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Tue Aug 28, 2012, 01:12 AM

I am pissed at healthcare and billing practices...........

I recently had a brain MRI with and without contrast. The office where I had it done billed my insurance company over $2000. With contracted prices, etc. the insurance company will pay $489 and my responsibility is $951.

I checked the Healthcare Blue Book pricing for this procedure in my zip code and find that it is $771. This is for the procedure and interpretation.

The Blue Book shows that the pricing for an MRI without contrast is $536 and if I had one with contrast it would be $581.

I was charged three times the Blue Book fair price and which according to Blue Book Price includes the total amount for both physician (interpretation) and technical (imaging) fees. Sometimes the test will be billed in two parts but they should add up to the listed price.

I've already started my letter to the office requesting that they either resubmit the bill at the lower price, or subtract the $489 paid by insurance from the $771 leaving me with a payment due of $282. Wish me luck on that.

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Arrow 9 replies Author Time Post
Reply I am pissed at healthcare and billing practices........... (Original post)
mrmpa Aug 2012 OP
yellerpup Aug 2012 #1
mrmpa Aug 2012 #2
Lasher Aug 2012 #3
freshwest Aug 2012 #4
Lasher Aug 2012 #8
mrmpa Aug 2012 #7
Lasher Aug 2012 #9
customerserviceguy Aug 2012 #5
HopeHoops Aug 2012 #6

Response to mrmpa (Original post)

Tue Aug 28, 2012, 01:18 AM

1. I do wish you luck.

Let us know how this turns out.

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Response to yellerpup (Reply #1)

Tue Aug 28, 2012, 01:19 AM

2. I will...........eom

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Response to mrmpa (Original post)

Tue Aug 28, 2012, 01:41 AM

3. Have you asked your health care insurance provider to intervene on your behalf?

I have found that to be an effective tactic.

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Response to Lasher (Reply #3)

Tue Aug 28, 2012, 02:45 AM

4. Yes, it seems they would want to reduce the bill, right?

Especially with those quotes there.

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Response to freshwest (Reply #4)

Tue Aug 28, 2012, 11:20 AM

8. Yes. From my experience hospitals routinely overcharge.

And they charge more than once for the same procedure. Health care providers are obligated by contracts with insurance companies to charge only the contract price.

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Response to Lasher (Reply #3)

Tue Aug 28, 2012, 11:06 AM

7. I will give that a try...........

we have a family friend that is a VP for this company. I may call him for advice.

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Response to mrmpa (Reply #7)

Tue Aug 28, 2012, 12:02 PM

9. Just call the number on the back of your insurance card.

You might be pleased with the result.

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Response to mrmpa (Original post)

Tue Aug 28, 2012, 07:26 AM

5. The only thing besides healthcare

that is sold with so much disparity in pricing for the same damned thing is airline seats.

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Response to mrmpa (Original post)

Tue Aug 28, 2012, 09:20 AM

6. $1000 out of pocket is common for an MRI (I know, I've had a shitload of them).

 

Whether there's contrast or not doesn't change it much, but Technetium-99m is more expensive than gadolinium. Either way, I still end up with a $1000 hit every time whether it's in the hospital or an outpatient center. All I get back from it is a "meh".

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