I'm not sure this fits here, but it's the closest thread to it so I won't have to start a new one. From a consumer's standpoint, here's one of many issues average people like me have with healthcare.
My wife goes in for a mammogram, then a biopsy two weeks later. We've already met our deductible for the year. We had to pay $675 dollars out of pocket for uncovered costs, which was a "facility fee" administered by the building that had nothing to do with the providers.
We receive a bill in the mail for an additional $670 weeks later, so I call and this is what I find out. While on the phone with the representative, she told me the total billed to my insurance for my wife's two visits. My jaw absolutely dropped when I was told the following:
For a mammogram, biopsy and reading of the labs, my insurance was billed $24,000 and immediately paid $19,000 of the $24,000. They are now going back and forth over the remaining $5,000. Granted, I'm an accountant, not a doctor or someone in the medical field. But, I just couldn't understand this type of bill when I look on the internet to see the average cost of a mammogram and found this.
Can someone in the medical field explain this for me?