Post # 1
My clinic has apparently billed my HSG as a Surgical Procedure and therefore my deductible for my insurance comes into play and I have to pay the whole $500 charge for the procedure. I think since it’s an X-Ray it should be billed as diagnostic which is not subject to my deductible and is 100% covered. For those of you ladies who have had HSG’s were they billed as Surgical? It was done in my Fertility Clinic’s office. Maybe I should have gone to a Radiology Center instead. Ugh waiting on the finance person to call me back, unfortunately she’s out today and Monday.
Post # 3
I went to the Radiology Center for mine and it wasn’t billed as surgical. It was billed as a normal Xray. I did have to pay my deductible though which I didn’t mind because I was going to have my myomectomy @ the end of the year. This year I will go back to the same center and won’t have to worry about my deductible since I’ve been under chiro care since Jan.
Post # 4
I would fight it. It’s definitely radiography, not surgery! I paid cash so I don’t know what my ins. does.
Post # 5
I had mine at my RE’s office and it was billed as diagnostic. I didn’t even have a co-pay
Post # 6
Mine was billed as surgery, but ONLY because it was performed during my lap. A regular HSG is not a surgical procedure – I would definitely fight it.
Post # 7
I will definitely fight this. I really think it’s diagnostic and I’m glad too see other clinics bill that way. If I don’t get anywhere with the clinic I think I will call my Insurance company. I’ll update after I’ve heard from the billing folks.
I know that I’m extremely fortunate to have good insurance and I’m very thankful for it.
Post # 8
The billing error could be an error in CPT codes. I work in benefits for my company – and this happens all the time! Ask them to double check it and resubmit it for insurance. Good luck!
Post # 9
@brittanym526: Thanks. I’m a Law Librarian and I work extensively with Health attorneys you I figured it might be the wrong CPT or ICD-9 or ICD-10 code.
Post # 10
- Wedding: June 2011 - Sydney, Australia
@kayakgirl73: Slightly different system here, but ours was definitely a diagnostic x-ray/ultrasound experience – and we got a small amount covered, and paid the $480 out of pocket cost ourself. 🙂
Post # 11
@Candy_Nee: same exact thing for me.
i find myself thinking it must be a billing error. definitely fight it!
Post # 12
@kayakgirl73: Did you end up fighting the charge? I recently had an HSG and just got the bill. My insurance covered a lot, but it was billed as surgical and radiological! I’m pretty upset because I was not notified that it would be billed as surgical, so I wasn’t expecting to pay for that. I think I’m going to try to fight it.
Did you contact the doctor or the insurance?
Post # 13
They billed me as a surgical procedure too..I had to fight it and eventually had it reduced from $400ish to $25!