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Anyone ever get a cast (for you OR for LO)??

smiling76smiling76 member
in Toddlers: 24 Months+

I was curious where you went for it (hospital vs urgent care vs doc's office) and how much it cost.

DS1 hurt his foot a while back and we went to urgent care--- xray but no cast.  That was billed at around $600.  (I know....I freaked).

Then went to orthopedic doc a couple wks later and no xray was taken but since he couldn't walk on it they put a cast on.  Saw doc for literally 2 minutes.....no xray--cast took about 15 minutes.  They billed it as "surgery" and it was $1,000!!!!!  WTF??????? 

I want to call but want to know what others have paid for casts.  I mean, shiz....for that I could have gone to the ER and probably paid less. 

ETA:  So I called and asked what it would cost for just a cast and they basically wouldn't tell me.  Just said it's billed as a surgery.  When I asked why it was so much they just said it was and that they wrote off a lot (to the ins company) and that I just owe the $230. Yeah, BUT if they billed it at the $300 or so that it should have been paid and then they had insurance adjustment --and then I only owed the 20% I'd owe way less than that.  That is insane!!!! 


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Re: Anyone ever get a cast (for you OR for LO)??

  • hokies94hokies94 member

    That's way too much!!

    I am currently in my 3rd cast for a fractured scaphoid and have my bill from the orthopedist.  The fee to apply the first cast was $165 plus a $216 office visit fee so a total of $318.  Insurance paid most of it.  I only had to pay my $20 copay and $38 for a waterproof liner.  

    They changed the cast at my last visit and the charge for this was $118.  No idea why there's a difference.  It's the same type of cast.  

    I know there's a huge insurance discount but that's way too much for a cast.  

    Sadly the urgent care bill sounds about right.  I went to urgent care when I first broke it and I remember the insurance statement showing the urgent care charges were pretty high.  I don't remember exactly but $600 for xrays doesn't sound too crazy.   

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  • PrncesWifePrncesWife member

    DD just got a cast on Monday but we haven't been billed for anything yet.  Same story, we went to urgent care when she first fell (we were out of town) and they just wrapped it in an ace bandage.  When we got home we followed up with her doc (who was surprised they just wrapped it) and he put a cast on it. 

    Sidenote- does the water proof liner really work?  We've been working around her cast this week but she needs a real bath tonight but I'm afraid to get it wet.

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  • hokies94hokies94 member
    Yes, the waterproof liner really works. Just make sure it truly is a waterproof one. The first one they gave me was not even though they told me it was. My orthopedist was shocked that they claimed it was waterproof (we were on vacation when I got the first one). If it's really waterproof the liner is goretex like winter coats. The liner actually feels kind of puffy. I'm sure you can google and find pictures of it. I was told about 90 % of the water drains out with gravity. The rest evaporates with body heat You can also use the cool setting on a hairdryer. I have a short arm cast and it takes about an hour to fully dry after I drain and use the hairdryer If you're not 100% sure it's waterproof don't get it wet! I had blisters from where my cast rubbed after getting wet
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  • BMenzBMenz

    I work for an insurance company so I can give you the insurance side of how they're talking to you. Yes a cast can be considered a surgery benefit (it would be the outpatient surgery benefit.)

    When a facility bills for services provided, they bill for what their ACTUAL cost is (for the materials, use of the facility, etc etc)....the cost of what they would bill someone who did not have insurance.

    The allowed amount is the amount that the insurance company and facility have agreed on for reimbursement after the facility bills the insurance.

    The remaining amount (the billed amount minus the allowed amount minus your cost) is what the facility writes off. They don't charge you for it, nor do they get reimbursed for it.  

    HTH! 

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