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$4500 for this ??
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Labrat0116 Offline

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Posts: 52
Joined: Mar 2013

Machine: RESPIRONICS DS950HS SV System One 50 Series
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: RESPIRONICS
CPAP Pressure: 7-15
CPAP Software: Not using software

Other Comments: Complex (Central and Obstructive) Sleep Apnea, Type 2 Diabetic

Sex: Male
Location: Troy, Ohio

Post: #1
$4500 for this ??
Hi Folks, I've been recently diagnosed with Central/Obstructive "complex" sleep apnea. Woo! Hoo! Banana

Anyways, I haven't yet received my machine. I've been waiting on the Medical Company that the Dr. referred me to to get all the stuff authorized by my insurance. Just got verified a couple hours ago.

The Medical Equipment company gave me a quote of $4500 for the following. My out of pocket (20%) is around $850!

ResMed S9 Adapt SV and a Quattro small full face mask ??

Seriously ?? Surely this stuff can be has much less expensive!

What say you ?

TIA!

ERIC
03-15-2013 05:52 PM
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DocWils Offline

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Posts: 1,271
Joined: Jul 2012

Machine: Philips Remstar series 60
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: same as machine
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Switzerland

Post: #2
RE: $4500 for this ??
Welcome to the forum, Eric, and if you hang on, there will be lots of people to help you find your answers.

It would help if we knew where you are (especially which country) as prices vary from country to country, but if you are in the US, then you probably have lowest prices anywhere (although Philips products are far cheaper in the Netherlands).

However, the equipment you are talking about is not at all cheap, so do expect to pay something for it. If there are better prices in your region, we can advise you better once we know where you are. Thanks, and hang in there.
03-15-2013 06:19 PM
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Dawei Offline

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Posts: 342
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Other
Mask Make & Model: Respironics "FitLife"
Humidifier: H5i
CPAP Pressure: 10-20
CPAP Software: ResScan SleepyHead

Other Comments: Began CPAP in 2006; spent the first 6 years with a "brick"

Sex: Male
Location: Western North Carolina

Post: #3
RE: $4500 for this ??
Welcome to the forum, Eric. As Wilorg said, that machine is a special one, but I'm not familiar with pricing. You could take a look at pricing from some of the online suppliers to get an idea of what it should be costing.
I'm sort of surprised that your doctor directed you to a specific DME (supplier of durable medical equipment). Mine left that choice up to me and gave me names of a few local DMEs.
You didn't mention if you are on medicare, because if you are, the procedure is easier on your wallet.
Hang in for responses from board members who have purchased the same machine you're looking at.
03-15-2013 06:29 PM
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JJJ Offline

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Posts: 751
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: Most recent: Wisp, Pilairo, Mirage Vista
Humidifier: ResMed S9 Autoset
CPAP Pressure: 17-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: USA 97217

Post: #4
RE: $4500 for this ??
(03-15-2013 05:52 PM)Labrat0116 Wrote:  Hi Folks, I've been recently diagnosed with Central/Obstructive "complex" sleep apnea. Woo! Hoo!
Anyways, I haven't yet received my machine. I've been waiting on the Medical Company that the Dr. referred me to to get all the stuff authorized by my insurance. Just got verified a couple hours ago.
The Medical Equipment company gave me a quote of $4500 for the following. My out of pocket (20%) is around $850!
ResMed S9 Adapt SV and a Quattro small full face mask ??
Seriously ?? Surely this stuff can be has much less expensive!

It can be that expensive in some countries. The US has the cheapest prices, but if you go to the supplier list (link at the top of every page at Apnea Board) and check out Supplier #2 you will find gently used and open box items for a fraction of their new cost, and they will ship to some other countries. You may find that paying out of pocket doesn't cost much more than the 20% the medical equipment company wants you to pay. But it all depends on where you are located.
03-15-2013 06:37 PM
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zonk Offline

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Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #5
RE: $4500 for this ??
Welcome
(This post was last modified: 03-15-2013 07:38 PM by zonk.)
03-15-2013 06:40 PM
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cbramsey Offline

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Posts: 900
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: ResMed H5i with ClimateLine
CPAP Pressure: 6 - 12
CPAP Software: ResScan

Other Comments: Supreme Overlord of Web Darkness

Sex: Male
Location: NC, USA

Post: #6
RE: $4500 for this ??
Welcome to the forum!!! We are glad you joined us!!! Welcome

With respect to the cost of the equipment, the cost of the XPAP machine can be spread out over 12 (or 13) months if you are on Medicare. Under Medicare rules, you are essentially renting the equipment initially. The mask, tubing, humidifier, filters, etc. are all consumable items that are replaced periodically. So it is not like you are paying for all the equipment at once.

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
03-15-2013 07:10 PM
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Ugly Offline

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Posts: 568
Joined: Oct 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage Micro
Humidifier: ResMed H5i
CPAP Pressure: 7-14
CPAP Software: ResScan SleepyHead

Other Comments: Hydrocephalus, myopia, depression, chronic ugliness, stupidity, tinnitus, mixed sleep apnea.

Sex: Male
Location: Barrie Ontario Canada

Post: #7
RE: $4500 for this ??
(03-15-2013 05:52 PM)Labrat0116 Wrote:  Hi Folks, I've been recently diagnosed with Central/Obstructive "complex" sleep apnea. Woo! Hoo! Banana

Anyways, I haven't yet received my machine. I've been waiting on the Medical Company that the Dr. referred me to to get all the stuff authorized by my insurance. Just got verified a couple hours ago.

The Medical Equipment company gave me a quote of $4500 for the following. My out of pocket (20%) is around $850!

ResMed S9 Adapt SV and a Quattro small full face mask ??

Seriously ?? Surely this stuff can be has much less expensive!

I've heard the prices on the VPAP models. Not much difference. The "fancy" ones certainly are costly. I'd hate to say that you're getting a bargain at $850 but you probably are. BUT.... it doesn't sound like one gets prescribed that stuff unless the doc really feels they need it. If you can't snag a better price, don't argue. I doubt it will get much cheaper.
Oh a quick look suggests your machine IS a VPAP. $850 is a bargain compared to the full price. Even used models don't seem to cost less than a thousand or two.
03-15-2013 08:23 PM
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Sleepster Offline
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Posts: 4,988
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #8
RE: $4500 for this ??
(03-15-2013 05:52 PM)Labrat0116 Wrote:  The Medical Equipment company gave me a quote of $4500 for the following. My out of pocket (20%) is around $850!

Assuming you're in the USA and the out of pocket cost is associated with your employer's insurance plan, that price is a tad high, but it remains to be seen what it'll actually cost you by the time the insurance company processes it and pronounces the "allowed fee". It should be $1500 for the machine, plus incidentals, but you never know as it varies with different insurance companies.

You'll not be able to get that equipment new for anywhere near $850.

Plus, if there's a need to switch you to a different machine, as sometimes happens with new patients, that Medical Equipment company will likely have to make that switch on their own dime. They are taking some risk.

Also, it's very common for new patients to have to switch masks, and that's something that they'll do for you as part of the fee you're paying.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
03-15-2013 09:16 PM
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weepingwillow601 Offline

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Posts: 6
Joined: Mar 2013

Machine: Remstar Pro Cflex+
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: Philips Resperonics System One
CPAP Pressure: 11
CPAP Software: EncorePro

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Sex: Female
Location:

Post: #9
RE: $4500 for this ??
I feel your $$$ pain. With insurance, about 2 weeks ago, and for a different machine than you, I had to cough up a $1000 out of pocket. It was well worth it though. Smile
03-15-2013 09:39 PM
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Labrat0116 Offline

Preferred Members

Posts: 52
Joined: Mar 2013

Machine: RESPIRONICS DS950HS SV System One 50 Series
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: RESPIRONICS
CPAP Pressure: 7-15
CPAP Software: Not using software

Other Comments: Complex (Central and Obstructive) Sleep Apnea, Type 2 Diabetic

Sex: Male
Location: Troy, Ohio

Post: #10
RE: $4500 for this ??
(03-15-2013 06:19 PM)wilorg Wrote:  It would help if we knew where you are (especially which country) as prices vary from country to country, but if you are in the US, then you probably have lowest prices anywhere (although Philips products are far cheaper in the Netherlands).


Hey folks. I'm here in SW Ohio.

I'm not on Medicare (Yet! lol! ), but I am Retired USAF and on Tricare Prime and I also have access to the VA (actually work there now) as well.

I did find it a bit odd that my Doc sent me to (1) specific company and I was not given a choice to any other. Can you say "kick-back" !! LOL!

Anyways, what would a "reasonable" price be for the equipment I listed ?

$850 out of pocket after Insurance is pure BS IMHO and I refuse to pay that amount (if it's possible!).


.
(This post was last modified: 03-15-2013 11:43 PM by Labrat0116.)
03-15-2013 11:42 PM
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