Question for OT Doctors and Patients

No, not at all.

A Tylenol that costs $85 dollars at a hospital is worth it. And a hospital CEO who makes $1.5 million at a not-for-profit is a bargain.

Not at all. A pair of crutches on Amazon are the same as at the hospital, around $900.00.

Yea, they are high. It's accounting for alot of labor, products, and administration. But yea, even the allowables are really high.

quote:

---

I say this after getting a pre-insurance quote of $2,100 facilities cost for a 45 minute out-patient surgery.

---

At a hospital or ASC? That sounds very high, but I believe it. A colon at an ambulatory ASC will run $600-$800 for a facility fee. Upwards of $1000 if done at the hospital.

quote:

---

Fun one I recently learned- it would be a federal offense for us to discuss our fee schedules with each other. It would be looked upon and treated as price-fixing.

---

Federal offense??

Breach of payer contract, yes. But I can't think of how it would be criminal.

At an ASC that's not horrendous. Our facility fee is not that high but it ain't much lower. You can't charge individually for everything you use at a surgery center. So for a case I do, for example, the tourniquet, the foam padding, the clean up crew, the cost to process/sterilize the instrumentation, the hardware costs, the scrub tech, the circulating nurse, any drugs you get in PACU, etc all come out of he facility fee. The hospital rolls some of that into their facility fee, but can itemize and charge for everything otherwise.

But hey, let's make it harder for physicians to practice outside of the hospital because why do anything that has been shown to be cheaper and often times more efficient?

quote:

---

Yes, it is more expensive than it should be because you aren't just paying for your hospital visit. You are also paying for all of the POS that don't pay a dime, as well.

---

And they don't even say thank you.

Wait until we get the bill for all the flooding thru insurance premiums.