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I had a persistent small growth on the back of my scalp. After a year, I decided to have it removed, concerned that it could be cancerous. It was less than one-half inch in size.
I scheduled an appointment with a surgeon at my local health care organization. I expected that the growth could be easily removed in the clinic during that visit. However, the surgeon expressed concern that the scalp tends to bleed a lot, and wanted to schedule the procedure in the ambulatory surgery center. I respected his judgment, but I was concerned that this would turn into "a big to-do about nothing." What an underestimation that was.
For my little scalp excision procedure, I was given the same high level of care that would be provided for a major outpatient surgical procedure. I was placed on a gurney and had a full preoperative clearance evaluation by a nurse. The procedure was done in a fully-equipped operating room, designed for major outpatient surgical procedures. There were at least three nurses attending to me in the operating room along with the surgeon. I had only a local anesthetic, no sedation, no IV.
I want to be clear that I have no concerns whatsoever about the care or the caring … both were superb.
The procedure took about 20 minutes and was free of complications. I then had outpatient observation for about 30 minutes and drove home.
I received my explanation of benefits statement from the insurance company. For the 10-minute clinic surgical consultation, the total charge was $400 (I paid $40). For the surgical procedure, the charge was $10,440. Insurance paid $10,000. I paid $400.