Showing posts with label insurance charges. Show all posts
Showing posts with label insurance charges. Show all posts

Thursday, March 8, 2012

Hospital Charges, or Why Do We Need Health Reform

Just forget for the moment my right as a woman to have my birth control options covered by my insurance. Even if, as in my case, I would use it less for safe sex and more as one of the options to lower my familial risk of ovarian cancer. Today I find myself dumbfounded by the inflated rates hospitals charge insurance companies in the US, just to actually get paid a portion of the bill.

I received a bill from the hospital for my achilles surgery. I am lucky, I have health insurance with a $75 surgical co-pay. The hospital billed my insurance $9,881.65 (this does not include an additional $3,895.00 billed to my insurance from the anesthesiologist). Honestly, knowing some of the bills for medical procedures in the US, that doesn't seem incredibly high (the surgery, not the anesthesiologist) until I look at the break down for the bill.

Anesthesia (this is for the actual drugs, not the doctor giving them)      758.00
Ambulatory Surgical Recovery Room Time >3.5 to 4 hours                830.00
Surgical Time Level 1 91 - 120 minutes                                            4000.00
Suture for Anchor Level 5                                                                  975.00
Cutting Blade Level 1                                                                         163.00
Custom Pack Level 4                                                                         325.00
Tourniquet Level 6                                                                           1625.00
Drape Level 4                                                                                    975.00
Thromibin 5000U Vial                                                                        230.65

Of that $9,881.65 bill, my insurance paid the hospital $4,115.06 (they paid the anesthesiologist $1,544.66). Basically less then half of what the hospital was charging. Yet, a friend in the health care field once explained that if the hospital charged my insurance $4,115.06, my insurance would only want to pay half of that. It is a ridiculous cycle where the ones getting screwed are the uninsured. But, of course, there is no need for health care reform!

My rant for the evening.