I referred a cardiac patient the other day for an echocardiogram. She messaged me back, saying the co-pay was $500.

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64. I had to get angioplasty recently and was given an estimate that I had to pay

it was over 3k. I wound up borrowing the money since I couldn't afford it from savings. This was in Nov. Finally my insurance has settled and turns out my out of pocket should have been closer to 2k. Usually I get the difference back when the copay is wrong so I am hoping I will get a check this time too.

Other thing is that the part that took so long for insurance to clear (they asked for more records) was 43k cash price, about 7k total for those with my insurance. That is crazy numbers.

I will say the hospital was amazing (my previous procedures were done locally, this was at the nearest large city) but it is ridiculous that the prices are permitted to be that different.