosis, is any treatment covered for me.
That said, I have no experience with them coding it differently, so Turtle Bride’s input is very valuable.
Post # 5
They coded mine as diagnostic and I didn’t pay a penny.
I asked my RE if it was covered when he mentioned it and he said it was, so I would just ask your doc.
Post # 6
I had one done and without insurance it was close to $1000. I paid $300 after insurance kicked in.
Post # 7
Thanks, everyone! I called my insurance today and got a huge runaround. Basically what I was able to pry from them–it MIGHT be paid for if it’s coded correctly. So I’ll talk to my doctor Thursday about what they can code it as to hopefully get SOME of it paid. I’m just worried about if it comes back showing blocked tubes that we’ll be paying thousands of dollars because any surgeries to fix the tubes won’t be covered by insurance either.
Post # 8
- Wedding: June 2013 - Upstate NY
@Peffy: Be a squeaky wheel when it comes to insurance companies. Cal, call, confirm, get eveyrthing in writing, confirm, confirm. It sounds extreme but you must be vigilant if you don’t want to get extremely screwed. Their MAIN objective is to deny your claims and make money off you.
Post # 9
@lealorali: Oh yes! It is so true! I worked for a doctor’s office, so I’m at least *sorta* knowledgeable. And if the insurance WON’T pay, I plan to haggle with the hospital to get them to reduce the price since we’re cash paying. I had blood work down that my doctor coded in a way to get it paid and it was $1200–but our insurance got a discount to only pay $300. If they can do THAT for insurance, they can sure as hell discount me since they’ll be getting money up front.