Limb Lengthening Forum
Limb Lengthening Surgery => Limb Lengthening Doctors => Topic started by: BilateralDamage on November 26, 2013, 07:59:14 PM
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Surprised there wasn't a thread on Dr. Rozbruch here.. I just had a consultation with him today and will share any and all info I've learned.
Cost
Dr. Rozbruch said he estimated a total cost for PRECICE lengthening of about $120,000. About $80,000 in hospital fees, and $40,000 in his fees. This estimate only includes the surgery, and visits afterwards with Dr. Rozbruch. As far as removal costs go, he said it is about $7,000 in total. Should any complications arise (such as nail bending, breaking) he would most likely cover the nail replacement and his surgery fees but NOT the hospital costs (which could run around $80,000). * updated on request
Recovery
Recovery from distracting 6.5 cm with PRECICE will consist of you being in a wheelchair for 5 months- minimum. Weight-bearing should not be attempted with the PRECICE nail in the early stages.
Consultation
A consultation with Dr. Rozbruch costs $350 EXCLUDING X-rays. If you want to get x-rays done on the same floor of his facility, you will have to pay $615 for the X-rays if your insurance does not cover it. I ended up spending over $1000 today as a result (including the blasted parking ticket I got...) His consultation is good and standard- the only thing I didn't like too much was that because it was an office, I didn't have a lot of opportunity to ask other patients about their experiences with him.
Miscellaneous
If you are still interested after the pricing, you are required to have a psychological evaluation and clearance before being accepted into the program. You would need to make an appointment and see Dr. Ellen Katz Westrich, Tel: 212-946-1739
Contact info
S. Robert Rozbruch, MD
Chief, Limb Lengthening and Complex Reconstruction Service (LLCRS)
Hospital for Special Surgery
Professor of Clinical Orthopaedic Surgery
Weill Medical College, Cornell University
Office Location: 519 East 72nd Street, Suite 204
Mailing address: 535 East 70th Street, New York, NY 10021
tel: 212-606-1415 fax: 212-774-2744
email: RozbruchSR@hss.edu
www.LimbLengthening.com ; www.hss.edu/limblengthening
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Recovery from distracting 6.5 cm with PRECICE will consist of you being in a wheelchair for 5 months- minimum. Weight-bearing should not be attempted with the PRECICE nail in the early stages.
I think you misunderstood Dr. Rozbruch. Especially when talking about lengthening the femurs. I also consulted with him and he did not tell me these same timeframes. Lengthening 6.5cm only takes about 70 days for the femur. After lengthening is complete most patients are walking with or without the aid of crutches or a walker within 30-45 days. That's only 100-115 days which is far less than 5 months.
Lengthening the tibias of course takes longer because you only lengthen 0.75mm per day instead of 1mm per day like you do for the femurs so that may push things closer to 5 months if you do the full 6.5cm on the tibias.
This will all change now with the Precice 2 because you can weight bear 150lbs and walk with crutches while lengthening. That information I got from Dr. Paley because when I consulted with Dr. Rozbruch he was still using the Precice 1.
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$80,000 to the hospital???
Is it for just 4-5 days after surgery or all through the lengthening procedure?
And what does "he would most likely cover complications" mean? Is going to for sure? What's the catch?
Thanks
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Handy,
This is the exact time frame he told me for lengthening with the PRECICE 6.5 cm on the femurs. 2 months lengthening, 3 months consolidation. It's not recommended you weight-bear during the consolidation phase since there's a strong likelihood of breaking or bending the nail (which can only hold up 30 lbs per leg) or snapping your bone. Obviously this is all circumstantial and depends on how strong your consolidation is. He was being conservative- but for a good reason. Dr. Rozbruch does not offer the PRECICE 2 yet and said he will probably receive it in a few months. But who wants to risk weight-bearing on something that can only hold 75 lbs per leg? You'll be carrying a weight scale with you and measuring your footsteps?
short_and_depressed,
Yes, US hospitals suck. Look at how much I had to pay for 1 freaking x-ray! It's even an additional charge if I wanted a copy of my own x-ray I had done ::). For this reason, Dr. Rozbruch allowed me to take a picture of the X-ray using my phone in his office.
This cost is only for the brief minimal stay you have in the hospital after surgery (maybe 2 nights?)
Yeah you can tell I worded that very carefully. Basically, the way he told me it was this: he's never had a complication of a PRECICE nail breaking and having to replace it. But if that were to happen, then he would most likely "uphold the contract"; meaning he would cover the costs of the nail and his surgery fees. But he didn't give a clear answer on that because he was disregarding the costs of the hospital, which could be comparable to the original $80,000. On that note, I'm going to ask an admin to edit my original post- there's no way he would cover the entire replacement surgery. If you damage your nail, you could easily be looking at a figure of the original $80,000, which could also explain why Dr. Rozbruch is so conservative when it comes to weightbearing.
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Used him for rod removal.
While well within his outline protocol my left femur snapped in half. Had originally seemed very competent, professional and attentive but this was a severe oversight resulting in lots of suffering, expenses, and time lost.
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I have one question. Should the rods be removed within a year? Have been reading about this, it is recommended a year after the surgery. Just curious.
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Nail removal is $5000 per nail so $10,000 in total - plus hospital fees if your insurance doesn't cover it.
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That's a lot of money..
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Seems good but damn expensive!
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The hospital is expensive.
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(http://i63.tinypic.com/10pbmvn.png)
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Price can potentially be reduced to $75,000 if you have U.S. medical insurance.
Patient Experience: http://www.limblengtheningforum.com/index.php?topic=4146.0
Dr. Rozbruch Wesite: http://limblengthening.com
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Accidental double post.
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I'll get LL with him in my dreams. That price tho. :'(
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Very good price!
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Probably would need a PPO and not an HMO for any insurance to cover it. Too bad I couldn't get CLL with my Kaiser Permanente Platinum coverage. I've spoken to a few traumatologists who said they'd have no problem offering it as a service if Kaiser allowed them to.
The initial $100,000 is still cheaper than what he was charging years ago ($120,000) and people who have consulted with him seem to like him.
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Dr. Rozbruch is such a good choice for people who live in the northeastern part of the United States and have good medical insurance. I wish I could do my lengthening at home. It would make everything so much easier!
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His price is not the most concerned, living in New York for 3 months need a huge fat budget.
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Dr Rozbruch fees: 75k (insurance paid 25k, i found this out today)
Hospital fees: 35k (insurance paid all of it, except for like $300)
Total cost to me: 50k
Email response from Dr. Rozbruch after asking him what insurance companies & policies do the best job of covering the costs associated with limb lengthening. Here is his response:
(http://i66.tinypic.com/2a0di15.png)
(http://i63.tinypic.com/wmdybr.png)
Dr. Rozbruch Website: http://limblengthening.com
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Email response from Dr. Rozbruch after asking him what insurance companies & policies do the best job of covering the costs associated with limb lengthening. Here is his response:
(http://i66.tinypic.com/2a0di15.png)
(http://i63.tinypic.com/wmdybr.png)
Dr. Rozbruch Website: http://limblengthening.com
This makes me really excited. I work for the government and they offer United Healthcare.
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You need a insane buget for Dr Robert Rozbruch if you live outside US. But Dr Rozbruch and Dr Paley are the best and most safe, the rest are not, i dont care what other people say.
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But Dr Rozbruch and Dr Paley are the best and most safe, the rest are not, i dont care what other people say.
I thought for 4 years that Guichet was the best, but since ive been reading this forum for the past 2 days im freaking lost.
Man, ive been wanting to do this surgery for 4 years but i am so scared of the risks.
You should just toss a coin and pick a doctor, you have no idea anyways.
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Auron, ive read more diaries than you can count for the past 4 years. I know that you and Monegal are butthurt beause i dont think you are the safe option, but just because i changed my prefered option to Dr Paley or Dr Rozbruch doesnt meant that i dont have no idea. Ive always thought that Dr Guichet was the best option considering the cost and safety but these past days i change my mind and decided i rather wait until i have the means to go with Paley or Rozbruch, to be as safe as possible. I rather keep an open mind and go for the safest option available unlike you.
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Auron, ive read more diaries than you can count for the past 4 years. I know that you and Monegal are butthurt beause i dont think you are the safe option, but just because i changed my prefered option to Dr Paley or Dr Rozbruch doesnt meant that i dont have no idea. Ive always thought that Dr Guichet was the best option considering the cost and safety but these past days i change my mind and decided i rather wait until i have the means to go with Paley or Rozbruch, to be as safe as possible. I rather keep an open mind and go for the safest option available unlike you.
I've been a lurker for almost 1 year. I've tried to research as much as possible, and read as many diaries as I could.
I've decided to have surgery at the beginning of October 2017. I will be doing femurs.
I'm curious as to why Dr. Mahboubian in Los Angeles is not mentioned much as an option. I have chosen him mainly due to the geographical benefit to me, however he seems a solid option for many, in terms of experience and cost. I think I may have chosen him even if he was a cross the country. He is professional, straightforward and doesn't push the surgery. I've also read somewhere that he was trained by Dr. Rozbruch, which of course makes me feel that much better.
The Dr. M diaries I've read seem pretty free of complications.
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But Dr Rozbruch and Dr Paley are the best and most safe, the rest are not, i dont care what other people say.
I rather keep an open mind and go for the safest option available unlike you.
You can't even pick the right words let alone pick the right doctors. Poor you.
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Auron(Monegal) now you are just twisting my words, anyone who reads understand exactly my meaning. Instead of just sitting here and twist other peoples word and attack anyone who oppose you, attend to the patients you have misstreated.
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Stop hijacking this thread Auron( Monegal) and stop with your propaganda war.
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anyone who reads understand exactly my meaning.
Anyone who is able to read understands how retarded you are, that is all.
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Get away Troll. Soon Monegal will send his army of "patients" aka Monegal, to attack.
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Troll
::)
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You need a insane buget for Dr Robert Rozbruch if you live outside US. But Dr Rozbruch and Dr Paley are the best and most safe, the rest are not, i dont care what other people say.
Do not think these doctors are the only "good" ones from a technical point of view, there are plenty of better doctors everywhere in the world who do this procedure in a non cosmetic way. The difference is that in the US there is better control of doctor malpractice and that makes them really careful from the moment of the surgery until recovery.
The benefits of Dr. Rozbruch and Paley are the environment in which they work and also the Precise nail which in my opinion is the best nail for the majority of cases. The other doctors who have bad reputation using IM nails, are not devoid of medical skill, but it is rather the greedy nature of LL doctors that make them commit errors or refuse to perform corrective surgery without charging more.
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A valid point mate.
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Health Insurance Accepted by HSS: https://www.hss.edu/insurance.asp
Dr. Rozbruch is an out of network provider for all insurance plans. The only exceptions are Workers’ Compensation and No Fault.
Insurance plans with excellent out of network benefits, low deductibles, low co pays, low out of pocket maximums, provide the best potential for savings, if you are approved.
Anesthesia: 6.5k
Plan discount: 2.5k
Plan paid: 4k
Me: 0
Hospital fees including room and equipment: 88k
Plan discount: 45k
Plan paid: 43k
Me: 0
Surgery: 62k
Plan discount: 0
Plan paid: 7k
Me: 55k
Surgical Fees: 75k (Insurance paid 25k)
Hospital Fees: 35k (Insurance paid all of it except for like $300)
Total cost to me: 50k
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https://www.youtube.com/watch?v=OnWxIzjJoO0
https://www.youtube.com/watch?v=PdT_lKUH1cw
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80k in fking hospital fees what the fk is wrong w the usa lol.. ridiculous. No anesthesiologist or operating theatre should be worth that damn much. I better consolidate after lengthening within 3 days.
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A example of how messed up the American healthcare system is. There really needs to be a change.
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When will the STRYDE nail be available to your patients?
(http://i68.tinypic.com/1z56695.jpg)
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Health insurance plans accepted by Hospital For Special Surgery: https://www.hss.edu/insurance.asp
Health insurance plans with excellent out of network benefits, low deductibles, low co pays, low out of pocket maximums, provide the best potential for savings, if you are approved.
Below are some examples of what Dr. Rozbruch cosmetic patients have paid for lengthening with the PRECICE 2.2 after their health insurance covered some of the cost.
Tallerme: $40,000
6feetSoon: $50,000
ShortLivesMatter: $55,000
bigdreams55: $75,000
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Dr. Rozbruch new website dedicated to Cosmetic Stature Lengthening Surgery. (http://www.staturelengthening.net/) A great resource for patients offering detailed information, library of videos, before & afters, published research, FAQ's, insurance coverage & pricing.
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Dr. Rozbruch is now offering the PRECICE-STRYDE to his cosmetic patients. He now has a website devoted to cosmetic lengthening along with his original website.
Cosmetic Stature Lengthening Website: http://www.staturelengthening.net/
Original Limb Lengthening Website: http://www.limblengthening.com/
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Dr. Rozbruch pricing for patients without medical insurance.
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For patients with medical insurance, the following prices have been reported by members of this forum.
Tallerme: $40,000
6feetSoon: $50,000
ShortLivesMatter: $55,000
bigdreams55: $75,000
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(http://i66.tinypic.com/7100lh.jpg)
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Dr. Rozbruch's CLL service now offers a "talk to a recent patient" facility: http://www.staturelengthening.net/talk-to-a-recent-patient/
"We understand this may be one of the most important health and financial decisions you will make. We think the best way to assess whether this is the right option for you is to speak with a former patient of ours.
If you’d like to set up a consultation with one of our recent patients, please fill out this form and we will contact you soon!"
If anyone avails this option, please share the experience.
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Does anyone know if Dr Rozbruch do external fixator?
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Hello everybody,
It has been a while since seeing any posts from patients of Dr. Rozbruch.
I am from the northeast area and am looking to get this procedure done...it would be ideal to stay local.
I have an insurance that is accepted by HSS however I've read in some diaries.....the insurance might cover hospital fees but definitely not the surgery.
Just wanted to see if anyone can detail their experiences or better off trying to go to Dr. M or Dr. D to avoid this hassle/uncertainty.
Would suck to find out that could have paid the same price and gotten the procedure done with Rozbruch.
Thank you.
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For Cosmetic Limb Lengthening, unfortunately insurance does not cover Rozbruch services, nor the Hospital’s fees. It is purely fee for service. Due to the prestige of institution, the cost for CLL is quite onerous, but you’ll get pristine service! Rozbruch is amazing.
At the same time I am sure you can find the same good quality of care elsewhere on the east coast :)
Hope this helps!
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There was this diary of a gurl here and she only paid like 40k$ total but I think she was legally considered a dwarf aka under 4'10 though she was just a short person not an actual achondroplasia or anyting so ig u haf to be rly short if u want sum insurance coverage
Also if u has a deformity they can cover sum stuff like surgery ik some mahboubian patient only paid like 40$k total because they haf duh rotational deformity of the legs and he was still allowed to lengthen and basically do CLL for 40k in murica
Basically if ur just a short person and not rly short or have some leg deformity then nothing u do can cover the fees
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Its understood he doesn't accept insurance. anyone know why?
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have you any more info on this?
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Doctor Rozbruch is super cool and set us up with a free consultation and zero cost imaging service and CD's. Would strongly recommend collaborating with this physician to reach LL goals for obvious reasons.
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Anyone with a more recent experience with Dr. Rozbruch?
In particular, I'm curious how people got their insurance to pay the hospital bill for a cosmetic surgery.
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you’ll get pristine service! Rozbruch is amazing.
+1.
I’d say this about my co-authors as well so there’s some bias here but he’s definitely a performant physician