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Just got a $6,684 bill for a coronary calcium test

Posted on 6/5/23 at 6:43 pm
Posted by Eli Goldfinger
Member since Sep 2016
32785 posts
Posted on 6/5/23 at 6:43 pm
I was having some PVCs, so my cardiologist sent me for a calcium CT.

To my understanding, the bill is usually around $80.

The palps had stopped, but I think they may be returning.

Has anyone dealt with anything similar?
This post was edited on 6/5/23 at 6:45 pm
Posted by jaytothen
Member since Jan 2020
6404 posts
Posted on 6/5/23 at 6:44 pm to
Don't pay the bill and let your heart take care of the rest
Posted by nugget
Mostly Peaceful Poster
Member since Dec 2009
13814 posts
Posted on 6/5/23 at 6:45 pm to
Follow your heart
Posted by fastlane
Member since Jul 2014
2281 posts
Posted on 6/5/23 at 6:47 pm to
They were testing to see how good your heart was when you opened it.
Posted by armsdealer
Member since Feb 2016
11493 posts
Posted on 6/5/23 at 6:47 pm to
Its a $150ish dollar test cash, insurance prices are lower and some hospitals will list the price sky high to screw people, like $400 though, not $6k.

Ask for an itemized bill. It is often not covered by insurance.
Posted by billjamin
Houston
Member since Jun 2019
12374 posts
Posted on 6/5/23 at 6:47 pm to
Wtf I just had that done for $110.
Posted by ThatMakesSense
Fort Lauderdale
Member since Aug 2015
14792 posts
Posted on 6/5/23 at 6:48 pm to
When I was 16, I had a bad tummy ache. Thought it could be a ruptured appendix or spleen. Turned out I had not took a poop for about a week. Doctor showed the X-ray of all the crap in me.

God Speed.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26537 posts
Posted on 6/5/23 at 6:51 pm to
I actually have a lot of experience in this (professionally, not personally), so I actually might be able to give some advice.

A few questions:

Do you have insurance? If not, did they apprise you of your right to a Good Faith Estimate and when did you schedule this visit (or was it an emergency visit)?

If insured, was the facility in-network and are you being billed by an out-of-network provider? Is there a difference in pricing between the medical bill and your EOB?
Posted by jimmy the leg
Member since Aug 2007
33999 posts
Posted on 6/5/23 at 7:02 pm to
quote:

the bill is usually around $80.


This.

Posted by proger
Member since Nov 2007
718 posts
Posted on 6/5/23 at 7:03 pm to
A CCT for PVCs?? Thats insane. Essentially the only use a CCT is for is if your 10 year CV risk score places you in the intermediate risk score. A significantly abnormal CCT score risk stratifies you into a high risk group which impacts medical therapy intensity. CCT has no bearing on PVC treatment.
Posted by tigerskin
Member since Nov 2004
40025 posts
Posted on 6/5/23 at 7:03 pm to
You changing the story all around. You said Holter Monitor now calcium test
Posted by LemmyLives
Texas
Member since Mar 2019
6403 posts
Posted on 6/5/23 at 7:05 pm to
Imaging is probably the most marked up medical procedure on the planet. Docs often don't know what their "contractually preferred" providers charge. DVT ultrasound? $1300 at Memorial Hermann in June. Same thing in October $2200. Both after submitting insurance, checking deductibles, and paying up front $200-300 before service. Getting it done at GreenImaging dot com, $210, all in, up front. Once I told my doc she asked for the website I used to find it.

$6k, they're most certainly screwing you through mis-application of ICD-10 codes or something, or the DR order didn't include something that they needed to make it a justifiable cost.

I'd suggest going back to the cardiologist and explaining what happened when they read you the results. And do not pay. I've gotten MRIs that cost 1/3 of that (out of pocket), it is bullshite.

Just don't pay until they send you to collections, and offer to pay them $200.
Posted by Eli Goldfinger
Member since Sep 2016
32785 posts
Posted on 6/5/23 at 7:06 pm to
I do have insurance.

The cardiologist is in network.

I work for a major health insurer.
Posted by Eli Goldfinger
Member since Sep 2016
32785 posts
Posted on 6/5/23 at 7:06 pm to
I got the bills confused.

And I never said holter.
This post was edited on 6/5/23 at 7:08 pm
Posted by TexasTiger89
Houston, TX
Member since Feb 2005
24245 posts
Posted on 6/5/23 at 7:07 pm to
I am having one later this month for $150. That’s insane.
Posted by AbitaFan08
Boston, MA
Member since Apr 2008
26537 posts
Posted on 6/5/23 at 7:08 pm to
Strange. I’m trying to determine if your case would be eligible under the NSA for a balance billing complaint.
Posted by secfballfan
Member since Feb 2016
2877 posts
Posted on 6/5/23 at 7:08 pm to
Some heartless baws on here
Posted by jimmy the leg
Member since Aug 2007
33999 posts
Posted on 6/5/23 at 7:11 pm to
quote:

I work for a major health insurer.


It sounds like your employer is trying to tell you something..

Posted by Eli Goldfinger
Member since Sep 2016
32785 posts
Posted on 6/5/23 at 7:12 pm to
Average cost of CPT - 75571 is $161.
Posted by nola tiger lsu
Member since Nov 2007
5264 posts
Posted on 6/5/23 at 7:13 pm to
Took one of these and was about 100 dollars.
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