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(700 WLW)   Headline: "Hospital bills make no sense." Obvious tag may explode at any moment   (700wlw.com) divider line 130
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3663 clicks; posted to Main » on 09 May 2013 at 11:29 AM (2 years ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-05-09 10:29:42 AM  
content.clearchannel.com

u don't need shiat. but we're still gonna charge you and SAY you needed it.
 
2013-05-09 11:32:26 AM  
I've never been admitted to a hospital or had to deal with charges, but do patients have any ability to negotiate these procedures?
 
2013-05-09 11:32:56 AM  
I have a $205 bill from the ER so I'm getting a kick out of this thread...
 
2013-05-09 11:33:27 AM  
My mom is getting her 2nd knee replacement in less than a year.  1st one went so good, she is excited about the next one.    About $50k per knee, done locally
 
2013-05-09 11:34:09 AM  
Hospitals can't publish their prices or they might have to actually compete with one another.  And we can't have that now, can we?
 
2013-05-09 11:34:13 AM  
As long as the beejay from the night nurse doesn't show up, I've got no problems.
 
2013-05-09 11:34:14 AM  
Hospitals have bills now?

Well, I guess if you don't live in a civilized country.
 
2013-05-09 11:34:51 AM  
I think that if you get the bill and you have no insurance, it makes even less sense.
The insurance comapanies are able to negotiate the bill.  We individuals are not.  This is why hospital bills are so outrageous.  They expect it will be remitted to insurance, and be cut back.
 
2013-05-09 11:35:05 AM  
Fail for not linking the original WaPo article.
 
2013-05-09 11:35:27 AM  
i have a big hospital bill that i have no farking idea what it means

/and they didn't really even do anything, just xray
//broken foot
 
2013-05-09 11:35:58 AM  

DubtodaIll: I've never been admitted to a hospital or had to deal with charges, but do patients have any ability to negotiate these procedures?


I'm negotiating an $880 bill for a 15 minute interview my wife had with an admitting physician right now.  It immediately turned into a $720 bill, and I'm telling them flat out they can have $200, take it or leave it.

So yeah, sometimes, but only AFTER the fact.
 
2013-05-09 11:36:35 AM  

DubtodaIll: I've never been admitted to a hospital or had to deal with charges, but do patients have any ability to negotiate these procedures?


I personally do my best negotiating will clinging to life in the ICU... when I was recovering from 37 bullet wounds, not only did I get them to knock 72% off the bill, I also got all-you-can-eat jambalaya and a BJ from the nurse.
 
2013-05-09 11:36:40 AM  
Data will be the death of this corrupt "business model".
 
2013-05-09 11:40:10 AM  
My wife broke her ankle on a Saturday afternoon. At 10 PM on Saturday night the hospital decided she needed to have a couple of screws put in and scheduled it first thing Sunday morning. Later, my insurance company denied paying for the procedure because it wasn't "pre-certified." I guess we should have scheduled her accident in advance for them.
 
2013-05-09 11:40:43 AM  
I had to pay $600 this year, for the hospital doing literally NOTHING to me.  I didn't even go there once.  Thanks, socialism.

uberhumor.com
 
2013-05-09 11:41:25 AM  

DubtodaIll: I've never been admitted to a hospital or had to deal with charges, but do patients have any ability to negotiate these procedures?


Back when I didn't have health insurance I had a massive panic attack that landed me in the ER. I was in the ER for about 4 hours, 3.5 of that was spent in the waiting room. When I received the bill for over 3K I was livid. I was seen by a nurse who took my temperature, checked my blood pressure and took my heart rate. I called the billing department and negotiated the bill to half. It took me 2 hours and speaking to 3 people to do it. I had to ask what most of the items on the bill even were. They billed me for stuff that they didn't even do.
 
2013-05-09 11:41:37 AM  

The_Gallant_Gallstone: DubtodaIll: I've never been admitted to a hospital or had to deal with charges, but do patients have any ability to negotiate these procedures?

I personally do my best negotiating will clinging to life in the ICU... when I was recovering from 37 bullet wounds, not only did I get them to knock 72% off the bill, I also got all-you-can-eat jambalaya and a BJ from the nurse.


What did they charge you for the penile reduction surgery?
 
2013-05-09 11:43:57 AM  
If you pay your hospital bills you are a chump, plain and simple.  This is America!
 
2013-05-09 11:44:02 AM  
From the WaPo article: "It's true that Medicare and a lot of private insurers never pay the full charge," said Renee Hsia, an assistant professor at the University of California at San Francisco Medical School whose research focuses on price variation. "But you have a lot of private insurance companies where the consumer pays a portion of the charge. For uninsured patients, they face the full bill. In that sense, the price matters."

The obvious problem is that the "price" doesn't really matter for insured patients, because each insurance company has set prices pre-negotiated that they will pay for a procedure that are well below what is listed. It's the uninsured who end up having to pay it. Yet another reason why everyone needs insurance.

/although not the best solution to the problem
 
2013-05-09 11:44:27 AM  

rustypouch: Hospitals have bills now?

Well, I guess if you don't live in a civilized country.


My hospital doesn't charge me a dime, and I live in the good ol' USA.

(It's apparently not Socialism when the military does it.)
 
2013-05-09 11:45:13 AM  
I went in for stitches and got a lab fees on my bill.

I asked for my lab results and they said the records were lost. When I explicitly called them out on piling on fraudulent charges and taking my example to regulators they stopped talking to me. There's a disconnect between that allows them to throw in charges.
 
2013-05-09 11:47:56 AM  
/smugCanadianmode: ON

Hospital bills?  What are those?

/smugCanadianmode: OFF
 
2013-05-09 11:48:48 AM  

Gonz: rustypouch: Hospitals have bills now?

Well, I guess if you don't live in a civilized country.

My hospital doesn't charge me a dime, and I live in the good ol' USA.

(It's apparently not Socialism when the military does it.)


Hmm, interesting point.  I think I just realized the reason socialism is such a hard sell in the America is because the people paying for it don't believe the people who'd be receiving it have done anything to deserve the free stuff.  I guess this isn't the case in parts of Europe?  Soldiers on the other hand are pretty easy to make that argument for.
 
2013-05-09 11:49:10 AM  
I've had the same procedure on my eye done three times. I get charged wildly different amounts every time. My insurance is shiat, so I end up paying wildly different amount. I called the Anesthesiologist to work on the price and they gave me a automatic $200 discount, cutting my bill by a little more than half.

I try to avoid the General Practitioner because the one time I went they added a mysterious $200 charge to my office visit. I was there for 15 minutes and received no drugs or anything else.
 
2013-05-09 11:49:26 AM  
"500 ml sterile saline solution:  $400.00"  That was from my 1998 bill.  Getting it was hilarious.  First, they sent me one-third of a sheet of 8.5x11 paper that simply said, "That'll be $10,000."  I wrote, "Itemize, please" on it and mailed it back.  Got many chuckles out of the resulting five pages.
 
2013-05-09 11:49:46 AM  
I had lunch a a seafood restaurant once and later thought I might have a fish bone lodged in my throat. I went to the ER and described the feeling that something was lodged in my throat right where my collarbones meet. The ER nurse looked me in the eye and said, "I have a middle-aged man complaining of pain in his chest." I told her I needed an x-ray of my throat to see if there something caught in there. She ordered an EKG and bloodwork for a heart-attack just because she could bill my insurance for it. The EKG tech even said, "You're the calmest heart attack patient I have ever seen." Only after that came back negative did I get the x-ray which was also negative. Hospitals are not altruistic.
 
2013-05-09 11:49:59 AM  

Hipchewy1: They billed me for stuff that they didn't even do


That stuff is very profitable.

Most hospitals will also insist on supplying all your prescriptions, even the ones you have on your person.  That way they get to mark them up several thousand percent.
 
2013-05-09 11:50:51 AM  
Waiting for the GOP farkers to say some derp about how the free market will fix this.
 
2013-05-09 11:51:39 AM  
Two people at work were recently telling me about horrible experiences with Urgent Care, which apparently is everything except "urgent". In one case a person was billed $2k for having her vitals taken and a doctor poking her stomach (and then they told her to go to the ER). In the other, a guy got blood work taken and was sent home. He felt ever worse later so he went to the ER and spent six days in hospital. Two days after the bloodwork Urgent Care called his home and told him to go to the ER.

America #1 !
 
2013-05-09 11:52:13 AM  

Albert911emt: Waiting for the GOP farkers to say some derp about how the free market will fix this.


The hospital chains put the free market into a coma and are scavenging it for spare boid parts.
 
2013-05-09 11:52:52 AM  

trotsky: I try to avoid the General Practitioner because the one time I went they added a mysterious $200 charge to my office visit. I was there for 15 minutes and received no drugs or anything else.


The doctor's office my mom goes to has a fee of $200 for an office visit and I'm pretty sure that's to make the drug company reps not take up their time during office hours and yes I have seen them tell drug company reps that.
 
2013-05-09 11:53:06 AM  
Hospital bills?

You crazy Yanks.
 
2013-05-09 11:53:09 AM  
I'm recuperating from my second two level cervical spinal fusion and dealing with bills from the hospital, anesthesiologist, neuro-surgeon, assistant surgeon, primary care, two different radiology companys(hospital s-rays and separate MRI center), Quest diagnostics and a maze of gibberish from my insurance company(which I didn't have for the first surgery $55k yay). So I'm getting a kick, etc.
 
2013-05-09 11:53:39 AM  

Gonz: rustypouch: Hospitals have bills now?

Well, I guess if you don't live in a civilized country.

My hospital doesn't charge me a dime, and I live in the good ol' USA.

(It's apparently not Socialism when the military does it.)


I'm not familiar with VA medical benefits, but IIRC there are some "extended" plans that require premiums and shared payments much like civilian insurance.  Seems I read about the cost of those going up not long ago.  True?
 
2013-05-09 11:54:33 AM  

NoGods: My wife broke her ankle on a Saturday afternoon. At 10 PM on Saturday night the hospital decided she needed to have a couple of screws put in and scheduled it first thing Sunday morning. Later, my insurance company denied paying for the procedure because it wasn't "pre-certified." I guess we should have scheduled her accident in advance for them.


Insurance companies are mostly a joke.

When I got an $800 bill from the hospital for 70 minutes of waiting, 10 chatting with Dr. White (who always seems to be in the ER when someone we know needs it, but he's a great guy, so who cares), and 10 on a nose tube/X-ray test, I ignored it, thinking they had sent it to my InsurCo; else why ask me for my insurance information during intake?

Turns out, I had to tell the insurance company why I went to the ER (including telling them that I had called my PCP - I have no idea if anyone confirmed with her. Bear this fact in mind, you may need to "borrow that truth" one day), fax them my insurance information (because the company doesn't keep records of who has a policy? WTF!), and allow them to deal with the hospital. After the third day of this bullcrap, I wondered why I pay my InsurCo thousands of dollars a year.

// I find the best way to carry health insurance is to not get sick
// it's worked mostly gangbusters for me so far
// I hope I never have to file another claim, ObamaCare or no
 
2013-05-09 11:55:23 AM  
This is pretty cool.  You can download the whole stinkin' spreadsheet.
 
2013-05-09 11:55:52 AM  
Do you mean like in from about 2% of GDP up to 25% and only 75% to go; doesn't make cents?
 
2013-05-09 11:56:16 AM  

Albert911emt: Waiting for the GOP farkers to say some derp about how the free market will fix this.


So, if you could save $10K by going to a hospital across town, you wouldn't?
 
2013-05-09 11:56:23 AM  
I'd much rather doctors and the pharmaceutical and tech companies who supply hospitals be paid a decent salary as government contractors, and my taxes be used to pay for my health care and the health care of others in my community.

It makes sense to me. I'd rather see my neighbor without insurance get medical treatment than have him remain ill, and possibly spread illness to me and others in our community. I'd rather he be able to work and contribute to society than sit at home with an injury that he can't get proper treatment for. I can't understand how people can be okay with their taxes paying for roads, bridges, police, Congresspersons' salaries, Senators' escort fees, judges golf club memberships, etc. but they freak out about making sure the people in their town aren't spreading disease or languishing in pain and unable to work.

We have screwed-up priorities in America.
 
2013-05-09 11:57:13 AM  
I'm Canadian and laugh at your American health care system

/hospitals charge what they want because they can over there
//I think this obvious tag is going to go super nova and implode into a black hole
 
2013-05-09 11:57:15 AM  

docmattic: /smugCanadianmode: ON

Hospital bills?  What are those?

/smugCanadianmode: OFF


Canadian here too. A could of summers ago we took a trip to the states. My youngest slipped and split his face open. About 4 hours in the ER ( they have the same problem with junkies with 'roaming abdominal pain' that only Vicodin or OxyContin can cure that we do). Son got three stitches. We got a bill from the dr for $1800, and one from the hospital for $1200. About $1000 per stitch. I'm not sure if our insurance company negotiated. Thank Fark we didn't have to pay.
 
2013-05-09 11:57:52 AM  

A Terrible Human: trotsky: I try to avoid the General Practitioner because the one time I went they added a mysterious $200 charge to my office visit. I was there for 15 minutes and received no drugs or anything else.

The doctor's office my mom goes to has a fee of $200 for an office visit and I'm pretty sure that's to make the drug company reps not take up their time during office hours and yes I have seen them tell drug company reps that.


That's probably a "facility charge" tacked on by the hospital with which the GP is affiliated.  I read about them but can't recall the rationale at the moment.
 
2013-05-09 11:58:20 AM  

Hipchewy1: DubtodaIll: I've never been admitted to a hospital or had to deal with charges, but do patients have any ability to negotiate these procedures?

Back when I didn't have health insurance I had a massive panic attack that landed me in the ER. I was in the ER for about 4 hours, 3.5 of that was spent in the waiting room. When I received the bill for over 3K I was livid. I was seen by a nurse who took my temperature, checked my blood pressure and took my heart rate. I called the billing department and negotiated the bill to half. It took me 2 hours and speaking to 3 people to do it. I had to ask what most of the items on the bill even were. They billed me for stuff that they didn't even do.


I have almost the exact same story but my bill was $5k and I had the insurance to cover it. When I first got to the ER my BP was 266/180 by the time I left it was 160/90 a couple of Xanax later and I was out.
 
2013-05-09 11:58:22 AM  

fireclown: So, if you could save $10K by going to a hospital across town, you wouldn't?


But what if your town only has one hospital?
 
2013-05-09 11:59:32 AM  

fireclown: Albert911emt: Waiting for the GOP farkers to say some derp about how the free market will fix this.

So, if you could save $10K by going to a hospital across town, you wouldn't?


The published data is what hospitals charged Medicare.  I wouldn't be sure that an uninsured patient would get them or anything like them.
 
2013-05-09 12:00:30 PM  

ZeroCorpse: I'd much rather doctors and the pharmaceutical and tech companies who supply hospitals be paid a decent salary as government contractors, and my taxes be used to pay for my health care and the health care of others in my community.

It makes sense to me. I'd rather see my neighbor without insurance get medical treatment than have him remain ill, and possibly spread illness to me and others in our community. I'd rather he be able to work and contribute to society than sit at home with an injury that he can't get proper treatment for. I can't understand how people can be okay with their taxes paying for roads, bridges, police, Congresspersons' salaries, Senators' escort fees, judges golf club memberships, etc. but they freak out about making sure the people in their town aren't spreading disease or languishing in pain and unable to work.

We have screwed-up priorities in America.


As a bonus, the places where we do that pay less in healthcare costs, both in absolute numbers, and in terms of percentage of GDP. Plus, we don't have to worry about going bankrupt if we get sick or injured.

But it does mean some people might get treatment they don't 'deserve.'
 
2013-05-09 12:01:08 PM  

BarkingUnicorn: That's probably a "facility charge" tacked on by the hospital with which the GP is affiliated. I read about them but can't recall the rationale at the moment.


As far as I know it's a private practice owned by one of the doctors.
 
2013-05-09 12:01:26 PM  
$5,304 for a joint replacement at one hospital in Oklahoma compared with $223,373 for one in California.

Cost of living and cost of transport matter.

One DC hospital charges $115,000 to put a patient on a ventilator, while another in the same city charges $53,000.

That OTOH is harder to explain.
 
2013-05-09 12:01:39 PM  

Albert911emt: Waiting for the GOP farkers to say some derp about how the free market will fix this.


Or how Obamacare will make it all much, much worse.

I'm kind of surprised the right-wing derp machine hasn't shown up.  Maybe their backers haven't paid them lately, or they haven't gotten todays talking points.
 
2013-05-09 12:03:01 PM  
Being a state employee may not pay shiat, but I've had both of my ACLs fixed for free.

We have a co-pay now though.  So no more skydiving for me.

/never skydived
 
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