Trying to Get Pregnant

OMG Explanation of Benefits!

I just got my EOB for my blood work that I had done for my preconception apt and the total was 2484.50 billed to my insurance!!! One of the labs was 1279.50, so good thing I am only responsible for 10.00. Is this the typical cost for blood work?
TTC since May/June 2012 
Sept 2013 testing:
SA #1 Low motility (17%) 
SA #2 Lower sperm count, but much higher motility
CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
2/20/14 Follow up consult RE recommends IVF with ICSI 
3/10/14 New patient consult with RMA NJ 
3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
3/28/14 Saline Sonogram - All good
March/April 2014 IVF #1 Antagonist Protocol
BCP/Bravelle/Menopur/Ganirelix
4/16/14 ER 26 Retrieved!!!
4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
4/22/14 Report #2 15 BLASTS
5/24/14 FET!!!  (Transferring 2 snowflakes)
6/2/14 Beta #1 575!!! :)
6/4/14 Beta #2 2060!!! :)
6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
Graduated from RMA!!  First appt with OB 7/8/14

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Re: OMG Explanation of Benefits!

  • I have no idea... but that's insane!
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  • Yowser.  What did they test for?  TBH, I never even open those envelopes.  I guess I should.
  • Why did they do bloodwork before you started to TTC?
    Started TTC 4/2011.
    Unexplained IF - Started seeing RE on 4/12
    Went on to do three medicated +TI cycles, 3 medicated IUIs - all BFN. 
    10/14 - 1st IVF, Lupron protocol using menopur and bravelle. 14 eggs retrieved, 8 mature and 6 fertilized. 2 transferred and two frozen embies waiting. - BFP!!! 
    EDD 7/16/15

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  • Wow, what the heck did they test? My prenatal/preIUI panel wasn't even that much. 
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    imageimageimage
  • it all depends on what tests they run. There really is no general cost. My ob/gyn has no such thing as a preconception blood work or appointment.

    Do you know what they tested you for?

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  • I know one of the test was cystic fibrosis. It looks like 17 test were done according to my EOB.
    TTC since May/June 2012 
    Sept 2013 testing:
    SA #1 Low motility (17%) 
    SA #2 Lower sperm count, but much higher motility
    CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
    Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
    Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    2/20/14 Follow up consult RE recommends IVF with ICSI 
    3/10/14 New patient consult with RMA NJ 
    3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
    3/28/14 Saline Sonogram - All good
    March/April 2014 IVF #1 Antagonist Protocol
    BCP/Bravelle/Menopur/Ganirelix
    4/16/14 ER 26 Retrieved!!!
    4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
    4/22/14 Report #2 15 BLASTS
    5/24/14 FET!!!  (Transferring 2 snowflakes)
    6/2/14 Beta #1 575!!! :)
    6/4/14 Beta #2 2060!!! :)
    6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
    6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
    6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
    7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
    Graduated from RMA!!  First appt with OB 7/8/14

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  • I have to pay OOP for my cystic fibrosis one. I decided not to do that one, it was really expensive, and i don't think it would change my mind about TTC anyway.

    Wow, thnk goodness for insurance!

    ?Married 11-1-08 ~ dxPCOS 9-1-11 ~ BFP 2-14-12 ~ T.J. born 11-1-12? Lilypie - Personal pictureLilypie First Birthday tickers Tanner James The  BoysWedding Shot
  • imageblp0118:

    I have to pay OOP for my cystic fibrosis one. I decided not to do that one, it was really expensive, and i don't think it would change my mind about TTC anyway.

    Wow, thnk goodness for insurance!

    Well let's all hope really hard that neither you or your husband is a CF carrier then.

  • That sounds like the tests my RE offered me when we first met. They were crazy expensive & tested for all sorts of things (from STDs to genetic issues that mainly affect only certain groups of people)./
    6th cycle of meds/iui combos = BFP!! - EDD 1/21/13 <3
    Born via emergency c-section - 8lb, 19.75 in, 100% stubborn BFP Chart
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    8 cycles of unmedicated trying = BFP!! - EDD 1/10/18  <3
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    *Waiting for Baby Eags 2.0*;
  • imagekarma&co:
    imageblp0118:

    I have to pay OOP for my cystic fibrosis one. I decided not to do that one, it was really expensive, and i don't think it would change my mind about TTC anyway.

    Wow, thnk goodness for insurance!

    Well let's all hope really hard that neither you or your husband is a CF carrier then.

    I'm sorry, but this comment is just rubbing me wrong way.  One of my dearest friends had CF and this comment feels like you are suggesting CF carriers shouldn't have kids.  Even if blp0018 did test positive, her husband would also have to be a carrier and even then, there's only a 25% chance of having a child with CF.

    imageimage
    Me: 33     DH: 38
    TTC since August 2011
    DX:  PCOS and subseptate uterus
    August 2013:  Clomid + Trigger + IUI TI = BFN
    September 2013:  Clomid + Trigger + TI = BFN
    October 2013:  Clomid + Trigger + IUI canceled
    November 2013:  NTNP
    April 2013:  Femara + Trigger + IUI = ???
    image
  • You had blood work done and don't know what was tested?

    I had Fragile X testing and a Chromosone Analysis done back in Dec.  My bill was more than that.  Thankfully it was all covered. 

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  • imageKdgTeacher:

    You had blood work done and don't know what was tested?

    I had Fragile X testing and a Chromosone Analysis done back in Dec.  My bill was more than that.  Thankfully it was all covered. 

    I asked when the nurse called with the results,  but she only told me routine blood work.  ( CBC, Vitamin D, CF etc).    It seems like a lot more was run!  Next time I will ask for sure.   

    TTC since May/June 2012 
    Sept 2013 testing:
    SA #1 Low motility (17%) 
    SA #2 Lower sperm count, but much higher motility
    CD 3 Bloodwork and ultrasound - Normal HSG - Clear tubes 
    Oct/Nov 2013 Cycle 1 with RE 50 mg Clomid + Ovidrel + IUI BFN  
    Nov/Dec 2013 Cycle 2 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    Jan/Feb 2014 Cycle 3 with RE 50 mg Clomid + Ovidrel + IUI BFN 
    2/20/14 Follow up consult RE recommends IVF with ICSI 
    3/10/14 New patient consult with RMA NJ 
    3/11/14 AMH and other Bloodwork to prep for IVF with ICSI at RMA NJ
    3/28/14 Saline Sonogram - All good
    March/April 2014 IVF #1 Antagonist Protocol
    BCP/Bravelle/Menopur/Ganirelix
    4/16/14 ER 26 Retrieved!!!
    4/17/14 Fert Report 22 Mature 21 Fertilized w/ ICSI
    4/22/14 Report #2 15 BLASTS
    5/24/14 FET!!!  (Transferring 2 snowflakes)
    6/2/14 Beta #1 575!!! :)
    6/4/14 Beta #2 2060!!! :)
    6/11/14 1st Ultrasound...Saw 2 Gestational Sacs!!  Beta #3 34,312!!! 
    6/18/14 2nd Ultrasound...Heartbeats!! Baby A 112bpm Baby B 117bmp <3 Beta #4 172,080!!!
    6/25/14 3rd Ultrasound...Heartbeats!! Baby A 150bpm Baby B 158bpm <3 Beta #5 232,134!!! 
    7/3/14 4th Ultrasound...Heartbeats!! Baby A 173bpm Baby B 162bpm <3 Beta #6 269,228!!!
    Graduated from RMA!!  First appt with OB 7/8/14

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    BabyFruit Ticker

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  • imagecls78:
    I know one of the test was cystic fibrosis. It looks like 17 test were done according to my EOB.

    The genetic testing for CF shouldn't cost over $1200. I will be having an entire panel of genetic testing done (H is adopted and of Middle Eastern descent, so we chose to do so), and the whole panel, which tests for 16 genetic diseases using a saliva test, is $350 OOP. It includes cystic fibrosis. Hmmmm...I wonder which test it was that was so expensive? Now I am curious :) 

     

    Started TTC 2/2009
    Started fertility treatments 11/2010
    Ovarian dysfunction, LPD, male factor
    6 failed medicated IUI's
    Pregnant 5/2011 - Miscarriage at 6 weeks due to triploidy
    Decided to adopt - 6/2012
    SURPRISE! Pregnant without intervention - 7/2012 
    Sweet Baby James Born 3/2013
    Decided to be "One and Done"

    ....OR NOT.
    Pregnant 12/2018 despite birth control pills
    Here we go again...
    Due 8/26/19!
  • I didn't have any preconception b/w done but I did have repeated pregnancy loss b/w done and the bill to my insurance was $2400ish.  

    image image imageimageimage  

    CFNBC after 8 losses and IF || History || My Angel Babies

  • Yes it can be that much.  Looking at EOB's can be seriously shocking.  It's amazing that they can charge an arm and a leg to a person paying OOP but the will only get 3 fingers from an insurance company.  I used to work for a family practice and they would charge $80 for a 10 minute visit but only get $25-30 from the insurance companies and they'd be happy with that.  It's pure insanity.  
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  • imagemmb248:
    imagekarma&co:
    imageblp0118:

    I have to pay OOP for my cystic fibrosis one. I decided not to do that one, it was really expensive, and i don't think it would change my mind about TTC anyway.

    Wow, thnk goodness for insurance!

    Well let's all hope really hard that neither you or your husband is a CF carrier then.

    I'm sorry, but this comment is just rubbing me wrong way.  One of my dearest friends had CF and this comment feels like you are suggesting CF carriers shouldn't have kids.  Even if blp0018 did test positive, her husband would also have to be a carrier and even then, there's only a 25% chance of having a child with CF.

    I was not even close to suggesting this. Something like 1 in 29 caucasians are carriers. I can't imagine not getting tested with stats like that.

    Knowledge is power yo.  

    Testing is certainly not mandatory, but it sure seems prudent IMO. 

  • imageGhostMonkey:
    imagekellyrn9956:

    imagecls78:
    I know one of the test was cystic fibrosis. It looks like 17 test were done according to my EOB.

    The genetic testing for CF shouldn't cost over $1200. I will be having an entire panel of genetic testing done (H is adopted and of Middle Eastern descent, so we chose to do so), and the whole panel, which tests for 16 genetic diseases using a saliva test, is $350 OOP. It includes cystic fibrosis. Hmmmm...I wonder which test it was that was so expensive? Now I am curious :) 

     

    OOP =/= what they bill insurance

    And it can vary. Just like HSG- pre-insurance for some if $400, others it is $1,500.

     

    This. It can also vary regionally depending on which health care providers the health plan is contracting with. Some of the larger ones are more expensive. 

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