HSG — Cost? Insurance?

posted 3 years ago in TTC
Post # 3
Member
2764 posts
Sugar bee
  • Wedding: June 2011

@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
Member
1734 posts
Bumble bee
  • Wedding: March 1998

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
Member
6655 posts
Bee Keeper
  • Wedding: August 2010

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
Member
795 posts
Busy bee
  • Wedding: December 2011

I had one done and without insurance it was close to $1000.  I paid $300 after insurance kicked in.

Post # 8
Member
4827 posts
Honey bee
  • 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. 

 

Squeakkkkkkkkkky!!!!! 

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