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re: Big price difference between 2 medical service providers for same procedure - acceptable?
Posted on 9/20/22 at 12:14 pm to Turf Taint
Posted on 9/20/22 at 12:14 pm to Turf Taint
Your insurance is going to pay what is negotiated. It doesn’t matter what the clinic bills.
You will pay your same deductible in both situations
Every insurance company pays a different amount so to make sure there aren’t any screw ups (like under billing a certain plan that pays more) the clinics will just charge a much higher rate to every insurance company. The insurance company then corrects the bill down to their allowable amount.
People read medical bills without any explanation of the system, this isn’t their fault but it leads to false assumptions
The clinic isn’t making 3x as much as the hospital.
You will pay your same deductible in both situations
Every insurance company pays a different amount so to make sure there aren’t any screw ups (like under billing a certain plan that pays more) the clinics will just charge a much higher rate to every insurance company. The insurance company then corrects the bill down to their allowable amount.
People read medical bills without any explanation of the system, this isn’t their fault but it leads to false assumptions
The clinic isn’t making 3x as much as the hospital.
This post was edited on 9/20/22 at 12:16 pm
2
Posted on 9/20/22 at 12:17 pm to WaWaWeeWa
quote:
You will pay your same deductible in both situations
At the end of the day, this is the correct answer, Taint, but I understand your concern.
Posted on 9/20/22 at 1:46 pm to WaWaWeeWa
quote:
You will pay your same deductible in both situations
Incorrect, let’s say you have a high deductible, $3600 and you have met none of it , if facility A is contracted to do the mri for 1800 and facility B is contracted to do it at $2200 by going to B you will pay $400 more, notice I said contracted for , because the billed rate does not matter at all
Now if we are talking about co pays that is different and your out of pocket would be the same either way assuming they are both in network
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