Author Topic: Paying cash for medical services reduces cost.....who would have thought that?  (Read 334 times)

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Offline SwampThing762

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Perhaps someone should have told Obammy

Paying Medical Bills in Cash Slashes Costs
Most Americans are unaware that many hospitals and doctors offer deep discounts for patients who pay in cash — as long as they don’t use their health insurance.
One hospital in California lists the price of a CT scan of the abdomen on its website at $4,423. Blue Shield of California says it negotiated a rate at the hospital of about $2,400 for patients with coverage.
But when the Los Angeles Times asked for the cash price, the hospital said it was $250.
The newspaper cited the case of a woman who was charged $6,707 for a CT scan of her abdomen. Blue Shield said she needed to pay just $2,336. She later discovered that if she had not gone through her insurance plan and paid cash, the cost would have been $1,054.
David Belk, an internist in Alameda, Calif., who launched a website about medical costs, pointed to the vast differences in costs for routine blood work. He said a local hospital charged a patient $782, and her insurer said she owed $414.
“She could have gotten it for $95 in cash,” Belk said. “How does that make sense? The last thing the insurance companies want you to know is how inexpensive this stuff really is.”
Hospitals have been trying to increase revenue by encouraging patients to pay upfront so the hospital can avoid an uncertain collections process, the Times reported.
“Cash prices — typically available for hundreds of common outpatient services and tests — have a real appeal to millions of consumers who are on the hook for a growing share of their medical costs as employers and insurers cut back on coverage and push more high-deductible plans,” the paper observed.
The California Hospital Association asserted that discounted cash prices are intended for patients without insurance, not those with coverage, but added that most hospitals offer a different discount to insured patients who are willing to pay their bill upfront.
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Offline Victor3

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 About 15 years ago 60 Minutes did a piece on small companies that had set up sliding scales whereby a portion of an employee's health insurance premiums were directly refunded to him at the end of the year, based on how much/little he used his benefits.
 
 Consequently, people didn't run to the doc every time they got the sniffles, and reserved health insurance for real needs. The insurance companies lowered the group rates they charged the companies each year because they were not having to pay out as much nor deal with the paperwork.
 
 Even where folks did want to see a doc for a minor illness, they often paid out of pocket when they knew it would be less than what they were going to receive as a refund at the end of the year. Local doctors liked this system, and offered reduced cash prices. It was worth it to them; they didn't have to deal with the insurance companies.
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Offline magooch

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So why wouldn't high charges for medical procedures that are covered by insurance be considered gouging?  I just don't believe there is that much more additional expense to hospitals and doctor, etc when services are paid for by insurance.
 
Does an auto body shop charge multiple higher prices if insurance pays for repairs as opposed to someone paying out of their pocket?  Does a home repair business charge a different rate for out of pocket repairs? 
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Offline gypsyman

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Hospital's and medical practice's consider insurance company's a cash cow. A good friend of mine several years ago, had to take his wife in for heart operations. It wasn't an emergency, so they sat down with hospital staff, and planned it out. They were told it would be upwards of $80,000 to $100,000. They told the administrators that they didn't have insurance, and it would be paid out of pocket. It didn't take 10 minute's, and the administrator's came up with $30-$35,000, and if they could afford it, $15,000 up front, and make payments on the rest. That's what they did. You do the math!!gypsyman
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Offline lakota

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It doesnt always work out that way. At least around here some hospitals and insurance companies have worked out a pre negotiated rate. If you dont have insurance these "not for profit " hospitals will gouge you at a significantly  higher price than they charge those with insurance.

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Offline kennyd

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The cash price is fine until you run out of cash.  Until he retired we both used a doc who took no insurance; he would take the kids in when they were young on the same call as mom and dad.  He gave a bit of psychology, friendship, home remedies, sample drugs when he had them, and would play hunches rather than send you in for a battery of tests.


As for the cash:  wife has had breast cancer and the radiation treatment twice, reconstruction, knee, a blocked intestine that nearly killed her, and a hip, then fell and had to have a second replacement done; add in a skin problem we blame on the radioactive die they use in diagnosis (doc says it is medicine related, but can't figure which ones all together) (the problem came after the second round of cancer.  That doesn't include the things I refuse to go through (I have decided on the short course for anything serious).  We are out of cash.


It is true that there is way too much blue sky in all the bills
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