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Help with plan of attack on a hospital bill

Posted on 4/6/17 at 9:21 pm
Posted by chuckie
Member since Jun 2005
1003 posts
Posted on 4/6/17 at 9:21 pm
Original bill for an over night stay in the hospital thru the ER was 29,000.
Wife had chest pains going down left arm. Obvious possible heart attack.
All signs were negative. Discharged in the morning. Discounted like 20,000 off the top. Insurance paid and left us with 2700 bill.
Haven't got the bill from the doctors yet. Got an itemized bill and can only find one lab test that didn't seem necessary.
The prices seem exaggerated and wondering if any one has any ideas as to how to get this lowered some.
Posted by lynxcat
Member since Jan 2008
24124 posts
Posted on 4/6/17 at 9:25 pm to
Tell them what you are willing to pay.

These threads make me hate our healthcare system more and more.
Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17252 posts
Posted on 4/6/17 at 9:26 pm to
Sounds like it was already lowered, seems they have made the contractual reductions, insurance paid its part and you are left with deductible and coinsurance , don't expect any further reductions
Posted by tigerfootball123
Member since Sep 2009
823 posts
Posted on 4/6/17 at 10:50 pm to
Dude your wife thought she was having a heart attack and you brought her to the hospital to theoretically save her life and now you want a discount because she didn't have a life threatening issue? Give me a break.
Posted by guttata
prairieville
Member since Feb 2006
22504 posts
Posted on 4/6/17 at 11:17 pm to
$2700 for ER visit, labs, and an over night stay, you are getting off pretty cheap.
Posted by SG_Geaux
1 Post
Member since Aug 2004
77929 posts
Posted on 4/6/17 at 11:22 pm to
Call them. They will work out a payment plan with you. As long as you make regular payments they will be cool about it.
Posted by 13SaintTiger
Isle of Capri
Member since Sep 2011
18315 posts
Posted on 4/6/17 at 11:36 pm to
quote:

Original bill for an over night stay in the hospital thru the ER was 29,000.


let me get that itemized plz
Posted by Teddy Ruxpin
Member since Oct 2006
39553 posts
Posted on 4/6/17 at 11:48 pm to
He did pretty well. I've seen a guy bitch that his $100,000 life saving surgery cost him like $3k after insurance. Like dude, that's cheap as frick.

Anyways OP, most hospitals will extend payment out for a pretty long time with no interest. You can probably get that $2,700 drawn out to two years.

You just have to ask.

Something to consider when you have a final number that you owe.
This post was edited on 4/6/17 at 11:49 pm
Posted by HailToTheChiz
Back in Auburn
Member since Aug 2010
48894 posts
Posted on 4/7/17 at 6:14 am to
Usually hospitals will allow you to make payments

They won't care as long as you pay something
Posted by GetCocky11
Calgary, AB
Member since Oct 2012
51241 posts
Posted on 4/7/17 at 7:38 am to
quote:

Usually hospitals will allow you to make payments


They're usually interest-free also.
Posted by slapahoe
USA
Member since Sep 2009
7442 posts
Posted on 4/7/17 at 7:47 am to
quote:

$2700 for ER visit, labs, and an over night stay, you are getting off pretty cheap.


thats what Im thinking
Posted by MSMHater
Houston
Member since Oct 2008
22774 posts
Posted on 4/7/17 at 9:24 am to
quote:

Got an itemized bill


quote:

prices seem exaggerated


That's b/c they are not real. The hospital billed your insurance their "charge". The insurance ignored that charge and paid the hospital their contracted amount for those services (i.e. your "discount"). Your VERY REASONABLE cost of $2700 is either a function of your deductible, or the percentage of care you are responsible for.

You can very easily get them to agree to a payment plan. But you're not getting that any further reduced, IMO.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37025 posts
Posted on 4/7/17 at 10:13 am to
quote:


That's b/c they are not real. The hospital billed your insurance their "charge". The insurance ignored that charge and paid the hospital their contracted amount for those services (i.e. your "discount").


People talk about health care price transparency, especially in this era of high deductible plans. But I don't know how we can ever get there as long as standard practices are as you describe.
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37025 posts
Posted on 4/7/17 at 10:16 am to
So a $9000 bill that you owe 2700 of. Is your insurance a 70/30 co-insurance split?

Sure it's expensive, everything in health care is.

I'm glad your wife is ok. see if they can offer you a payment plan if needed. Otherwise, you will need to show why you feel they overcharged you.
Posted by wfallstiger
Wichita Falls, Texas
Member since Jun 2006
11348 posts
Posted on 4/7/17 at 10:27 am to
We recently used an out of network ER service and learned of this after the fact.

Amount we owe is fairly high when compared to in network providers.

Will discuss amount we owe with out of network provider but don't expect any relief.

Lesson learned and a tad bit lighter in the wallet, is my fault for not checking in advance. The care rendered was fine, what one would expect given reason for visit to the ER.

Time to move along.
Posted by DaBeerz
Member since Sep 2004
16901 posts
Posted on 4/7/17 at 12:24 pm to
Most hospitals will give you a discount if you offer to pay in full with a check. Just have to call, they are so used to people not paying that they will take less if you pay a large lump sum
Posted by Ric Flair
Charlotte
Member since Oct 2005
13652 posts
Posted on 4/7/17 at 6:49 pm to
quote:

People talk about health care price transparency, especially in this era of high deductible plans. But I don't know how we can ever get there as long as standard practices are as you describe.


Transparency is a slippery slope. What if the patient decides that three troponins are too expensive? Or if a CBC is not necessary with chest pain, but the etiology of the chest pain is cardiac ischemia due to severe anemia due to an occult GI bleed and demand ischemia? Do doctors let patients dictate their care based on costs? Or do doctors practice evidenced based medicine regardless of costs? Or do the doctors shotgun lab tests to make sure they cover everything to make sure they don't get sued?
Posted by LSUFanHouston
NOLA
Member since Jul 2009
37025 posts
Posted on 4/7/17 at 7:03 pm to
quote:


Transparency is a slippery slope. What if the patient decides that three troponins are too expensive? Or if a CBC is not necessary with chest pain, but the etiology of the chest pain is cardiac ischemia due to severe anemia due to an occult GI bleed and demand ischemia? Do doctors let patients dictate their care based on costs? Or do doctors practice evidenced based medicine regardless of costs? Or do the doctors shotgun lab tests to make sure they cover everything to make sure they don't get sued?


Valid questions, all.

The problem is that HDHP plans are based on this idea that a consumer is going to "take charge" of their health care. And with some decisions, that's fine (take generics vs brand, use a NP instead of a doctor for minor issues, etc).

But for the real expensive stuff, no one can replace the knowledge of an MD, regardless of cost. So, where does that put us?
Posted by thekid
Anna, Tx
Member since May 2006
3937 posts
Posted on 4/9/17 at 5:04 am to
First of all, don't start paying anything immediately. The medical facility and insurance company will go back and forth on the bill several times before what you owe is finally worked out. You can then pay on it monthly without any repercussions as long as you pay them something each month. There should be no interest...if you get a call from the hospital pressuring you to pay it all, tell them this is what I can afford.

Unfortunately this info comes from some hard lessons...we got a 3k credit 3 years after my wife's back surgery that we didn't know about because overpaid our bills...I'm glad we got the money back but we needed way more three years earlier.
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