What was the total cost of Laparoscopic gall bladder removal at MediClinic?

AriGold

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How much did the total cost of your Laparoscopic gall bladder removal amount to? Including the cost of the surgeon, anesthetist's hospital fee, etc. I am asking because I want to privately pay for a relative's procedure and want to know what I am in for. MediClinic Cape Town informed me that the Fixed Fee Package rate for this procedure is R24,540.00. This fee includes the theatre, nursing staff, in-hospital medication, bed, etc... and does not include the surgeon's and anesthetist's fees.

I realise each surgeon and anesthetist's rates are different but I would appreciate a ballpark figure. Am I in for R40k, R80k or R120k +...

Any help would be greatly appreciated.

Thank you.
 

Messugga

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How much did the total cost of your Laparoscopic gall bladder removal amount to? Including the cost of the surgeon, anesthetist's hospital fee, etc. I am asking because I want to privately pay for a relative's procedure and want to know what I am in for. MediClinic Cape Town informed me that the Fixed Fee Package rate for this procedure is R24,540.00. This fee includes the theatre, nursing staff, in-hospital medication, bed, etc... and does not include the surgeon's and anesthetist's fees.

I realise each surgeon and anesthetist's rates are different but I would appreciate a ballpark figure. Am I in for R40k, R80k or R120k +...

Any help would be greatly appreciated.

Thank you.

Anaesthetist will charge around R6k. Just asked the SO. Says it might be a bit less depending on the time it takes, but there you go. If it's an emergency, cost goes up.
 

AriGold

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Anaesthetist will charge around R6k. Just asked the SO. Says it might be a bit less depending on the time it takes, but there you go. If it's an emergency, cost goes up.
Thank you for your quick response. I budgeted ±R10k for the anaesthetist.

It's not an emergency at this stage (fortunately). I asked the surgeon what to expect and he said I shouldn't worry about it at this stage as he and the anaesthetist will see how they can "make it work". The surgeon and anaesthetist are both incredibly well know and respected, so I am pretty confident that they're not trying to milk me, but the comment left me without answers or an estimated idea and I would really like some sort of idea. Am I in for more than R60k or less than R60k?
 

Messugga

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"make it work" is a bullshit response. Insist on a ballpark figure. It's not a huge surgery but it's not 10min either.
 

Nemesys

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Thank you for your quick response. I budgeted ±R10k for the anaesthetist.

It's not an emergency at this stage (fortunately). I asked the surgeon what to expect and he said I shouldn't worry about it at this stage as he and the anaesthetist will see how they can "make it work". The surgeon and anaesthetist are both incredibly well know and respected, so I am pretty confident that they're not trying to milk me, but the comment left me without answers or an estimated idea and I would really like some sort of idea. Am I in for more than R60k or less than R60k?
I know this will not be worth much but the total cost for my wife's Laparoscopic gall bladders removal in 2010 were R28k at the time but it did include a scope as well.
 

AriGold

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"make it work" is a bullshit response. Insist on a ballpark figure. It's not a huge surgery but it's not 10min either.
Thank you for your help. Appreciate it.

I have now requested a formal quote from the surgeon.
 

AriGold

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I know this will not be worth much but the total cost for my wife's Laparoscopic gall bladders removal in 2010 were R28k at the time but it did include a scope as well.
Thank you. I suppose I can double that amount now, considering it is 10 years later.
 

Barbarian Conan

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Different OP, but it may give you a ballpark.
Laproscopic Hiatal Hernia repair - just under R20k for the surgeon and his assistants. The duration was supposed to be about an hour for it.

From what I (i.e. gap cover) was required to pay, it seems like that was about 3 x medical aid rate.
 

ToxicBunny

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"make it work" is a bullshit response. Insist on a ballpark figure. It's not a huge surgery but it's not 10min either.

Yeah its a bullshit response...

He should be able to tell you roughly how long it would take and what his fee for that would be... then you budget 50% more than that because they'll find additional things to charge for.
 

Dev1

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Liaise with your medical aid as well. This is such a BS blanket statement.
 

Other Pineapple Smurf

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How much did the total cost of your Laparoscopic gall bladder removal amount to? Including the cost of the surgeon, anesthetist's hospital fee, etc. I am asking because I want to privately pay for a relative's procedure and want to know what I am in for. MediClinic Cape Town informed me that the Fixed Fee Package rate for this procedure is R24,540.00. This fee includes the theatre, nursing staff, in-hospital medication, bed, etc... and does not include the surgeon's and anesthetist's fees.

I realise each surgeon and anesthetist's rates are different but I would appreciate a ballpark figure. Am I in for R40k, R80k or R120k +...

Any help would be greatly appreciated.

Thank you.

Hi @AriGold , I had to pay privately for my gallbladder removal - let me not start on why it was not covered by my medical aid.

I did mine at Tygerberg and cost me R11K in 2016. I went to Tygerberg at the recommendation of the surgeon who was treating me in MediClinic Somerset West - I suffer from acute pancreatitis.

Private:

Why you don't want to do it privately:
* You get charged per hour for the surgery theatre, and if they go one minute over the time, boom, another hour. The most expensive cost. This happens during a complication. Keep in mind surgeries are booked in advance and time is critical. Do triple-check that they cap the surgery fee if something goes wrong.

* Your surgeon does not care where you get it done, will often do it pro-bona like in my case. So no need for a private hospital.

* Your surgeon will also get the anaesthetist to do it at a reduced rate. So no need for a private hospital.

* Post-operation complications is where it gets scary, in a private hospital you will end up bankrupt as there is no capped fee. Bile duct injury is a high-risk complication.

Please see his research here on the injury and some data on costs: https://www.researchgate.net/profile/Stefan-Hofmeyr

A cost analysis of operative repair of major laparoscopic bile duct injuries​


One patient spent R1million on hospitalisation.


Why you want to do it privately:
* Minimal waiting period for elective surgery
* Minimal waiting period for emergency surgery
* Nice food and TV in a hospital ward
* Tea and coffee whenever needed.


Public:

Why you don't want to do it publically:
* Waiting period for elective surgery.
* Waiting period for emergency surgency (my case and caused a lot of stress over those four months).
* Admin process to get admitted, that is if you don't have a state patient hospital number (in my case)
* Food is good but minimal
* No coffee
* No TV in the ward.

Why you want to do it publically:
* Capped fees
* Fees based on income, so lower-income people will pay less.
* Academic staff, many are supervised by the top surgeons.
* Top surgeons, many split their time between public and private sector. My surgeon for example.
* Same operation outcome.


I'm not here to give you or anybody else medical advice, I'm only here to share information. I've can only praise the wonderful staff at Tygerberg hospital and had no complications from the operation or recovery.

You can also see a surgeon privately for cheaper than a Nandos family meal. A lot of people don't release you can just pick up a phone and make an appointment. Dr Hofmeyer consultations were cheaper than my GP visit. I do it all the time, see specialists privately without referrals (or the cost of having to go through multiple doctors for a referral).

Rather speak to the surgeon before the time so you can understand the risk and then make an informed choice.
 

Barbarian Conan

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* Your surgeon does not care where you get it done, will often do it pro-bona like in my case. So no need for a private hospital.

This won't always be true.
My surgeon had his offices at a private hospital, all his patients in the same area of a ward, and did about 3 or 4 of us in a row. There would be no way he would drive to another hospital just for me.
 

chrisc

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Had this done in March. Looking at the claim I submitted to Bonitas, the total bill including specimen checks at Pathcare and a covid test 3 days before I was admitted, it came to R46715,20

Bonitas paid R38775,00 of that and Zest Gap cover paid the balance. Bonitas took 3 months to pay, Zest paid in 4 days

Because the op was done at 6.00 pm I stayed overnight at the Kingsbury Hospital

Stomach was a bit tender for a few days, but rapidly got better
 

Messugga

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Yeah its a bullshit response...

He should be able to tell you roughly how long it would take and what his fee for that would be... then you budget 50% more than that because they'll find additional things to charge for.
Well, he should be able to pull up at least the fees he charged for the last time he did the op. That's what my SO did - took her about 1min on her phone. Grinds my gears.
 

Other Pineapple Smurf

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This won't always be true.
My surgeon had his offices at a private hospital, all his patients in the same area of a ward, and did about 3 or 4 of us in a row. There would be no way he would drive to another hospital just for me.

We are talking about Cape Town here.

My surgeon works at two private hospitals and two public hospitals. The majority of specialists in my area split their time between our two private hospitals, our state hospital and often the two big state hospitals in Cape Town.
 

blah99

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Had this done in 2018

Surgeon R14000
Anaesthetist R4600
Life Wilheheuwel private hospital R21000

Total cost +- R40 000

Discovery covered all 100% with no gap cover needed.
 
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