Have you ever fought a hospital bill?

That said, hospital pricing is kinda funny. When my wife had sepsis in Jan, we went to the ER early Sunday morning. As all the good drugs are IV, she was in a ‘private’ ER room all day until early evening. (Folks that came into the ER later that day were on gurneys in teh hall right outside her door.). Bathroom was down the hall around the corner.

They told her that they had requested an inpatient bed, but it was a busy Sunday and she might not get one until the morning. The Hosp Admin checking insurance coverage told her, that since she was in a single ER room for nearly 24 hours, the $$ rate was not much different than the single room on the Med-Surg floor. Turns out she finally did get a bed at 9 pm so was in the ER for 15+ hours.

Note: Original Medicare folks need to be concerned about such differences, however, as the Med-Surg bed inpatient care is covered under Part A, which has a different deductible ($1676) than Part B, which covers the ER with a 20% copay. (Medicare Supplements can pick this up.)

I guess we were “lucky” that H scared everyone so much with his copious bleeding that he got a bed in a curtained off area and also was promoted to a room in hours. It was busy but bleeding does get attention moreso than other symptoms. He was still considered “outpatient” though he was lying in a room with a room mate who definitely admitted as a patient. Weird billing tricks.

Often in hospitals, prices for cash pay customers are lower than negotiated contracted prices with commercial insurers. Something for OP to find out when they elevate this to a hospital administrator.

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My husband just wants this to go away. “Let’s just pay it!”

He usually is the one bucking against financial injustice.

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