AmandaA
Pearl Clutcher
Posts: 3,501
Aug 28, 2015 22:31:17 GMT
|
Post by AmandaA on Nov 23, 2016 3:28:24 GMT
Anyone want to play a fun pricing game? Guess how much the ER bill was.... So the claim was finally submitted (over 2 months later) for my daughter's stitches. She got 3 stitches in her forehead. Our entire visit went like this... 1. arrived and signed in 2. waited 3. went to triage where a nurse asked what happened, took vital signs, asked pertinent history, and applied some numbing gel (less than 10 minutes total, probably closer to 5) 4. returned to the waiting room for 45 minutes (where we got to listen to a woman constantly yell at her toddler who was running around in only a t shirt and diaper while hoping the lady clutching the barf bag didn't use it) 5. Went back to a treatment room where a staff ER physician came in and looked at the wound and then put in 3 stitches (maybe 15 minutes) 6. Waited for our paperwork and left Don't get me wrong... I am grateful for them sewing her head up and would have paid anything to get my little girl's face treated (for me this was clearly a job for an ER and not an urgent care) but they billed over $2000! Contracted rate was approx 75% Well if anyone else plans on getting sick or needing something expensive, I hope they do it before December 31st since that one put us over our 5k deductible!
|
|
|
Post by utmr on Nov 23, 2016 3:36:16 GMT
Personally, I just assume that just walking in the door will be $1,500 and goes up from there. $2K for stitches sounds about right, unfortunately. Hope she's feeling better!
|
|
|
Post by Zee on Nov 23, 2016 3:38:12 GMT
The whole healthcare system is a shambles. It was already like this before Obamacare, and it continues to spiral out of control.
I wish I had the answers.
I am so lucky that I have insurance and good coverage. I don't know how I would manage to pay for my cancer treatment without it. The amounts billed, and what's actually paid, are just an out-of-control game of providers vs insurance. Understandably, each side wants to win.
|
|
LeaP
Pearl Clutcher
Posts: 3,939
Location: Los Angeles, CA where 405 meets 101
Jun 26, 2014 23:17:22 GMT
|
Post by LeaP on Nov 23, 2016 3:41:17 GMT
When my daughter needed stitches after slipping on a rock in Sequoia, our bill was around $2,000 for 3 stitches. It was shocking. I can't imagine how much it would have cost if something were truly wrong. I was bummed that it didn't happen here in Los Angeles where plastic surgeons are a dime a dozen and experts at stitches.
|
|
|
Post by cindyupnorth on Nov 23, 2016 3:43:06 GMT
Yea, none of the other details matter. ER visit, count on 1500 when you walk thru the door. End of story. I don't think it's right, but that's the way it is.
|
|
perumbula
Pearl Clutcher
Posts: 3,439
Location: Idaho
Jun 26, 2014 18:51:17 GMT
|
Post by perumbula on Nov 23, 2016 3:44:06 GMT
That right there is why we don't go to the emergency room unless I think someone is dying. DH's appendix about to burst? you bet. Possible broken bones is even going to depend on if I can find a doc in the box with an x ray machine. Even if I can't a scheduled appt for the x-ray costs 1/3 the price as an er x-ray.
|
|
|
Post by ntsf on Nov 23, 2016 3:44:37 GMT
we were in the emergency room 2 weeks ago.. we paid $75. but we have great insurance. we are looking at surgery next month.. probably cost $100,000... we won't pay much til january.. when we have to pay $300 per person again. our emergency room experience.. we came in at 6 am, saw the intake nurse. waited 5 minutes.. told the doc what the dx was.. and got the presciptions and left. home by 7 am. unfortunately.. the matter hasn't cleared up.. my dh has probably had $2+ million of medical care. in last 30 yrs.. due to accident. there is no way any savings account could have helped us.
I think medicare for everyone.. with a raise for the doctor's fees.. is the only way it will ever get better. it might not be the open choice for everyone.. but everyone could start living without the fear of medical costs.. and we could spend less on administration costs.
|
|
|
Post by Chips on Nov 23, 2016 3:49:11 GMT
I was thinking it would of been a much higher charge.
My neighbor's daughter went to the ER for stitches on her face and they went into great detail about a plastic surgeon being required to do the stitches since the injury was on the face. I have no idea if that's true but it is what they said happened.
|
|
|
Post by Basket1lady on Nov 23, 2016 3:49:43 GMT
Health care costs are crazy. DD had an MRI on her foot 2 weeks ago. Billed amount was $2,200. Tricare paid $325. It's nuts.
|
|
basketdiva
Pearl Clutcher
Posts: 3,613
Jun 26, 2014 11:45:09 GMT
|
Post by basketdiva on Nov 23, 2016 3:49:57 GMT
Cut my finger 6 weeks ago and went to the immediate care center near my house. Insurance was billed $275 and paid about $150. That included going back for the stitches to be removed. Urgent care centers are great for minor injuries.
|
|
AmandaA
Pearl Clutcher
Posts: 3,501
Aug 28, 2015 22:31:17 GMT
|
Post by AmandaA on Nov 23, 2016 4:06:44 GMT
I think I was honestly more shocked by the contracted amount. Good deal for the hospital and works out well for the insurance when dealing with a high deductible plan. Feels like a win-win for them if you get my drift.
|
|
|
Post by iteach3rdgrade on Nov 23, 2016 4:28:30 GMT
One thing that bothers me about the ER is you have no control over out of network and in network doctors. I think if they work at the hospital accepting x insurance then it should be at the in network amount.
|
|
|
Post by PolarGreen12 on Nov 23, 2016 4:56:41 GMT
I had my first ER trip three years ago. I was having irregular heartbeat, was there for almost 10 hours. Turned out to be PVC. The treatment. A nasty drink of potasssium loaded orange stuff. The bill, $8730. All I had to pay was a $150 copay. But Dayam!!! The cardiologist came in for 10 min max after if been there for 6 hours. That's it!!!!
|
|
finaledition
Pearl Clutcher
Posts: 4,896
Jun 26, 2014 0:30:34 GMT
|
Post by finaledition on Nov 23, 2016 4:59:41 GMT
That right there is why we don't go to the emergency room unless I think someone is dying. DH's appendix about to burst? you bet. Possible broken bones is even going to depend on if I can find a doc in the box with an x ray machine. Even if I can't a scheduled appt for the x-ray costs 1/3 the price as an er x-ray. Yep-my daughter needed stitches twice last month and we went to urgent care. In and out in less than 1 hour and paid a $20 co-payment.
|
|
|
Post by scrappintoee on Nov 23, 2016 5:00:53 GMT
Glad your dd is okay I was shocked when my fluroscopic-guided steroid injection in my hip was over $4.000.00! I am also grateful to have awesome insurance; but it's still outrageous! Annnd, my co-pays were $250.00 for the Xrays and Fluroscope, and another $235.00 to the hospital or doctor---whatever....but paying over $500.00 out--of--pocket for the ONE MONTH** of pain relief I got----UGH, I NEVER would've had it if I'd known ! **One of my friends has the same arthritic problem in her hip; and she had FIVE YEARS of pain relief after one steroid injection! Of course, I'm HAPPY for her and others who get pain relief for a substantial time; and yes----I knew there were NO GUARANTEES----- but now that I know since this is such an expen$ive co-pay, I will never have one again, no matter how much pain I'm in !!!
|
|
|
Post by peasapie on Nov 23, 2016 7:57:20 GMT
I never use the ER so I'm curious to hear the cost.
|
|
gsquaredmom
Pearl Clutcher
Posts: 4,078
Jun 26, 2014 17:43:22 GMT
|
Post by gsquaredmom on Nov 23, 2016 9:41:59 GMT
My guess was 3k.
A recent ER visut for my husband for severe abdominal pain? History of diverticulitis. Prior bowel resection. Two hours total. Saw the doc for a total of ten minutes.
Abdominal CT. One shot of pain meds. For them to say they did not know what it was. Call a gastro.
Over 12k
|
|
momto4kiddos
Drama Llama
Posts: 5,151
Jun 26, 2014 11:45:15 GMT
|
Post by momto4kiddos on Nov 23, 2016 11:38:47 GMT
Sounds about right. My ds cut his thumb open and needed a couple stitches. My out of pocket after the insurance had covered their part was around $900.
|
|
|
Post by compeateropeator on Nov 23, 2016 12:10:55 GMT
Unfortunately medical cost are over the top. And the problem is that to purchase insurance is just about as bad. Like everything if you are wealthy and/or have great insurance you are okay. Also if you are below the poverty level there are many times some kind of safety net or programs to help...it is the middle class again that seems to be most affected.
My nephew has had to have an IVIG infusion about every 2 weeks (we are up to 10 or 11) and at about 18,000.00 a wack just for the medicine not including the cost of having it administered at the hospital, I am not sure how anyone could afford it without insurance.
It makes me sad to think that so many people are not getting the help they need for medical issues. What the fix is I don't know,but I think something has to be done. And I don't think this is one of those things that you can say life is not fair or just work harder and get a better job,
|
|
StephDRebel
Drama Llama
Posts: 6,663
Location: Ohio
Jul 5, 2014 1:53:49 GMT
|
Post by StephDRebel on Nov 23, 2016 12:13:12 GMT
We had a $3800 broken finger this summer. Grandma took him to the er instead of putting a splint on and taking him to ortho the next day. Yay!
|
|
iluvpink
Pearl Clutcher
Posts: 4,278
Location: Michigan
Jul 13, 2014 12:40:31 GMT
|
Post by iluvpink on Nov 23, 2016 12:22:45 GMT
Long story but my dd has had three emergency room visits in the last 5-6 weeks. And in one case they had to transfer her via ambulance to the ER at another hospital. So four ER visits were billed. The cheapest one was $1600 and the most expensive was $7300 (overnight). For the most part it was a lot of labs and iv fluids and a couple of xrays. She has has juvenile rheumatoid arthritis and Type 1 diabetes. They billed $37 each time they checked her blood sugar. Insurance paid under $6. Half the time I checked her blood on her own meter but because they needed it recorded officially and scanned into the system, they had to do it sometimes.
|
|
tincin
Drama Llama
Posts: 5,368
Jul 25, 2014 4:55:32 GMT
|
Post by tincin on Nov 23, 2016 12:23:36 GMT
The thing is that you aren't just paying for the services received, you are paying for much, much more. You're paying for the patients who can't or won't pay, for lights and heat, for sanitation and sterilization of rooms and equipment, for malpractice insurance, etc. Those costs have to be covered to keep the hospitals open so you pay or you don't and the next patient pays a little more.
|
|
M in Carolina
Pearl Clutcher
Posts: 3,128
Jun 29, 2014 12:11:41 GMT
|
Post by M in Carolina on Nov 23, 2016 12:40:40 GMT
If at all possible, try to find an urgent care center instead. Some GPs also do stitches, and if you break a bone during their office hours, some can write a STAT script for an x ray at an x ray center or even a hospital. That's what my GP in Chicago would do.
I'm very fortunate to have incredibly good insurance. My dh stays at his company because of those benefits. We're finally financially solvent because we're not having to pay $$$$ for the hospitalizations, etc. I require. I hate that this type of care isn't available to everyone. It's not fair.
We got a collections call yesterday. A few years ago, while driving back to Chicago, dh needed an ER. So we stopped in Tennessee. Our insurance paid the bill. The EOB says we own the ER physicians $0.00. The doctors said that we owed the difference between the amount they charge and the amount our insurance is contracted to pay them. They sent it to collections. We straightened it out, we thought. They put it on our credit report as an unpaid debt. We proved we didn't owe it.
Lather, rinse, repeat. 2 more times. Now again this week. Dh found the EOB yesterday. I called the state of Tennessee to see how to file a grievance against this group. When you go to an ER, you can't choose your doctors, so insurance is supposed to pay. The doctors aren't supposed to charge you the extra. You don't have to pay it. People don't know that, so they pay it anyway. Which is why those doctors bill them.
So I'm turning them in so the state will tell them to knock it off.
The weirdest thing is that we weren't sure where that EOB was. A friend had suggested we keep all our EOBS just in case. But the box was in our garage, which is full of boxes waiting for our next move.
Our elderly cat, Gris, snuck into the garage yesterday. She's only done that once or twice in the 3 years we've lived here. She was rustling around, and dh heard her. So he yelled at her. She knocked a box over on her way back into the house at speed we didn't think she still possessed.
Guess which box she knocked over. I kid you not. She got lots of kisses and treats, too. And we call them *dumb* animals.
|
|
imsirius
Prolific Pea
Call it as I see it.
Posts: 7,661
Location: Floating in the black veil.
Jul 12, 2014 19:59:28 GMT
|
Post by imsirius on Nov 23, 2016 12:42:12 GMT
Wow! I can't fathom having to pay those costs. Even with insurance. It's just mind boggling how you guys can afford it!!!
I had an appointment twice last week with my GP, did my pre op yesterday for my surgery on Tues. Will have the surgery on Tues with an 8 hour stay in hospital. My total bill? ZERO dollars.
I know it's a totally different country and process, but I just can't wrap my head around the costs you guys pay!
|
|
|
Post by cannmom on Nov 23, 2016 13:43:09 GMT
My guess was 3k. A recent ER visut for my husband for severe abdominal pain? History of diverticulitis. Prior bowel resection. Two hours total. Saw the doc for a total of ten minutes. Abdominal CT. One shot of pain meds. For them to say they did not know what it was. Call a gastro. Over 12k Whenever you have a CT expect a large bill. CTs are an expensive charge. A CT machine is incredibly expensive and you also have to account for the CT techs time and the Radiologists fee for reading the scan. Big money.
|
|
MerryMom
Pearl Clutcher
Posts: 2,534
Jul 24, 2014 19:51:57 GMT
|
Post by MerryMom on Nov 23, 2016 13:47:46 GMT
In an ER you are paying for the ER to be stocked and staffed to deal with every time of emergency. From cold symptoms, to diarrhea, the dehydration, to stroke, to heart attack, to minor car accident, to Level I multiple fatality or near fatality car accident, to your daughter needing some stitches.
|
|
|
Post by Linda on Nov 23, 2016 13:48:13 GMT
I feel your pain - my DD fell at school on the playground equipment - bleeding in her private parts. School called and asked us to take her to be treated - Urgent care referred us directly to the ER based on the location of her injury. We were in and out of the ER in less than an hour - they examined her and determined she had lacerations but didn't need stitches and there was no internal concerns and released her. Total fees over $10K, we paid over $1K out of pocket
|
|
|
Post by mikklynn on Nov 23, 2016 13:50:35 GMT
I, too, stay at my job for the medical insurance. DH's bills are over $700k this year. His cancer treatment every 2 weeks is $33k. It's labs and an infusion. Thank God for our insurance.
|
|
julieb
Pearl Clutcher
Posts: 2,845
Jul 3, 2014 16:02:54 GMT
|
Post by julieb on Nov 23, 2016 14:12:23 GMT
It's gotten out of hand. I actually received a solicitation to donate to a large medical group in the suburbs of Chicago. I was infuriated. If I get another one I'm going to write "are you f****** kidding me?" on it and send it back.
|
|
|
Post by littlemama on Nov 23, 2016 14:21:21 GMT
Urgent Care does stitches. I wouldn't go to the ER for stitches unless it was outside of urgent care hours.
|
|