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  • hospital cost shock

    I just got a bill from my 4 day vacation in hostial 59876.00 for a fricking 4 day where we did nothing but lay around because they whated to do a stress tess Saturday then I get down down there they cancel
    it

    oh yes I have called to get a detailed bill and ?

    that is nuts first time I have been in hospital in 11 years

  • #2
    Well, this is America. You probably will get more bills from many different people who might have been just said hi to you in that hospital.

    Comment


    • #3
      Do you not have insurance? Medicare A & B? If you were hospitalized for observation, was it considered an outpatient (72 hour) observation stay? Does the bill indicate that this is what you owe, or what was billed to your insurance?

      If you were in a monitored bed (telemetry or ICU or ICU-step down unit), just the hospital charge alone will generally be about $5,000-10,000/day, and this does not count medications, procedures, lab tests, physicians (usually hospitalists now days), and other misc. charges.

      (KLD)
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      • #4
        YES I have medicare but that is a dam rip off seriously 4 day in a room no special care bp temp ekg that was it no meds that is plum wrong amount knocked dow to what I oe is 1185.00 I told them I want a detailed bill ast it has me stress test and we did not do 1 until 2 weeks later outpatient

        no just a regular room that's insane


        last time hospital was 2008 or 2009 and nothing hardly at all and I was in icu for over a week
        Last edited by vjls; 04-12-2019, 03:16 PM.

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        • #5
          hospital bills

          ok asking as its been years I se where I have been charge for items I did not do like a stress test . items I am going to question the bill but is it best I do it or insurance. if this was a non propfit hospital I dam sure would hate to see for profit

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          • #6
            I would talk to both. Keep questioning until you are satisfied you understand.

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            • #7
              My first two weeks post injury, not counting the spinal fusion surgery was $250,000.
              T3 complete since Sept 2015.

              Comment


              • #8
                There’s no such thing as a “not for profit” hospital. I mean there is legally and perhaps even technically, but in reality there are two types of “not for profit” hospitals in the US.

                State hospitals generally operate at a loss and therefore really are not for profit, but more specifically they are public institutions backed by the taxpayers.

                A hospital that isn’t owned by the state or a large university willing to subsidize the losses is almost always “not for profit” only in name. Being not for profit by law makes taxes lower and some regulations less burdensome, but in reality all of these are operated as for profit, it’s just that they distribute the profits as multimillion dollar bonuses to the CEOs and other high level administrators to make sure that at the end of the day they “break even”.

                A few years ago they published the salary of the “not for profit” hospital CEO’s salary from my home town. It was something like 7 million dollars. The same year the CEO of the state hospital which was larger than the other system and also educated most of the states doctors and many of its nurses made $600,000. The guy getting paid 1/10th of the other dudes salary had an objectively harder job, but since they operated as a truly nonprofit public institution they weren’t flush with cash that had to be spent at the end of the year and somehow always seems to get voted into board members pockets when the board votes on what to do with the excess cash (that definitely isn’t a “profit”).

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                • #9
                  Great point funklab. And remember, insurance companies have their "profit" capped at something like 5% of expenses...with battalions of executives and board members pulling in 7 figures. If we took insurers out of the healthcare equation it would pull nearly a trillion dollars off the cost of healthcare while still paying hospital executives their 7 figures.
                  T3 complete since Sept 2015.

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                  • #10
                    18 day stay including fusion and inpatient rehab was $530,000 at our local "not for profit" Hospital. (Insurance company and group practice the neurosurgeon worked for were also owned by the same "not for profit" consortium).
                    "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

                    "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

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                    • #11
                      They are required to spend 85% of all premium revenue directly on reimbursements for medical services and products. Everything else comes from the remaining 15%. Most big payers run 10-12% operational costs with 3-5% profit; IF they are run well. Medicare is right about 10% operations cost, so there is no big efficiency bonus there. Costs need to be controlled where they are set. (Assuming you could do away with the entire cost of managing the provider/patient/payer process, by 'eliminating' insurance, that is barely $500Bn. There are estimates of up to $1.4Tn of non-medical related expenses in the entire industry right now. Everyone needs to take a haircut before we give anyone seconds IMO.)


                      I posted a Forbes article, last year some time, that said (iirc) ~7 of the top 10 hospitals in the US were "non-profit" corporations in the year studied. Most of the $ was put back into building facilities. Many of which are minimally staffed, even less, at some. So much waste.



                      Originally posted by Mize View Post
                      Great point funklab. And remember, insurance companies have their "profit" capped at something like 5% of expenses...with battalions of executives and board members pulling in 7 figures. If we took insurers out of the healthcare equation it would pull nearly a trillion dollars off the cost of healthcare while still paying hospital executives their 7 figures.
                      "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

                      "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

                      Comment


                      • #12
                        I still have my bill from when I got hurt 2001 it was a little over 100k. but I got my bill detailed right away I started challenging so far 6k also pill I was charge for I refused to take like anit reflux never have hd it

                        some pill for bloody diarea did not tae anything but warfin an zidine <SP> iv they said I had no I did no stress test on 2 nope cancled same with urolgy bill they double charge so...

                        it pays to go over it but 2k a day for a room that s wrong

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                        • #13
                          Originally posted by Mize View Post
                          Great point funklab. And remember, insurance companies have their "profit" capped at something like 5% of expenses...with battalions of executives and board members pulling in 7 figures. If we took insurers out of the healthcare equation it would pull nearly a trillion dollars off the cost of healthcare while still paying hospital executives their 7 figures.
                          I vote for this. And the only way to do that is a single payer system. I?ve been saying this for a decade, before it was cool to be socialist and want Medicare for all. It won?t happen in this country short of some kind of apocalyptic event like World War III but that doesn?t make it a bad idea.

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                          • #14
                            I am a supporter of the Medicare for All 2019 (HR 1384) bill proposed by Rep. Pramila Jayapal (D-Wash.) and 80 other sponsors in the House. Not a big supporter of Bernie's bill of the same name proposed in the Senate. I personally think that the title "Medicare of All" is unfortunate, as neither of these bills would in fact be Medicare, but a much improved universal health care single payor system which would include many important services not currently covered by Medicare, such as vision, hearing, long term care, etc.

                            It is not "socialized medicine"...physicians and hospitals can still be in private practice and are not employees of or owned by the government. Health insurance companies would be closed down (there is even a feature in HR 1384 for job retraining for those who currently work in billing and the insurance industry). Prior authorization would be gone too...if your provider orders a medication, test, or procedure, it will be paid for. You can choose any physician you want, and go to any hospital or other provider you want as well. No copays, no deductibles. It would replace Medicaid and Medicare and does not require that you be employed. It will partially paid for by a payroll tax that will be significantly less than employers who provide health insurance for their employees have to pay now in premiums.

                            You can get a lot more information here about this bill: https://www.healthcare-now.org/legislation/hr1384/

                            (KLD)
                            The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                            Comment


                            • #15
                              I have been saying we need a single payer system for a long time.
                              I had a small business for 45 years and always provided 100% of their health insurance..........
                              until ~2008 when my cost for a family of three with a Blue Cross/BS policy went from the current $18,300 a year to $22,000!!
                              At the time McCaine was a candidate and saying that the average cost per family was $5,000/year!
                              More than most, I really get how broken the current system is and how badly we need a huge paradigm shift.
                              69yo male T12 complete since 1995
                              NW NJ

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