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Checkups and routine exams

Started by Gary Watson4 · · 👁 4 views · 5 replies

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Participants Gary Watson4Jamie Clark74Jonathan Reed4Animbleskipper17
Gary Watson4 Gary Watson4 MemberOP
29 messages
joined Aug 2004
#1 ·
I’m getting my eyes checked soon, looks like I might finally get my first
and then I stumbled upon this:

"Major hospital tests can take up to six months

The wait times for screenings are mostly due to a shortage of diagnostic equipment.
If you want to check your health in America, you'll either be waiting months for an appointment at a public facility or dropping thousands of dollars to get it done in a week or two at a private clinic. For standard patients looking for specialized testing at hospitals or community clinics, wait times range from ten days to half a year—unless it's an emergency, in which case you're seen immediately.

'Wait until after New Year's,' is what we were told when asking about MRI availability—according to our research, it's the procedure with the longest backlog. An MRI for a spinal scan is also one of the most expensive tests; at a private facility, it will cost you $0.53, which is roughly what it costs in a hospital setting too. If you have a referral, you only pay 15 percent of that amount.

The quickest results come from blood or urine work—you can usually get it done in a day, and results are ready by tomorrow at the latest. That’s really the only type of testing where using a local clinic actually makes sense time-wise.

Most hospitals performing advanced diagnostics claim the long delays stem from a lack of machinery. They say new equipment can only be acquired through donations because the costs are so high, while the Department of Health and Human Services suggests the budget is still being tightened.

'Based on the total healthcare budget, following EU guidelines, we should have been able to spend 4.5 percent more, yet we've spent much more than that,' recently warned Secretary Andrew Hebrang.

According to him, financial analysis shows that compared to the first quarter of 2003, drug costs rose by 15.6 percent, medical supplies by 13.7 percent, and capital investments by 49.9 percent. Basic insurance costs went up 12.4 percent, or 791 million dollars, while supplemental insurance jumped 97 percent, or 77.3 million dollars. Meanwhile, all hospitals exceeded their budgets by an average of 39 percent, with some ranging from 8 to 53 percent.

The most expensive scans are linked to spinal diagnoses.

In short, wait times aren't going down anytime soon, and there's a good chance they'll try to balance the budget by hiking out-of-pocket costs.

As part of healthcare savings, supplemental coverage was scrapped—the plan that allowed you to pay a small monthly fee to waive most copays and get one free annual physical.

To help you navigate this sea of options, we've listed the prices for most major tests, how long you can expect to wait, the cost with a referral (your copay), the price without a referral in a hospital, and what private clinics charge. Since we gathered these prices and wait times by posing as patients to ensure accuracy, there might be slight variations. Wait times also vary depending on the hospital and the city.

For blood work, prices are listed in order as Private / Hospital / With Referral: a glucose test is $12 / $10 / $7.22, total cholesterol is $12 / $8.35 / $2.00, kidney or creatinine testing is $12 / $10 / $7.22, iron is — / $26.74 / $16.84, liver enzyme panels (GPT, GOT, and gamma GT combined) are $45 / $33 / $8.25, and a complete blood count is $60 / $97.39 / $23.

Blood tests are worth doing via referral at local clinics, and urine tests are especially affordable there. A private urine analysis or culture costs $200, while it's $113 in a hospital, or $5.75 with a referral.

There is a massive price gap for fecal occult blood tests, which cost $100 privately but only $8.35 in a hospital, or $2.00 with a referral. An abdominal ultrasound, depending on the organ, ranges from $200 to $133 privately, and from $150 to...$67. With a referral, you only pay 15 percent of the cost.

A gastroscopy—checking your stomach—usually runs about $67 everywhere, but if you have a referral, it’s just 15 percent of that. If you need a biopsy included, the price can triple. It’s an uncomfortable procedure because they slide a tube down your throat, and waiting three to four months makes it even worse. That’s nothing compared to a colonoscopy, where they slide a similar tube through the rectum. For that one, you wait half as long at a public hospital, and it costs roughly $25 at a private clinic or $22 in a hospital setting. With a referral, you pay 15 percent.

Waiting for a color Doppler vascular ultrasound at public hospitals usually takes a week or two.

You shouldn't cut corners with your health. But if you just need a basic EKG for a heart check, you can save money by going to a hospital where there isn't a huge wait. A private EKG costs $50, while here it's $8.25, or just $0.25 with a referral. You'll get the results in seven to ten days. Seeing a cardiologist at a hospital involves at least a two-week wait and costs about $2.70, whereas a private specialist charges $50. A color Doppler ultrasound costs $9.50 with a week or two of waiting, while the private version goes for $133.

For a gynecological exam at a hospital, expect to wait a week to a month. It costs about $50 everywhere, and $3.25 with a referral. Only after that do you get a Pap smear, where hospital results take up to a month and cost around $33 or 15 percent with a referral, while private clinics charge between $4 and $67. Waiting for a breast ultrasound can take up to four months, costing $5.50 or $0.27 with a referral. At a private clinic, it’ll be $127. Even longer—up to six months—is the wait for a mammogram, which costs $35 or $0.34 with a referral, compared to over $133 privately.

At public hospitals, you might wait up to 6 months for a mammogram or breast exam.

Eye exams and ENT appointments are worth doing at a hospital since you can get in almost immediately, and they cost about $2.65 or $3.50. In private practice, they run about $4.35, or $100.

For a chest X-ray, you're looking at a week until the appointment and another week for the results. It costs $30 or 15 percent with a referral. Private clinics charge $83.

The only exam that's actually cheaper privately is a spinal X-ray, priced at $83. At a place like Mayo Clinic, you might wait several months and pay $117, though with a referral it's only $0.15.

Thyroid hormone tests (there are three of them) cost about $2.70 or $0.40 with a referral, while private labs charge $23. A urology exam costs about $2.70 or $3.50 at a hospital, and $6.75 privately. An andrology exam with a prostate ultrasound is $10.80 or $0.27 at a hospital, and $127 privately. A head CT ranges from $21.60 to $0.33, and with a referral, you pay 15 percent.
Jamie Clark74 Jamie Clark74 Regular
278 messages
joined Sep 2004
#2 ·
Dear Neptune,
thanks for the excellent report. Even from halfway across the world, I find this fascinating.
Specifically, when I first arrived in Australia, there was no social safety net until 1974. That meant I had private insurance for doctors and hospitals, but I still had to pay out of pocket for a portion of everything.

When I had kidney surgery 32 years ago, the standard recovery was six months. But since there was no paid sick leave back then—
it was 1972—I was back at work by my sixth week.

I often think about how I came from a "socialist country" where the government covered medicine, doctors, and even salaries... yet we were all constantly complaining.
I remember people saying, "Just give us a 37% raise instead of providing insurance." They were so shortsighted.

I also recall certain laborers who would take sick leave every single summer during harvest season, leaving everyone else to pick up the slack.

I’ll admit, there was a bit of bribery involved too if you wanted to be seen sooner. You'd wait from morning until the next day, shuffling through paperwork just to get a slot with the doctor.

I’m obviously talking about the 1960s; I can't say for sure what things have been like after 1997.

Looking at your list, I can't give a detailed comparison because I don't know exactly what your insurance premiums look like; I'm sure they vary quite a bit.
Here, we have Medicare, which covers doctors, hospital stays, and eye exams. However, it doesn't cover physical therapy, dentists, chiropractors, ambulances,
psychologists, or many medications that aren't on the approved list. For those, you need extra insurance, which usually only covers about 60% of the bill and has an annual cap on payouts.

It also doesn't cover private hospital insurance.

In retirement, we pay $10–$30 out of pocket depending on the visit. Those who are working usually pay $30–$70.

Waiting times at public hospitals range from three months to a year, and sometimes longer for certain surgeries.

For eye exams, I have to admit it doesn't cost us anything beyond Medicare once a year. We see an optometrist who does a full exam, checks eye pressure, and refers us to specialists if needed, along with the necessary prescription for glasses. Still, those who work end up paying about $20–$30 per visit.

Generally speaking, when we go to private specialists and have to pay the difference, they can charge whatever they want. For example, I waited four months for a neurologist who charged $160 per visit. The government recommendation was a maximum of $90, so I had to pay $80 out of my own pocket.

The Australian government is looking to sign a "trade agreement" with the USA... which suggests things might get even tougher.

People in Germany, Switzerland, and other European countries have no idea how lucky they actually are.

Neptune, thanks for the info. I found it very interesting, and frankly, I'm not sure who has it worse.

I would only add that in Australia, there has always been a huge emphasis on volunteer work and community fundraising for medical equipment. It’s a shame when you see how much politicians spend on things we don't need, like wars and armaments.

👋
Jonathan Reed4 Jonathan Reed4 Active Member
53 messages
joined Jan 2004
#3 ·
I honestly don't even know what to say. I just got my Pap smear results back after seeing a specialist at a community health clinic (which I had to schedule two months in advance),
and I've been waiting almost three months total for this! 😲
A Anonymous Veteran
3.6K messages
joined May 2005
#4 ·
How much does a private EKG cost? $50It’s more like this... $8.25It’ll only set you back about three bucks if you use a money order. Just keep in mind that you're looking at a wait time of anywhere from a week to ten days for the results to come in.

😕 😕 😕

The EKG results are in. Right away.There's really nothing left to wait for—unless you count getting a quick cardiac screening and seeing what the doctor has to say about it.
nimbleskipper17 nimbleskipper17 Member
34 messages
joined Mar 2005
#5 ·
Oleander said:😕 😕 😕

The EKG is finished right away—there’s nothing left to wait for, except maybe the actual cardiology appointment and getting someone to actually read the results.

You just have to sit tight until the cardiologist interprets the findings. 🙄

By the way; around this time last year, I was supposed to get a head CT because of these nagging headaches. They told me the wait would be about a month, maybe six weeks. But then, when I finally tried to schedule it, the machine was down. "We can't book anything right now, call us back in ten days..." I call back in ten days, and oh, the machine is broken again, "call us back in two weeks..." I call back in two weeks, and you can guess what happens—broken again! "Try us at the end of the month..." It went on like that for two months. In the meantime, my headaches just vanished, so I never even bothered with the scan. If things had been worse, I could have easily kicked the bucket seventeen times during those two months (not to mention the initial month and a half spent waiting for an opening).
Yeah, sure, I could have gone to a private clinic and paid through the nose, but not everyone has that kind of cash lying around... and honestly, isn't that why we pay for insurance in the first place?
A Anonymous Veteran
3.6K messages
joined May 2005
#6 ·
Sparrow said:You’re basically waiting on a cardiologist to actually interpret the results. 🙄


The EKG machine spits out the data instantly, but you don't get the actual reading until the cardiology appointment happens. Basically, you’re just lugging that EKG printout to the specialist later.
The wording here is a little confusing.

And honestly, it feels like every medical device in the hospital is broken. It's a total mess.👎

Plus, some of these "doctors" act like they have zero time while they're on shift at the hospital, only to use that exact same time to run their private practices. 🙄

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