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re: THE problem with our health care system

Posted on 7/24/14 at 4:01 pm to
Posted by MSMHater
Houston
Member since Oct 2008
22775 posts
Posted on 7/24/14 at 4:01 pm to
quote:

Do you realize that the bill charge to insurance companies is irrelevant? Insurance companies set what they pay. It's called allowable or fee schedule. The provider takes that set rate and the patient does not pay the difference.


Glad someone knows wtf they are talking about.

That cash price is probably 2x the allowable.

2.3x - 4x more than the average allowable (across all payers) is a typical cash pay formula for medical practices.

Cash pay patients get fricked...they don't get deals. You get deals whenever you have insurance b/c you get their contracted rates.

So the cash pay patients pays $400 for that CT, the insured patient with a high deductible pays $200 for the same test. Cash pay "discounts"...are bullshite.
This post was edited on 7/24/14 at 4:02 pm
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