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Old 02-01-2010, 07:38 AM
 
Location: PA
5,562 posts, read 5,682,324 times
Reputation: 1962

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Quote:
Originally Posted by tyanger View Post
I'm not trying to make a big deal about it. I'm just saying #1) that having both a CT and a sono performed is not unusual, and #2) while the claim of getting 2 morphine drips technically is probably a "lie" - it easily could have been 2 IV/IM injections and the OP simply misspoke(typed). Since I have no way of knowing all the details I'll just drop it.

(by the way, you'd be amazed how much morphine/demerol/dilaudid some folks can soak up and not even blink)

It was intermit injections you are correct not drips.
I originally misspoke.
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Old 02-01-2010, 07:51 AM
 
Location: Floribama
18,949 posts, read 43,605,154 times
Reputation: 18760
Quote:
Originally Posted by World Citizen View Post
I understand that 425 was not the REAL cost.

And, most likely what you're paying is the negotiated prices agreed upon by your carrier as part of your coverage even though you're paying your deductible out-of-pocket.

My last doctors visits were more like 260 (which I had to pay, as well.)

That was just for a typical doctors "exam" which did not include any tests or drugs ... or, any treatments that she required.
Wow. My family doctor only charges $65 per visit, even the specialist I went to (urologist) only charged $125.

I had a pelvic CT and an ultrasound done and it wasn't even enough to reach my $1k deductible.
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Old 02-01-2010, 08:51 AM
 
Location: Florida
76,975 posts, read 47,621,806 times
Reputation: 14806
Quote:
Originally Posted by VLWH View Post
First a hospital admission needs to meet certain criteria in order to admit a patient and these criterias must be maintained in order to extend the stay. If they are not met the insurance company will deny the claim. Second, the charges submitted to the insurance company mean very little to the contracted reimbursment the hospital will recieve from the insurance company.
They created the criteria meeting condition by saying that she needed the scan, but she ended up permanently in the back of the line because she was not a priority. So, she laid in bed for three days waiting for it. And I am saying that if she didn't have insurance they probably would have scanned her the same day and sent her home, as opposed to absorbing the cost of three days wait ($15 000).
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Old 02-01-2010, 09:17 AM
 
Location: NJ/NY
10,655 posts, read 18,662,054 times
Reputation: 2829
$425 is for the ER Visit... she will be billed separately for any testing performed. She better be ready for a bill. I just called them asking about "Flat Rate" Emergency Room visits and they had no idea what I was talking about.

Every time I have gone to an ER, I get a bill from the ER, then a separate bill for tests/radiology, etc. I unfortunately had to visit an ER a few months ago and bill from hospital was approx $375. Bill for radiology/specialist arrive separately and were over $3000.
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Old 02-01-2010, 09:57 AM
 
6,993 posts, read 6,337,597 times
Reputation: 2824
Quote:
Originally Posted by LibertyandJusticeforAll View Post
Really are you sure about that.
The Dr's and nurses are on salary not hourly and arent paid based on what or how may surgries they do in the ER. So the hospital already knows their costs how which they have paid them 10 times over in the prices they charge.
The hositpal actually pushs this plan of 425 its cash in there hand, no real followup, paper work and waiting for the insurance company to pay them 6 months later. If she had to stay over night that would be a different story and actually be admitted.
Pretty sure.

The average cost of a sonogram is $200. Cost of an Ultrasound - Get Information and Cost Guidelines - CostHelper.com
Average cost of a CT scan ranges from $700 - $3000, depending on location. CAT Scan Cost Information

Add in the drips, personnel costs, etc. and you're well over $425. If your girlfriend had required even more complex care, the actual cost would be even higher.

So, how do you think the hospital makes up for the difference between the really neat "flat rate" and the actual costs?
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Old 02-01-2010, 10:15 AM
 
Location: AL
2,476 posts, read 2,603,629 times
Reputation: 1015
Well illegals do it all the time...but they dont even have to pay the $425.00 lol..Good country America.....If your NOT an American.
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Old 02-01-2010, 10:40 AM
 
Location: DC
3,301 posts, read 11,715,998 times
Reputation: 1360
While I'm glad it worked out for your girlfriend, I have to say the whole ER situation is just BS. My roommate had a UTI and had to go to the ER (no primary in the area, and urgent care was closed). She sat in the waiting room for 45 minutes, peed in a cup, got some ibuprofen, and had an irritable doctor speak to her for 5 minutes and write a prescription. After her insurance went through, she ended up paying over $300 out-of-pocket. Makes you wonder what you're paying for...
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Old 02-01-2010, 12:55 PM
 
Location: OCEAN BREEZES AND VIEWS SAN CLEMENTE
19,893 posts, read 18,442,508 times
Reputation: 6465
Quote:
Originally Posted by newtoli View Post
$425 is for the ER Visit... she will be billed separately for any testing performed. She better be ready for a bill. I just called them asking about "Flat Rate" Emergency Room visits and they had no idea what I was talking about.

Every time I have gone to an ER, I get a bill from the ER, then a separate bill for tests/radiology, etc. I unfortunately had to visit an ER a few months ago and bill from hospital was approx $375. Bill for radiology/specialist arrive separately and were over $3000.


You have brought up some valid points here. I bet she will be billed separately, for other testing that was performed. There are separate bills for different test, such as radiology, etc. Even though we have pretty good medical insurance, we are still billed separately for different test's that are performed, even when i had to go to emergency last year, i was billed separately, from different E.R. Doctors, who performed different test's on me.
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Old 02-01-2010, 01:16 PM
 
Location: PA
5,562 posts, read 5,682,324 times
Reputation: 1962
Quote:
Originally Posted by newtoli View Post
$425 is for the ER Visit... she will be billed separately for any testing performed. She better be ready for a bill. I just called them asking about "Flat Rate" Emergency Room visits and they had no idea what I was talking about.

Every time I have gone to an ER, I get a bill from the ER, then a separate bill for tests/radiology, etc. I unfortunately had to visit an ER a few months ago and bill from hospital was approx $375. Bill for radiology/specialist arrive separately and were over $3000.
Not at this hosipital maybe the one in NY were you live. But this is in PA right outside of Philadelphia.
Maybe this hositipal is doing something your hositipal has no concept of its called common sense prices. Really at this point reading a radiology chart and xrays is something nurses can do, even first year medical school students. A surgery, and actually MEDICAL treatments I could see the costs not to USE A MACHINE and read the results to a person! Today take blood, take urine and use machines to test for results of which take about 5 minutes of work. They have simplied reults and blood lab work so that I think monkeys might be doing the tests in a few years. Back about 35 years ago they had to mix and do many many tests with the blood of which was time consuming, etc.
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Old 02-01-2010, 01:21 PM
 
Location: Up in the air
19,112 posts, read 30,626,028 times
Reputation: 16395
Quote:
Originally Posted by LibertyandJusticeforAll View Post
Not at this hosipital maybe the one in NY were you live. But this is in PA right outside of Philadelphia.
Honestly, I would be saving up for a big bill....everything is billed separately and there is no such thing as a 'flat rate' ER visit.

Trust me, I've been in the ER a lot over the years.
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