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re: Everyone should request an itemized hospital bill, it is really interesting
Posted on 4/23/24 at 10:28 pm to GetCocky11
Posted on 4/23/24 at 10:28 pm to GetCocky11
Hospitals collect about 25% of what they bill. Charges are crazy but it’s hard to lower them in the current system unless everyone does it together. One hospital CFO tried to eliminate pricing and just go with negotiated contracts but the Feds wouldn’t go along with it.
Posted on 4/23/24 at 10:33 pm to GetCocky11
You can thank that piece of shite Ronald Reagan for this.
Posted on 4/23/24 at 10:34 pm to BilbeauTBaggins
quote:
The U.S Government allows for this shite to prosper.
No, be specific, the politicians in DC and Your local legislatures allow for this to happen. Put a face behind the real monsters. Chuck Schumer, Lindsey Graham, Joe Biden… all of those career political fricks deserve a slow and agonizing fate for what they did and are happily doing to this country.
This post was edited on 4/23/24 at 10:35 pm
Posted on 4/23/24 at 10:55 pm to GetCocky11
I've been in and out of the hospital over the past 6 months with some breathing issues. My insurance agent told me to get the hospital to send her a "super bill." She negotiated my out of pocket cost from $17k+ down to $1,063. That's ridiculous.
My dog almost killed my wife's dog in a fight, and we had to take her to an emergency vet for surgery. I asked for an itemized bill after the procedure. $270 for a trauma dressing they put on her neck after the surgery. A dressing that maybe costs $10 on Amazon.
My dog almost killed my wife's dog in a fight, and we had to take her to an emergency vet for surgery. I asked for an itemized bill after the procedure. $270 for a trauma dressing they put on her neck after the surgery. A dressing that maybe costs $10 on Amazon.
Posted on 4/23/24 at 11:12 pm to GetCocky11
when I had my hernia surgery, I thought the 45 dollar advil was pretty humerous
Posted on 4/23/24 at 11:18 pm to Walt OReilly
quote:
It’s criminal what they charge
Yup I remember when my dad was having an outpatient procedure done in the hospital he commented he was cold. The nurse asked if he wanted a warm blanket and he said yes please. We found out later the hospital charged him $125 to use the warm blanket.
Posted on 4/23/24 at 11:40 pm to Walt OReilly
It would be affordable if there was no such thing as health insurance. And there shouldn’t be.
Posted on 4/23/24 at 11:48 pm to LSU Tiger Jason
quote:
You can thank that piece of shite Ronald Reagan for this.
I’ve read some stupid shite on this site but this takes the cake.
Posted on 4/24/24 at 2:56 am to Commandeaux
quote:
I made a mistake and asked Mamason for an itemized bill
What is Mamason? I don’t live in Louisiana anymore, if it’s a LA thing. Not trolling. Massage parlor or something?
Posted on 4/24/24 at 3:01 am to MRTigerFan
You don't think they are attempting to be profitable?
Posted on 4/24/24 at 4:47 am to LSUGUMBO
quote:
You just get on a payment plan- $100/month until forever, but at least it's no interest, right?
Instead of paying thousands of dollars each year to an “insurance company,” what about creating a pool or cash savings account with your local hospital of all your health insurance premiums. They use the cash price or lowest negotiated rate for all your hospital charges. They send you a statement of your balance, which can earn interest. You can also adjust your monthly payments to save more or pay more if you require more services. When you pass, if there is money left over they can mail your estate a check or a bill for the balance.
The money stays local and there can even be a portion of the monthly payment dedicated to a catastrophic claims fund or extra emergency insurance if the services exceed your savings account balance like some self insured employer plans have.
The only thing that would need to be worked out is how to manage if you decide or need healthcare services at another hospital. A big hospital chain like Ochsner could have all your healthcare needs and pharmaceutical services within their member hospital facilities, but a smaller independent hospital like Thibodaux Regional might not be able to provide that service and their customer needs to get services at another facility.
Posted on 4/24/24 at 7:40 am to CDUBTX
quote:Because, whatever amount that is charged, your insurance company will pay 25%.
Then why charge that amount?
Charge less? Insurance company pays less.
This is also the nature of using insurance for EVERYTHING.
Posted on 4/24/24 at 8:23 am to MFn GIMP
quote:
Exactly. A lot of these exorbitant costs is because of Medicaid and Medicare having such low reimbursement rates.
Indigent patients (ie illegals/homeless/etc) are another primary driver of this insanity.
Posted on 4/24/24 at 8:23 am to GetCocky11
when our fist kid was born, there was a charge blood given to my wife during the delivery. No blood was ever given.
Posted on 4/24/24 at 8:33 am to GetCocky11
Ok, but you don’t really think that’s what they will collect right ?
Posted on 4/24/24 at 8:33 am to genuineLSUtiger
The issue goes all the way to the suppliers in the US. The US healthcare organizations are being charged nearly double in some instances to use the same products and drugs that are being used in markets overseas. However, because there is not heavily subsidized care here and commercial insurances will may out “a premium,” we foot a lot of the bill here. What is subsidized here continues to be expanded and we just “print” money to fund it.
Want a recent example of the silliness, just go look at the amount various countries were charged to get the COVID vaccines when those rolled out. I’m sure this will go down the vaccine hole now, but the point is, the supply chain determines a lot of the cost. If US providers are being charged twice what international providers are, the costs are going to be much higher in the US. It’s basic economics.
Beyond that, you have inflationary pressure on everything. That includes highly trained provider salaries that rise just like everyone else during these times. Not to the same % level, but they do rise. Those people have to be compensated. These are also consequences of paying someone $15-$20/hr to make cheeseburgers.
It’s the entire economic system, not just the healthcare. The forces outside the market impact healthcare just like any other industry.
Want a recent example of the silliness, just go look at the amount various countries were charged to get the COVID vaccines when those rolled out. I’m sure this will go down the vaccine hole now, but the point is, the supply chain determines a lot of the cost. If US providers are being charged twice what international providers are, the costs are going to be much higher in the US. It’s basic economics.
Beyond that, you have inflationary pressure on everything. That includes highly trained provider salaries that rise just like everyone else during these times. Not to the same % level, but they do rise. Those people have to be compensated. These are also consequences of paying someone $15-$20/hr to make cheeseburgers.
It’s the entire economic system, not just the healthcare. The forces outside the market impact healthcare just like any other industry.
Posted on 4/24/24 at 9:40 am to Auburn80
quote:
Hospitals collect about 25% of what they bill. Charges are crazy but it’s hard to lower them in the current system unless everyone does it together. One hospital CFO tried to eliminate pricing and just go with negotiated contracts but the Feds wouldn’t go along with it.
Congrats. You are one of the 3 people in this thread that actually have some understanding of hospital payment systems. People get all up in arms about the charges on a detail bill, but they pretty much don't matter at all.
There is so much misinformation in this thread. That's why insurance companies, hospitals, government officials, etc. are able to have such control over the consumer. I used to believe that a single payor system would be awful. Over a 40 year background in hospital finance, I've changed my mind. Traditional Medicare is actually the payment system we currently have that works the best of all of them. Our officials certainly can't fix this crap, partly because they don't understand it either. But insurance companies screw over lots of people. They screw over hospitals as well. Many of the cheaper Med Adv. plans almost refuse to pay and have to be billed over and over again until they finally say you are past the timely filing deadline. I can assure you, hospitals and physicians do not love our current healthcare payment system!
Posted on 4/24/24 at 9:43 am to Scruffy
quote:
Then why charge that amount?
Because, whatever amount that is charged, your insurance company will pay 25%.
Charge less? Insurance company pays less.
This is also the nature of using insurance for EVERYTHING.
Almost no plans still pay a % of charges. They pay an amount per day or an amount per stay for a particular diagnosis. You are talking about 20+ years ago.
Posted on 4/24/24 at 9:46 am to Corinthians420
quote:
insurance doesn't pay this amount though.
Doesn't matter. Pricing should be pricing, whether a person has insurance or not. Otherwise, it is a racket.
Name one other business model that operates with such a discrepancy between pricing models?
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