insurance question
OK, so I've had my surgery.
I went to my insurance website to check out the billing that's going on right now to see where I'm at. There is a pending bill to my insurance from the hospital for $126,000 and that is not including my surgeon fees, assistants, and anesthesioligist.....as there are other bills from them pending. This seems pretty outrageous to me. I was in the hospital for 1 day.
I guess my question is this......does anyone remember what thier hospital billed thier insurance company?
thanks!
I went to my insurance website to check out the billing that's going on right now to see where I'm at. There is a pending bill to my insurance from the hospital for $126,000 and that is not including my surgeon fees, assistants, and anesthesioligist.....as there are other bills from them pending. This seems pretty outrageous to me. I was in the hospital for 1 day.
I guess my question is this......does anyone remember what thier hospital billed thier insurance company?
thanks!
I really don't remember what my hospital bill was, but this seems outrageous!!!
However, I will add that the hospital could bill 1 million dollars; however, the insurance company has what's called an "allowable," which is a set fee they will pay for a procedure(s) based upon the CPT code.
In most instances, the medical facility must accept the allowable, which means they will write off any amount above the allowable. (This means they cannot bill the patient for the difference between the allowable and what was charged by the medical provider).
Patient responsibility is based upon their cost share of the allowable. This is usually a 80/20, or a set co-pay percentage.
If you have gone out of your network, this is subject to change; however, assuming you used in-network physicians and hospitals, what I have stated pretty much applies.