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What kind of a discount would you receive for medical services if you were a cash patient?

Posted on 6/8/18 at 12:06 pm
Posted by Smalls
Southern California
Member since Jul 2009
10307 posts
Posted on 6/8/18 at 12:06 pm
The Obamacare individual mandate will be gone starting next year. No penalties for not having coverage. Anybody contemplating not carrying insurance and just using straight cash? What kind of a discount could you get for paying cash? 50, 60, 70%?

Posted by mouton
Savannah,Ga
Member since Aug 2006
28276 posts
Posted on 6/8/18 at 12:07 pm to
quote:

What kind of a discount could you get for paying cash? 50, 60, 70%?
Posted by jbgleason
Bailed out of BTR to God's Country
Member since Mar 2012
20405 posts
Posted on 6/8/18 at 12:08 pm to
Cash discounts are a very real thing for major hospital bills, elective procedures, etc. But you aren’t going to be negotiating your check ups, flu shot and minor office visits.

ETA. Hopefully catastrophic plans will return. That sounds like what you want if you are young and healthy.
This post was edited on 6/8/18 at 12:10 pm
Posted by Topwater Trout
Red Stick
Member since Oct 2010
70178 posts
Posted on 6/8/18 at 12:08 pm to
I would guess if you are lucky somewhere close to what insurance companies pay...around 50%....but a 3-6k deductible is smarter than paying half a 100k hospital bill
Posted by The Torch
DFW The Dub
Member since Aug 2014
30483 posts
Posted on 6/8/18 at 12:08 pm to
I don't consider this, we have a large co group plan.

It sucks compared to 8 years ago but no way in hell I'm going cash.
Posted by LZ83
La
Member since Sep 2016
17446 posts
Posted on 6/8/18 at 12:08 pm to
It’s cheaper on most things to pay cash than it is to pay a premium and deductible/co-insurance.
Posted by kywildcatfanone
Wildcat Country!
Member since Oct 2012
141173 posts
Posted on 6/8/18 at 12:08 pm to
80%
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
37481 posts
Posted on 6/8/18 at 12:11 pm to
Was 40% at a hospital that I used to work for.

Posted by Cosmo
glassman's guest house
Member since Oct 2003
132645 posts
Posted on 6/8/18 at 12:13 pm to
It depends.

Note that the only sectors of medicine where costs are stable or decreasing are cash only services. Plastic surgery etc.

You can thank the feds and insurance for that.
Posted by Winston Cup
Dallas Cowboys Fan
Member since May 2016
66986 posts
Posted on 6/8/18 at 12:14 pm to
you will be expensed for about 25% of your total bill give or take
Posted by tiger chaser
Birmingham Ala
Member since Feb 2008
7721 posts
Posted on 6/8/18 at 12:15 pm to
None of you have good insurance.
Been there done that
Posted by Smalls
Southern California
Member since Jul 2009
10307 posts
Posted on 6/8/18 at 12:19 pm to
I read some people paying 1200 a month. That's crazy. Over 14k a year in premiums, on top of whatever deductible they have? Might as well pay cash. You're not going to spend 14k every single year on medical unless something awful happens, which is the point if insurance, but why not have a plan where I pay $100 a month and the insurance kicks in if the bill is greater than 10k or so.
Posted by TigrrrDad
Member since Oct 2016
8197 posts
Posted on 6/8/18 at 12:28 pm to
No idea, but pretty significant I would guess. My son just had rotator cuff surgery. The bill was $41,000, and $34,000 of that was “discounted” off for Blue Cross.
This post was edited on 6/8/18 at 12:29 pm
Posted by Puffoluffagus
Savannah, GA
Member since Feb 2009
6504 posts
Posted on 6/8/18 at 12:40 pm to
Varies and depends on if the provider/service if even offers cash discounts.

Most providers have a set fee schedule that applies to all comers(all insurance companies, all self pay etc) due to regulations.

If their equipped or want to bother with it. Most will offer a discount percentage off this fee schedule for people who pay same day, but not necessarily to those who want to pay later. You aren't saving them any extra costs associated with having to bill you and collect etc.
Posted by Packer
IE, California
Member since May 2017
8699 posts
Posted on 6/8/18 at 12:41 pm to
The bill sent to us for our newborn foster son was a little over $400 for his delivery and initial care. This was the discount for being uninsured.

ETA: this was the discount the bio mom received for being uninsured
This post was edited on 6/8/18 at 12:42 pm
Posted by baldona
Florida
Member since Feb 2016
24474 posts
Posted on 6/8/18 at 12:51 pm to
There's tons of Family Practice docs that are going to cash only per person. Like $2500-4000 each, and you basically get unlimited visits with something like guaranteed appointments in 3 hours or less M-F. I think they bill things like shots basically at cost?

You get 250 people at $4,000 that's $1 mil. Adds up pretty quick.

People always act like great medical care is expensive, but its really not that expensive for someone with just a little bit of money. Given, that's only primary care not a specialist.
Posted by jimbeam
University of LSU
Member since Oct 2011
75703 posts
Posted on 6/8/18 at 12:53 pm to
quote:

You're not going to spend 14k every single year on medical unless something awful happens,
no but insurance covers your arse in case something tragic happens in the beginning phases. Of course f nothing happened for 20 years you could just save cash to use later but who knows when shite will hit the fan
Posted by EA6B
TX
Member since Dec 2012
14754 posts
Posted on 6/8/18 at 12:54 pm to
quote:

The bill sent to us for our newborn foster son was a little over $400 for his delivery and initial care. This was the discount for being uninsured.


I knew a couple that had no coverage for pregnancy due to waiting period on insurance after changing jobs, they paid the hospital in cash at the beginning of the pregnancy and got a very reasonable price for delivery services, they also set up a installment pay plan with the doctors involved. Hospitals would rather take a smaller guaranteed payment up front than take a chance on getting nothing later.
Posted by slackster
Houston
Member since Mar 2009
91874 posts
Posted on 6/8/18 at 12:55 pm to
quote:

People always act like great medical care is expensive, but its really not that expensive for someone with just a little bit of money. Given, that's only primary care not a specialist.


Therein lies the rub.

Primary care isn't the reason you pay $12k in premiums per year.
Posted by OweO
Plaquemine, La
Member since Sep 2009
122527 posts
Posted on 6/8/18 at 12:57 pm to
quote:

50, 60, 70%?


If you get 50 - 70% off.. You better tell the OT where you go get medical treatment.. That isn't in Mexico.
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