Sorry if this is the wrong sub for this but I wasn’t sure where to go with this. I recently had a double lithotripsy with a total of 4 ER visits and 1 ambulance ride. I also had 1 ultrasound, 4 CT scans and 1 x-ray. I only paid gas to get to the appointments and like 5 dollars for some AZO. I’m not here to flaunt about that though.
I’m on Tricare Prime and for those of you who don’t know this is insurance you get if you are active duty military. We have 0 co-pays, its not always as great as it sounds though trust me. In this case it came in clutch though. I just received the bill for my ambulance ride, 4 hour ER visit where they only did 1 CT scan. I think I got 1 IV and some nausea medicine plus pain meds (non narcotic). I was only in an actual bed for 30 mins. The total for all of that minus the CT was $9,732.40, the CT was an additional $1,144.00. There’s also a charge for “emergency professional service” which was $1,265.00. Nothing is really labeled though its so cryptic.
So lets see all of those 3 bills together are $12,141.40. What? No I’m actually not surprised by this. What is interesting and what I really came here to say is that my insurance would ONLY pay $701.35, $103.36 and $88.10 for each respective bill totaling $892.81. That’s 7.35% of what was originally billed. I know it isn’t news that hospitals way overcharge but I’m sure if I was on a civilian healthcare plan I would have had at least a 1k deductible and the insurance might have paid like 1500-2k. Why is it then that the government can get away with only paying about $900 for this visit? Probably because that’s all it really cost the hospital while still making a profit.
I’m curious as to any insight any of you have and if I’m wrong about any of this please let me know.
submitted by /u/Tennoz
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Sorry if this is the wrong sub for this but I wasn’t sure where to go with this. I recently had a double lithotripsy with a total of 4 ER visits and 1 ambulance ride. I also had 1 ultrasound, 4 CT scans and 1 x-ray. I only paid gas to get to the appointments and like 5 dollars for some AZO. I’m not here to flaunt about that though. I’m on Tricare Prime and for those of you who don’t know this is insurance you get if you are active duty military. We have 0 co-pays, its not always as great as it sounds though trust me. In this case it came in clutch though. I just received the bill for my ambulance ride, 4 hour ER visit where they only did 1 CT scan. I think I got 1 IV and some nausea medicine plus pain meds (non narcotic). I was only in an actual bed for 30 mins. The total for all of that minus the CT was $9,732.40, the CT was an additional $1,144.00. There’s also a charge for “emergency professional service” which was $1,265.00. Nothing is really labeled though its so cryptic. So lets see all of those 3 bills together are $12,141.40. What? No I’m actually not surprised by this. What is interesting and what I really came here to say is that my insurance would ONLY pay $701.35, $103.36 and $88.10 for each respective bill totaling $892.81. That’s 7.35% of what was originally billed. I know it isn’t news that hospitals way overcharge but I’m sure if I was on a civilian healthcare plan I would have had at least a 1k deductible and the insurance might have paid like 1500-2k. Why is it then that the government can get away with only paying about $900 for this visit? Probably because that’s all it really cost the hospital while still making a profit. I’m curious as to any insight any of you have and if I’m wrong about any of this please let me know.
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