Photograph by Annie Collinge for Bloomberg Busienssweek

Body Work

  1. Aetna vs. Bay Area Surgical Management
    1

    Aetna vs. Bay Area Surgical Management

    Bay Area Surgical Management takes from insurance companies, keeps 15 percent to 25 percent of the fees, and gives the rest to surgeons. Aetna claims that Bay Area’s facility fees are much higher than what it pays in-network centers for the same procedure. Here’s a comparison of some surgical work.

    Photograph by Annie Collinge for Bloomberg Busienssweek
  2. Removal of Eye Lesion; Tonsillectomy
    2

    Removal of Eye Lesion; Tonsillectomy

    Removal of Eye Lesion
    In-Network*: $901
    BASM^: $6,503
    Increase: 622%

    Tonsillectomy
    In-Network: $2,079
    BASM: $7,309
    Increase: 252%

    *—Aetna’s average payout to facilities
    ^—Bay Area Surgical Management’s payouts from Aetna
    Photographs by Annie Collinge for Bloomberg Businessweek
  3. Ear Canal Clearing; Shoulder Arthroscopy
    3

    Ear Canal Clearing; Shoulder Arthroscopy

    Ear Canal Clearing
    In-Network: $897
    BASM: $3,929
    Increase: 338%

    Shoulder Arthroscopy
    In-Network: $2,129
    BASM: $17,212
    Increase: 708%
    Photographs by Annie Collinge for Bloomberg Businessweek
  4. Achilles Tendon Repair
    4

    Achilles Tendon Repair

    In-Network: $2,229
    BASM: $14,144
    Increase: 535%

    Photographs by Annie Collinge for Bloomberg Businessweek
  5. Tibia Surgery; Correction of Bunion
    5

    Tibia Surgery; Correction of Bunion

    Tibia Surgery
    In-Network: $1,939
    BASM: $11,831
    Increase: 510%

    Correction of Bunion
    In-Network: $3,677
    BASM: $16,099
    Increase: 338%
    Photographs by Annie Collinge for Bloomberg Businessweek
  6. Revise Median Nerve at Wrist
    6

    Revise Median Nerve at Wrist

    In-Network: $1,527
    BASM: $10,293
    Increase: 574%

    Photographs by Annie Collinge for Bloomberg Businessweek