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Sorry, I type English is faster than Chinese
Basically the gap they charge is not counted according the invoice they gave to Medicare N insurance company. Because they set codes and fees ranges for anaethetist for every type of anesthesia. But even the same surgery operates on different patients, the requirements are different. For example, same D&C surgery, operating on healthy patient, only take 2 Minutes for anaethetist
Put in airway, and take surgeon 5 mins to finish surgery, the out of pocket will be cheaper, Compare to over weight pt with heart problems, may take anaethetist half an hour to put airway plus invasive monitor in, of course the out of pocket will be much higher on this patient even though undergo same surgery. Really depends the length of surgery,how difficult is the intubation, patient s history, any blocks done on patient....., You can't aurgue, can only ask nicely whether can reduce a bit of charges, before covid , simple D&C will be 250-300$out of pocket, yours doesn't sound too expensive to me.
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