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The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

thecity.nyc

91–100 of 175 posts

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#91

Definitely need to start cracking down on predatory hospital billing. 10K billed just for stepping into the ER Room without even getting tested is absolutely insane. AT point do we decide this is criminal and start taking actions against these guys? Normally, I would never be in favor of price ceilings but this is one industry that desperatly needs it.

Price controls, de facto or de jure, seem to be one prominent, common factor in the health care systems of every other advanced economy. Even Singapore, practically the only "see, the market can work for health care!" example I see used, has them.

Where I'm from, in the EU, there is an organization that pays for procedures that people have in hospitals, and they have a price list that they agree on with the hostpitals in a contract. If a hospital wants to be paid for some kind of operation on patients or for "days in type x of hospital bed/care" then it's all in the price list they agree on. And the hospitals don't go bankrupt... or make a profit. They are basically non-profit organizations owned by the local government and the country. They were created with the goal of taking care of peoples health and doing the procedures that people need, not with the goal of making a profit or meeting some financial targets.

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#92
post #27

Earlier quoted context omitted.

I paid something like $800 for one crutch when I sprained my ankle once. Think another $300 for ibuprofen. Now I know why there's a crutch market on craigslist/thrift stores. Not sure what my insurance paid for xrays, etc, but my tab was something like $1100 for that ER rendezvous. Thought I broke my leg. I had a laparoscopic surgery a few years ago that was $35k.

to be fair, you paid a doctor to administer you a crutch and ibuprofen, I'm certain that's not the raw material cost.

I wish that was the case. If you sort the line items by cost, I would be surprised if labor was on top. Maybe for surgeries, but I doubt that.

My insurance got billed 6k for a chest ultra-sound. They paid 4k. Hospital still wanted around 2k, had to negotiate and pay a little over 1k at the end.

The line item for physician cost (billed separately) had 2 digits.

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#93
post #27

We decided (slash "made the mistake") of going to the emergency room last summer. Spent less than two hours in an exam room before being dismissed with no conclusion and referral to another doctor. Got a $9500 bill about six months later and have been billed a 10% copay on that (insurance paid $5500 already at their negotiated rate). Still fighting it as absolutely absurd, but there's really no hope. This country is…

I paid something like $800 for one crutch when I sprained my ankle once. Think another $300 for ibuprofen. Now I know why there's a crutch market on craigslist/thrift stores. Not sure what my insurance paid for xrays, etc, but my tab was something like $1100 for that ER rendezvous. Thought I broke my leg. I had a laparoscopic surgery a few years ago that was $35k.

$800 for a crutch is insane. especially considering that one could do with some handy woodwork and some sticks if it was truly necessary.

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#94

Side note: if you suspect a COVID-19 infection, DO NOT GO TO THE ER. Contact a physician by phone, get instructions. By going to the ER you put a lot of people at risk.

This is the most important thing here. The testing should be done at home.

I'm pretty sure testing not available at home.

But you're right, testing should be available at home.

We're simply in a lot of trouble.

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#95

Earlier quoted context omitted.

Meanwhile, I went to the emergency room in a hospital with my girlfriend in London two years ago and it was free for her. We're Americans. Guess which country has better health outcomes.

>Guess which country has better health outcomes. The US, by all objective measures. https://en.wikipedia.org/wiki/List_of_countries_by_quality_o... It's actually not uncommon for Brits to travel to America to pay for treatments not available on the national health or to avoid the often years-long waiting lists.

Mmm yeah I wonder.

UK: someone dies of cancer or whatever. Enters the statistics as cancer death. Drags down outcome.

USA: someone dies of cancer or whatever. Was poor. Gets buried. Cancer statistics unharmed.

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#96
post #90
post #84

Earlier quoted context omitted.

The provider was paid 3,000 by the payor - that's how insurance billing works. It absolutely is a rats nest when it comes to finding out pricing information but the number on the bill is what ended up changing hands (less, possibly, any amount not covered and defaulted on by the patient). I believe you're thinking of the provider's chargemaster and the pricing discrepancies there - this procedure was billable as 10,0…

Insurance _never_ pays as much as they bill. This is one of the reasons to have it in the first place: each insurance company has negotiated rates with the hospitals. Even if you have high deductible, you'll still be getting negotiated rates, not the bullshit they (try to) charge people with no insurance at all. IMO, this is one thing that should be made totally illegal, no matter where one lands on the political spe…

I agree and find it utterly outrageous. I'm lucky enough to have avoided any hospitalizations in my adult life, but I am quite familiar with this BS on the pharmaceutical side, in another comment on this article[1] I broke down that "preferred partner" price difference as I experienced it personally and it is insane that these pricing differences are allowed to continue. Also, bear in mind it's not just patients paying in cash - all these rules also apply to anyone unlucky enough to be treated out of network, even if it's just because they were brought to the wrong hospital while unconscious.

1. https://news.ycombinator.com/item?id=22550564

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#97
post #87
post #60

Earlier quoted context omitted.

That ambulance bill is insane. Up here in Canada ambulance charges are paid out of pocket but my wife had a low blood pressure emergency and got an ambulance called and was only out 300$ for a three mile drive (through dense city streets even). I'm even of the opinion that that bill was a bit excessive.

$300 seems low. 'The distance' is basically irrelevant. You're paying for a highly available, rapid response team to be prepared for almost any medical emergency, 24/7, literally almost at the press of a button. 'Preparedness' is expensive. What happened if the Ambulance broke down? Or a medic decided to say f-it and skipped a day. Or the phone didn't work. Or the critical piece of gear didn't work. Or ooops ran out…

As with so many things in healthcare, if it's such a great system, why isn't it used for the military? Medevac helicopters are really expensive, so why not make individual troops decide whether their case merits a few year's pay?

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#98

Side note: if you suspect a COVID-19 infection, DO NOT GO TO THE ER. Contact a physician by phone, get instructions. By going to the ER you put a lot of people at risk.

At some point, the people who suspect COVID-19 infection are going to be people who have full-on pneumonia. They would need to go to ER under normal circumstance but indeed, that will have a bad result.

Basically, we desperately need a special COVID-19 program, not simply a person's regular physician giving instructions. How many physicians are going to be getting calls soon and how much time does that take important activity on their part? Etc.

Note that Korea has ER wards set-up with pre-entry tents allowing COVID patients to be routed elsewhere. Some multi-track system like this is going to be necessary or more desirable than Italy, which has shut down the part of its health care system not treating COVID patients and is still mostly watching them die.

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#99
post #2

As a Canadian who has also lived in America, I am consistently mortified by the costs of health care in the states. Are they intentionally designed to force the lower class into even more poverty (I’ve seen $50 being charged for a pill of Advil - first hand) - or is it just an unintended side effect? I find it harder to believe it’s accidental than intentional. EDIT: Due to jiveturkey’s pathetic and wholly inaccurate…

It isn't intentionally designed, just a side effect of the system as it exists today. There are two ways to bring healthcare costs down in America:

1. Insure everyone — no exceptions (by the government or through private insurance)

2. Let hospitals (and ERs) deny care to those that can't pay

Since neither of them is happening anytime soon, Advil is going to keep costing $50.

Re: The Cost of Not Getting Tested for Coronavirus: A $10K ER Bill

#100

We decided (slash "made the mistake") of going to the emergency room last summer. Spent less than two hours in an exam room before being dismissed with no conclusion and referral to another doctor. Got a $9500 bill about six months later and have been billed a 10% copay on that (insurance paid $5500 already at their negotiated rate). Still fighting it as absolutely absurd, but there's really no hope. This country is…

As someone not from the EU, this is something totally insane and crazy. Once, after my country got out of the Soviet Union, the US was seen as the dreamland of everyone. Now.. I don't think so, when getting sick with something easily treatable will ruin your whole life. That's just not a place I'd like to live in. Once I was on a date with a younger girl and she was going on about how she'd like to live in the US, an…

It is not always obvious (e.g. strep throat is similar, but one or the other sicknesses may or may not need medicine) and doing things on a hunch is not how scientific fields should do things when there are simple tests.

Testing also provides safety for doctors against medical malpractice lawsuits.

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