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Pricing

 

Cash Paying Patients:

As the Heap mini-switch has a much lower complication rate and a higher patient satisfaction profile than the standard operations offered elsewhere, special financial arrangements have been agreed upon for CASH paying patients by the surgeon, the hospital and the anesthesia providers.

 Surgical consultation (initial visit)  $250
 Hospital Surgical assistant  $250
 Anesthesia Provider  $1100
 Surgeon and post-op office care  $5400
 Kennewick General Hospital (KGH)  $13000
 Total  $20000

* Prices Effective January 1, 2007

** Average hospital stay is 2 to 3 days (any stay in excess will be charged at cost) Patients approaching 400lbs, and over require additional hospital and anesthesia services, and supplies. There will be a moderate surcharge to accommodate these.

KGH is a dedicated inpatient Bariatric hospital. Additional surgeons or hospital fees may be required for management of severe co-morbidities or other health problems, as Dr. Heap deems appropriate. You will be notified of any such conditions prior to surgery.
 
In addition to the above, WA State law requires that all tissue removed during surgery be examined. Patients will receive a post surgery statement (typically $200 to $400) for these services from an independent Pathologist, and are responsible for payment thereof (check with your insurance, if applicable, concerning reimbursement).

Motel rates for approximately three to four days post-op stay in the area are generally $60 to $70 per night. Dr. Heap will make patient calls in the motel. We recommend the following, as they are close to the hospital and to Dr. Heap’s home. Ask about a medical discount, policies vary.

  • Best Western Kennewick Inn, 4001 W. 27th Avenue, Kennewick, WA 99337 (509) 586-1332
  • LaQuinta Inn & Suites, 4220 W. 27th Place, Kennewick, WA 99337 (509) 736-3326

Kennewick General Hospital has RV pads that can be reserved at no cost.
The hospital is located at 900 S. Auburn, Kennewick, WA 99336 (509) 586-6111

Insurance:

Be advised that Dr. Heap has severed his Preferred Provider Option (PPO) with all insurance companies.

Even if your provider still shows Dr. Heap, it is incorrect. Dr. Heap has taken this action for several reasons, the primary being twofold:

  • PPO fees have been reduced to the extent that small private offices can no longer meet increasing costs of equipment, supplies, staff wages and required insurances.
  • Insurance companies have become “less than forward” in fulfilling their PPO payment agreements, unexpectedly both reducing and delaying funds without explanation. Your Doctor, as a third party, has no standing to challenge such actions.  While the Patient (you), in contrast, who presents a bill for reimbursement of a prepaid and authorized procedure, has defined legal rights and claims for reimbursement from their provider.

We will assist in obtaining coverage approval from your provider and we will submit insurance bills for you; however you will be responsible for payment in full prior to surgery, and ultimately for obtaining reimbursement from your provider. Be prepared to assist us in the approval process. If this procedure is a covered benefit under your plan, we will contact your provider and work with you to receive approval. The process of contacting your provider and receiving proper documentation can be lengthy, and must be performed according to each company’s specification. Depending on the provider, any or all of the following may be required when completing the pre-authorization process for approval of surgery:

  • Psychiatric evaluation
  • Twelve month history of physician documented weight and weight related health problems
  • Six months or more of physician supervised weight loss program
  • Nutritional consult.

Once all documentation is submitted it can take 4 to 6 weeks for a response from the insurance company.
When approval is received we will work with you and the hospital to set a surgery date.