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re: Shoulder surgery cost...bananas.

Posted on 2/19/24 at 10:43 am to
Posted by LSUnation78
Northshore
Member since Aug 2012
12314 posts
Posted on 2/19/24 at 10:43 am to
Another one who doesn’t understand how medical billing works.


Posted by PCRammer
1725 Slough Avenue in Scranton, PA
Member since Jan 2014
1515 posts
Posted on 2/19/24 at 10:48 am to
quote:


Shoulder surgery cost...bananas.
Another one who doesn’t understand how medical billing works.

I mean does any normal person? I get that will be negotiated down between the ins company and the Dr/surgery center but the fact it even starts that high is ridiculous.
Posted by KamaCausey_LSU
Member since Apr 2013
15157 posts
Posted on 2/19/24 at 10:52 am to
quote:

Another one who doesn’t understand how medical billing works.

I don't understand either. How exactly does it work. Physician/Surgery Center sends over a monopoly money quote, insurance company says we'll pay $X, surgery center says, "sounds good, thanks."?

What is the purpose of the insane bill sent to the insurance company? Just a game to see what they will/won't pay? Padding the bill to get more money out of insurance?
Posted by tilthatday
New Orleans
Member since Mar 2009
904 posts
Posted on 2/19/24 at 11:09 am to
quote:

Another one who doesn’t understand how medical billing works.



Explain it so I can understand. I deal with health care providers all the time and, so far as I can tell, there are at least a half dozen separate sets of books: uninsured; insured but out of network; insured and in network; state comp rate; Medicare; Medicaid; and, for all we know, other setoffs and negotiated rates.
In other words, it's all bullshite.
Posted by GetCocky11
Calgary, AB
Member since Oct 2012
51948 posts
Posted on 2/19/24 at 11:17 am to
quote:

Another one who doesn’t understand how medical billing works.


No need to be condescending
Posted by WhiskeyTangoFoxtrot
poolside at Cocal (UA since 2010)
Member since Dec 2009
2144 posts
Posted on 2/19/24 at 11:21 am to
Are you including yourself?
Posted by WhiskeyTangoFoxtrot
poolside at Cocal (UA since 2010)
Member since Dec 2009
2144 posts
Posted on 2/19/24 at 11:21 am to
Are you including yourself?
Posted by WhiskeyTangoFoxtrot
poolside at Cocal (UA since 2010)
Member since Dec 2009
2144 posts
Posted on 2/19/24 at 11:22 am to
Are you including yourself?
Posted by Oates Mustache
Member since Oct 2011
22773 posts
Posted on 2/19/24 at 11:36 am to
quote:

Another one who doesn’t understand how medical billing works.


Explain those costs to me like I'm 5.
Posted by yellowfin
Coastal Bar
Member since May 2006
98083 posts
Posted on 2/19/24 at 12:14 pm to
quote:

Another one who doesn’t understand how medical billing works.


People that do medical billing don’t understand medical billing
Posted by OweO
Plaquemine, La
Member since Sep 2009
114724 posts
Posted on 2/19/24 at 12:22 pm to
quote:

Another one who doesn’t understand how medical billing works.



Why does a hospital charge $30 per Tylenol extra strength without even telling you how much its going to cost when someone can go get a bottle of 100 for about $12? They make $2988 on a bottle of Tylenol (that's not including the fact they probably get it at wholesale prices)
This post was edited on 2/19/24 at 12:23 pm
Posted by bee Rye
New orleans
Member since Jan 2006
34043 posts
Posted on 2/19/24 at 8:07 pm to
quote:

Another one who doesn’t understand how medical billing works.

To be fair, no one knows how medical billing works
Posted by JamesVinson
Austin
Member since Feb 2024
620 posts
Posted on 2/19/24 at 9:14 pm to
quote:

Another one who doesn’t understand how medical billing works.


It doesn't, that's the problem. Only ones making money are the insurance companies while everyone else gets screwed.
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