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re: Trump to force Hospitals to disclose their prices

Posted on 6/21/19 at 12:04 pm to
Posted by the_watcher
Jarule's House
Member since Nov 2005
3451 posts
Posted on 6/21/19 at 12:04 pm to
quote:

And those higher salaries are generally covered with different charges.

No they aren’t.
quote:

SOURCE: I developed integration software for Hospital Billing systems for almost 10 years.

My source - the literal P & L I’m looking at, from a hospital, right now
Posted by bamarep
Member since Nov 2013
51818 posts
Posted on 6/21/19 at 12:04 pm to
Upgray gets it.


Not just the ED filled with ear aches and runny noses, how about the shot up hood rat that it costs a hospital $600K to patch up that only ends up back in there two weeks later for the same fricking thing. Of which said hospital will get reimbursed exactly jack shite for said shot up hood rat.
This post was edited on 6/21/19 at 12:08 pm
Posted by SOSFAN
Blythewood
Member since Jun 2018
12283 posts
Posted on 6/21/19 at 12:06 pm to
Before telling someone that their post is ignorant you may want to sweep your own porch moron.

You used a restaurant as an example. Restaurants post their prices BEFORE you buy unlike hospitals which this thread is actually about.
This post was edited on 6/21/19 at 12:07 pm
Posted by Auburn1968
NYC
Member since Mar 2019
19991 posts
Posted on 6/21/19 at 12:14 pm to
quote:

When I worked for a couple of different hospital as an inventory controller when I was younger some of the mark ups were ludicrous. Saline solution - 7$ per bottle, hospital charging $60 Hospital admittance kit - $14 per kit, hospital charging $100.00 Package of sterile gauzes - $2-3 per pack, hospital charged $25 Those were just some I can remember off the top of my head, but catheter and syringes were crazy 500% markups and higher as well. Blew my mind when I first started working how much we overpay for basic stuff. Hospital charged $6.75 for this toothbrush and our cost to buy a whole case was like .09 cents per unit Good for Trump on this.


People who actually pay for hospital care get soaked to pay for those who don't.

The steaming pile of Obamacare only compounded the cost for those who actually work for a living.

Posted by pizzatiger
Member since Apr 2019
274 posts
Posted on 6/21/19 at 12:18 pm to
quote:

Before telling someone that their post is ignorant you may want to sweep your own porch moron.

You used a restaurant as an example. Restaurants post their prices BEFORE you buy unlike hospitals which this thread is actually about.


Yeah, but I don't use insurance to buy food.

It doesn't matter how much the hospital/clinic charges. My insurance does the negotiation. I don't see how the transparency is going to affect things. Maybe I'm missing something.
Posted by OceanMan
Member since Mar 2010
20071 posts
Posted on 6/21/19 at 12:19 pm to
quote:

You have to pay the salary of the person who stocks the saline. You have to pay the salary of the RN who puts the IV in you and administers the saline. You have to pay the salary of the doctor who ordered the saline. You also have to pay the electric bill. You have to pay housekeeping. Et cetera.


quote:

Incredibly ignorant post and mindset.


You forgot that you have to pay for those that will not pay.

Are you seriously arguing that the cost of healthcare is not outrageously out of control?

Posted by TaderSalad
mudbug territory
Member since Jul 2014
24759 posts
Posted on 6/21/19 at 12:23 pm to
Add Breast pumps to this too... wife (no pics) got one through her insurance for our daughter (no pics) and bill sent to insurance was $495 + tax. Same exact pump at walmart was $55.
Posted by OceanMan
Member since Mar 2010
20071 posts
Posted on 6/21/19 at 12:26 pm to
quote:

It doesn't matter how much the hospital/clinic charges. My insurance does the negotiation. I don't see how the transparency is going to affect things. Maybe I'm missing something.


Well guess what. Sometimes insurance doesn’t pay for some reason unknown to the insured. The prices matter and should not be left to the insurance companies to worry about. They adjust their rates and reject claims to stay profitable.

People need to be aware of what things cost, no matter who is “paying”, the consumer is ultimately paying.
Posted by bayoumuscle21
St. George
Member since Jan 2012
4645 posts
Posted on 6/21/19 at 12:27 pm to
quote:

There are SO MANY cost to running a healthcare facility that you have to mark up items that you can charge for or you will go broke.


A slight mark up is understandable. The gouging that is currently going on is criminal. Knee replacement price (just for example) should be as transparent to buying a car from different dealerships.
Posted by Codythetiger
Arkansas
Member since Nov 2006
27752 posts
Posted on 6/21/19 at 12:27 pm to
Yes I know, I was going to respond to Topal and tell him that in theory that sounds nice, however by law, ER's are not allowed to deny healthcare. People abuse the ER's, I've seen it first hand.

I also know the Ambulance service is horribly abused. I've seen people call for an ambulance in a smaller town beside me and use that as a free ride to get here. Once here, they magically feel better and then go shopping down the street before somebody takes them home. It's putrid.
Posted by keks tadpole
Yellow Leaf Creek
Member since Feb 2017
7597 posts
Posted on 6/21/19 at 12:40 pm to
quote:

My hospital posted all of our prices publicly last year as did several others in our market


Are these the prices paid by cash customers, or the prices BC/BS tells you that they will pay for customers that they represent?
Posted by dafif
Member since Jan 2019
5687 posts
Posted on 6/21/19 at 12:41 pm to
I am in the middle of potential deep crap with insurance companies and medical providers. Have not started it yet but this has happened 2 times and I'm not happy.

Have BCBS with typical large deductible (thanks ocare). Go to Dr for visit. Want to pay there. They cannot tell you bc they have to submit to insurance (of which I know deductible not met). Month goes by. Do not see bill but all of a sudden, get collection notice. Now, I do not know what they charged BCBS but, on many occasions there is a difference between what is charged and what BCBS would pay. I now have to determine what was sent to insurer, what it should have been reduced to per the contract and what extra has been charged and then go fight the collection agence.

It is one messed up system. Going to file a suit against the agency that put something on my credit report.
Posted by pizzatiger
Member since Apr 2019
274 posts
Posted on 6/21/19 at 12:42 pm to
quote:

Well guess what. Sometimes insurance doesn’t pay for some reason unknown to the insured. The prices matter and should not be left to the insurance companies to worry about. They adjust their rates and reject claims to stay profitable.



Dude the insurance companies negotiate the price with the hospital. The price differs for different insurance companies and even different plans. How does the disclosure of the negotiated price change things?
This post was edited on 6/21/19 at 12:45 pm
Posted by Floating Change Up
Member since Dec 2013
11868 posts
Posted on 6/21/19 at 12:44 pm to
quote:

Water, $50K

Gas, $75K
Hell, is costs $300K a year just to keep the damn grass cut.
Do you see any of those charges on a hospital bill?



Yes, those expenses (and other daily run rate for the hospital) are for the bed/room charges.
Posted by the_watcher
Jarule's House
Member since Nov 2005
3451 posts
Posted on 6/21/19 at 12:50 pm to
quote:

Are these the prices paid by cash customers, or the prices BC/BS tells you that they will pay for customers that they represent?

Our exact price we bill. BC/BS doesn’t tell us exactly what they will pay because every plan is different although we have a general idea. It’s not as cut and dry as well we charge this and third party insurance will reimburse that.

For the most part patients don’t pay cash for anything that isn’t an elective cosmetic procedure. Like Botox or breast implants. They may pay a co-pay or a deductible but no one is having a high priced surgery that isn’t covered by insurance or is an ED emergency from a self pay patient that will never pay a dime
Posted by the_watcher
Jarule's House
Member since Nov 2005
3451 posts
Posted on 6/21/19 at 12:53 pm to
quote:

Dude the insurance companies negotiate the price with the hospital. The price differs for different insurance companies and even different plans. How does the disclosure of the negotiated price change things?

See now you’re talking about managed care plans which will be far too advanced for this thread. Every time a healthcare thread is started it’s a bunch of people who think they know what they are talking about and then a few who actually work in healthcare who are usually told they are idiots. Oh and BamaAtl spouting some blatantly false nonsense
Posted by WildTchoupitoulas
Member since Jan 2010
44071 posts
Posted on 6/21/19 at 1:01 pm to
quote:

Hell, is costs $300K a year just to keep the damn grass cut.

I know a guy who will do it for $250,000.

Just sayin...
Posted by Lsujacket66
Member since Dec 2010
4802 posts
Posted on 6/21/19 at 1:01 pm to
quote:

Our main hospital's power bill is $260K PER MONTH. Water, $50K Gas, $75K Hell, is costs $300K a year just to keep the damn grass cut. Do you see any of those charges on a hospital bill? Use some common sense folks


You realize every business has input costs right?
Posted by Tarps99
Lafourche Parish
Member since Apr 2017
7726 posts
Posted on 6/21/19 at 1:03 pm to
quote:

Hell, is costs $300K a year just to keep the damn grass cut


Where do I sign up to get that grass cutting contract?

How big is the area to cut?

You can hire 4 or 5 full time employees for that 300k a year and get them the latest and greatest zero turn mowers every year.
Posted by DarthRebel
Tier Five is Alive
Member since Feb 2013
21372 posts
Posted on 6/21/19 at 1:05 pm to
quote:

Our main hospital's power bill is $260K PER MONTH.

Water, $50K

Gas, $75K


Valid costs

quote:

Hell, is costs $300K a year just to keep the damn grass cut.


Whoever decided this should be fired. Complete waste of money.
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