Can a anesthesiologist charge twice than the agreed upon price without my consent?

I recently had nose surgery, the quote for the anesthesiologist fees was for 506.00 (total). However two months after surgery I received two bills in the mail for 506.00 each. One was billed to my insurance company as part of my surgery was for medical reasons, they other they said was the part not covered by ins. and strictly cosmetic portion. I dont understand how they can legitimately charge me twice than the quoted and agreed upon price.

Anesthesiologist bills are determined by the length of time that you're under. The units are billed in 15 minute increments. So, if they gave you an estimate based on the expectation that your surgery would take a certain length of time and then you ended up being under the knife longer, it would make sense that your bill would be higher than quoted.

The other thing I'd want to clarify is whether the quoted amount was supposed to be a total (cosmetic portion you'd pay for + medical portion billed to insurance), or whether the quote that they gave you was only for the cosmetic portion. (If they quoted you only the cosmetic portion that you were paying entirely out of pocket, then it would make sense that they still had a separate amount to bill to your insurance carrier for the medical part.)

I'd certainly discuss it with the anesthesiologist, but on the surface it doesn't sound unreasonable to me that they'd bill 2 amounts for 2 procedures (even if both done at the same time).

call your lawyer, hun;
they're probably better at it than anyone on here [mostly]

First of all, they do NOT need your consent to bill you.

Just go back to them with a copy of the quoted, agreed upon figures, and say, hey, you guys told me this was the quote. They should fix it.

You need to call the office back....the bills are most likely one and the same.

Call your insurance company and see what they paid and what they were billed for, that way you can find out the real story of what the insurance paid vs what they refused, and why.

I would also find it very difficult to believe that an anesthesiologist would give you a quote in advance.

It's very common for anesthesiologists to try to collect something from the insurance, if part of the cosmetic case is billable to them. Why are you concerned about that bill? It's not yours to pay. If you agreed to pay $506, then that's what you owe, and you should pay it. (MY cosmetic patients pay before they get on the table!)

It's very likely that your insurance company will deny all or part of the second bill. When you get your EOB from your insurance company, you'll see what (if anything) they covered.

The person with whom you should be discussing this is the anesthesiologist who kept you comfortable and alive during your surgery. Call him/her and ask about it. I'll also bet that the quote was given to you by the surgeon's employee, and not the anesthesiologist, so you might want to contact your surgeon's office to inquire as well.

If you were quoted $506, then that is all that you should be liable for, unless there were extraordinary circumstances.