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Cytometry Specialists - extremely high lab bill


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#1 Teresabourgeois

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Posted 29 May 2011 - 10:10 PM

My first flow cytometry labs were done by my local ONco/hemo.  The total for those bills was $10,055.00.  Leaving me to pay $1215.00  I spent 4 days at MD Anderson in Houston,tx and this test was redone.  My entire 4 days was only $8900.00.  Any suggestions on how to fight this lab and get this reduced.  I've already gotten my insurance to re figure their payment because I was owing $2195.70.  This lab is in Alpharetta, GA.  How crazy is our health care system?



#2 Trey

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Posted 30 May 2011 - 10:34 AM

Regarding the Flow Cytometry test, it is not a "required" test for diagnosing CML.  It is generally only needed when the BMB shows high risk factors, such as a high blast count or other indicators of advanced phase disease.  If someone is diagnosed in Chronic Phase, then the Flow Cytometry is not really necessary.  So I would ask why it was done at all given the expense.

Refer to the NCCN Guidelines for CML Treatment to see when Flow Cytometry should be used for CML:

http://www.nccn.org/..._guidelines.asp



#3 Teresabourgeois

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Posted 30 May 2011 - 01:03 PM

Trey,

This lab was done before any Bone marrow biopsies.  I wasn't given a choice or told how high this lab work be.  But I did think that the genetic part of this lab is what dx CML to follow by the bone marrow.  I guess my questions is, who should be responsible to pay this bill.  My local onco??  I don't think I'll get very far with that.  Any suggestions.  Maybe I'll just tell this lab to write it off cause I can't pay it???






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