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canada goose outlet paypal Sherry Young just wanted to be able to walk buy canada goose jacket without pain. canada goose outlet paypal

canada goose outlet price About three years ago, she began to experience sharp pain in her left foot. canada goose black friday sale Her big toe had become crooked and constantly rubbed up against the adjacent toe, making it painful to run, walk or even stand. „I could not walk without intense pain unless I had a pad underneath my toes canadian goose jacket for cushioning,“ Young canada goose uk shop said. canada goose outlet price

canada goose outlet new york An orthopedic surgeon told her that he could fix her problem for good. „He thought my foot was hitting the ground too hard and causing pain,“ said Young. „That’s what he was trying to Canada Goose Online correct.“ canada goose outlet new york

canada goose outlet uk sale Though Young had had several orthopedic surgeries, uk canada goose she had always had good insurance and never scrutinized her bills. canada goose outlet uk sale

canada goose kensington parka uk At the time of her foot surgery, Young of course knew nothing about hospital charges for surgical screws, medical saws and other hardware used in the operating room. canada goose kensington parka uk

canada goose outlet 80 off Then the bill came. canada goose outlet 80 off

canada goose outlet factory Patient: Sherry Young, 57, a retired librarian on disability and a mother of two in Lawton, Okla. canada goose outlet factory

canada goose outlet real Total bill: $115,527 for a three day hospital stay, including $15,076 for four tiny screws measuring 2.8 Canada Goose sale millimeters wide and no more than 14 millimeters long placed in the cheap Canada Goose two middle toes of her left foot. canada goose outlet real

canada goose outlet trillium parka black Service provider: OU Medical Center, located at the University of Oklahoma Health Science Center in Oklahoma City canada goose outlet trillium parka black

canada goose outlet in uk Medical treatment: Young canada goose clearance underwent two operations on the same day in June 2017. One surgeon addressed an injury in Young’s shoulder, caused by arthritis and overuse. A second surgeon performed canada goose uk outlet several procedures on her foot, including removing a bone spur. To better align Young’s middle toes, the doctor removed a slice of bone from the center of each toe, and then reconnected the two ends with surgical canada goose factory sale screws made by Arthrex, a medical device manufacturer based in Naples, Fla. canada goose outlet in uk

canada goose outlet ottawa What gives: Two canada goose coats weeks after surgery, Young received cheap canada goose uk a letter from her insurance plan, BlueCross BlueShield of Oklahoma, stating that it had not approved her hospital stay. Staying overnight was not „medically necessary,“ according to the letter, because canada goose store foot and shoulder surgery are Canada Goose online typically performed as outpatient procedures. canada goose outlet ottawa

canada goose outlet boston The letter „put me in a panic,“ said Young, who was suddenly worried that she would have to pay the entire $115,000 bill herself. That’s about Canada Goose Parka how much her home is worth, and five times her annual income. canada goose outlet boston

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canada goose outlet los angeles Faced with the astronomical cost, Young asked for an itemized copy of her canada goose outlet bill and began checking every charge. canada goose outlet los angeles

canada goose outlet edmonton She was floored by the price of the screws, each of which cost more than a high end computer. canada goose outlet edmonton

canada goose outlet legit „Unless the metal [was] mined on an asteroid, I do not know why it should cost that amount,“ Young said. canada goose outlet legit

canada goose outlet black friday She repeatedly asked officials at OU Medical Center for part numbers for the screws, so she could find out how much they cost the hospital. Hospital officials never provided the information, Young said. canada goose outlet black friday

canada goose outlet washington dc John Schmieding, senior vice president and general counsel for Arthrex, declined to tell Kaiser Health News exactly how much his company charges hospitals for the type of screws implanted in Young’s foot. But he did offer ballpark figures: „Our sale price for screws used in foot and ankle procedures would be below $300 per screw, with the most expensive around $1,000.“ canada goose outlet washington dc

canada goose outlet hong kong As for what the hospital charges, Schmieding said, „We do not direct or control how a facility bills for their procedure.“ Based on the numbers Schmieding provided, the hospital markup on Young’s screws could range from roughly 275 percent to upwards of 1,150 percent. canada goose outlet hong kong

canada goose outlet canada „It’s mind boggling,“ said Dr. James Rickert, an orthopedic surgeon in Bedford, Canada Goose Outlet Ind., and president of the Society for Patient Centered Orthopedics, which advocates for affordable health care. „We are talking about little pieces of metal.“ canada goose outlet canada

canada goose coats uk Yet such steep markups are common at hospitals, said Rickert, who was not involved in Young’s care. canada goose coats uk

canada goose outlet miami Clearly, the screws used in Young’s surgery are more sophisticated than those sold at the local hardware store. Many of the screws in Arthrex’s online catalog are made of titanium, which uk canada goose outlet is popular for surgery because it’s strong and durable. The screws are also hollow, designed to fit over a guidewire so that doctors can place them in precisely the right place. canada goose outlet miami

canada goose outlet toronto Surgical device manufacturers also must comply with strict regulations, said Steve Lichtenthal, vice president of business development at the Orthopaedic Implant Co., based in Reno, Nev., which makes surgical supplies. canada goose outlet toronto

canada goose outlet orlando But even the fanciest screw is still pretty simple, Lichtenthal said. Tiny screws cost only about $30 to manufacture, and the Canada Goose Jackets technology hasn’t changed much in decades, he said. About half the canada goose coats on sale cost of a surgical implant goes toward paying sales and marketing staff, who develop close relationships with doctors and sometimes even attend surgery, Lichtenthal said. canada goose outlet orlando

canada goose outlet store uk Screws weren’t the only expensive devices figuring into Young’s bill. A drill bit, used for making holes in bone, carried a charge of $4,265; a tool for removing and cauterizing tissue was $5,047; a saw blade, $619. canada goose outlet store uk

canada goose outlet online uk While screws can canada goose be used only once, there’s no reason that other surgical equipment, such as saw blades, should be disposable, Rickert said. Hospitals routinely sterilize tools such as scalpels and scissors, canada goose clearance sale then use them again. canada goose outlet online uk

canada goose outlet store toronto A hospital spokesman declined to comment on the specifics of Young’s bill, as did the surgeon who operated on her foot. canada goose outlet store toronto

canada goose outlet parka OU Medical Center issued a statement that said: „OU Medical Center provides the highest quality patient canada goose uk black friday care. We are focused on acquiring the latest tools, treatments and technology, while diligently making sure we have the resources to maintain this commitment our patients deserve. We strive to keep costs down and focus investment on where it really matters our Canada Goose Coats On Sale patients.“ canada goose outlet parka.