Earlier quoted context omitted.
I don't think they actually write a check for the amount the hospital owes. I think my EOB for surgery looked something like: Item: drugs Amount requested: $7000 Amount paid: $3 Amount owed by patient: $0
Do you mean the amount the hospital bills? I'm talking about a bill I have to pay to meet my deductible, so the 5x number is the number that appears in the EOB (the covered amount for the service) and unless I am mistaken, it is the amount they would pay if I had met my deductible. My paranoid speculation is that they push back harder against the coding of bills that they are responsible for than they do for bills th…
Anyway, like everything in life, the prices are negotiable. My insurance wouldn't cover the surgeon's time for the surgery despite pre-approving it, I negotiated quite a discount on that. (It was Aetna too. Good to know the claim was denied after a good night's sleep.)