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Showing Original Post only (View all)LA Times: Even if you have health insurance, you may want to pay cash [View all]
http://www.latimes.com/business/lazarus/la-fi-lazarus-healthcare-pricing-20160610-snap-story.html
Even if you have health insurance, you may want to pay cash
June 10, 2016
by David Lazarus
Five blood tests were performed in March at Torrance Memorial Medical Center. The hospital charged the patients insurer, Blue Shield of California, $408. The patient was responsible for paying $269.42.
If that were all there was to this -- which its not -- youd be justified in shaking your head and wondering how it could cost more than $80 apiece for blood tests. These werent exotic procedures. The tests were for fairly common things such as levels of vitamins D and B12 in the blood.
Its what happened next, though, that this makes this story particularly interesting.
The patient, who for privacy reasons requested that I use only her first name, Caroline, was curious about why she needed to pay almost $300 for a handful of routine tests. So she called the hospital.
I was completely surprised, Caroline told me. The woman I spoke with in billing said that if Id paid cash, the prices would have been much lower.
How much lower? Try this on for size: Tests that were billed to Blue Shield at a rate of about $80 each carried a cash price of closer to $15 apiece.
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Even if you have health insurance, you may want to pay cash
June 10, 2016
by David Lazarus
Five blood tests were performed in March at Torrance Memorial Medical Center. The hospital charged the patients insurer, Blue Shield of California, $408. The patient was responsible for paying $269.42.
If that were all there was to this -- which its not -- youd be justified in shaking your head and wondering how it could cost more than $80 apiece for blood tests. These werent exotic procedures. The tests were for fairly common things such as levels of vitamins D and B12 in the blood.
Its what happened next, though, that this makes this story particularly interesting.
The patient, who for privacy reasons requested that I use only her first name, Caroline, was curious about why she needed to pay almost $300 for a handful of routine tests. So she called the hospital.
I was completely surprised, Caroline told me. The woman I spoke with in billing said that if Id paid cash, the prices would have been much lower.
How much lower? Try this on for size: Tests that were billed to Blue Shield at a rate of about $80 each carried a cash price of closer to $15 apiece.
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LA Times: Even if you have health insurance, you may want to pay cash [View all]
proverbialwisdom
Jun 2016
OP
Odds are Blue Cross approved $10 or less. If hospital is in network, they'd write off the rest.
Hoyt
Jun 2016
#1
So the insurer pays $10 and the insured is on the hook for $269 on top of their monthly premium?
bluesbassman
Jun 2016
#2
No. If it's an in network hospital, $269 is written off as a contractual adjustment.
Hoyt
Jun 2016
#10
Yes, and its needed now more than ever since the insurance companies are anything but affordable
glowing
Jun 2016
#16
I agree with that. But, even with public option or single payer, it won't be cheap.
Hoyt
Jun 2016
#21
Not to worry, the presumptive nominee is gonna fix all this with some pragmatic centrism
Fumesucker
Jun 2016
#14