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$83,046 For A 3 Hour Hospital Visit - Why Are Hospital Bills So Outrageous?
TEC ^ | 09/08/2012 | Michael Snyder

Posted on 09/08/2012 11:04:18 AM PDT by SeekAndFind

The fastest way to go broke in America is to go to the hospital. These days it seems like almost everyone has an outrageous hospital bill story to share. It is getting to the point where most people are deathly afraid to go to the hospital. All the financial progress that you have made in recent years can literally be wiped out in just a matter of hours. For example, you are about to read about an Arizona woman that was recently charged $83,046 for a 3 hour hospital visit. How in the world is anyone supposed to pay a bill like that? I have a really hard time understanding why a visit to the doctor should ever be more than a couple hundred bucks or why a hospital stay should ever be more than a couple thousand dollars. Outrageous hospital bills are a real pet peeve of mine and I have not even been to the hospital in ages. What makes all of this even more infuriating is that Medicare, Medicaid and the big insurance companies are often charged less than 10 percent of what the rest of us are billed for the same procedures. There is a reason why 41 percent of all working age Americans are struggling with medical debt right now. It is because our health care system has become a giant money making scam. Millions of desperate Americans go into hospitals each year assuming that they will be treated fairly, but in the end they get stuck with incredibly outrageous bills and in many cases cruel debt collection techniques are employed against them if they don't pay.

So why do we have to pay so much for medical care? Back in 1980, less than 10 percent of U.S. GDP went to health care. Today, about 18 percent of U.S. GDP goes toward health care.

And considering the fact that over the next 20 years the number of Americans 65 years of age or older is projected to double that number is going to go even higher.

On a per capita basis we spend about twice as much on health care as anyone else in the world.

In fact, if the U.S. health care system was a nation it would be the 6th largest economy on the entire planet.

America spent 2.47 trillion dollars on health care in 2009, and it is now being projected that we will spend 4.5 trillion dollars on health care in 2019.

Our system is completely and totally broken, and Obamacare is going to make things far worse. We need to throw the entire system out and start over.

A perfect example of why this is true is what happened when 52-year-old Marcie Edmonds went in to a hospital in Arizona recently to get treated for a scorpion sting....

With the help of a friend, she called Poison Control and was advised to go to the nearest hospital that had scorpion antivenom, Chandler Regional Medical Center. At the hospital, an emergency room doctor told her about the antivenom, called Anascorp, that could quickly relieve her symptoms. Edmonds said the physician never talked with her about the cost of the drug or treatment alternatives.

Her symptoms subsided after she received two doses of the drug Anascorp through an IV, and she was discharged from the hospital in about three hours.

Weeks later, she received a bill for $83,046 from Chandler Regional Medical Center. The hospital, owned by Dignity Health, charged her $39,652 per dose of Anascorp.

What makes this even more shocking is that hospitals in Mexico only charge $100 per dose of Anascorp.

These days many hospitals will do whatever they can get away with on hospital bills.

One NBC News reporter was absolutely stunned at the bill that she received after she went in for neck surgery for degenerative disc disease recently....

Once I got my itemized bill, the grand total was a little over $66,013.40! That was for a one night stay and a four level vertebrae fusion surgery. The charges included $22 for one sleeping pill, $427 for one dissecting tool, and $32,000 for four titanium plates and ten screws.

I brought it to Todd Hill, a fee based patient advocate who helps people decipher their medical bills. "The screws in your procedure were billed at $605 a piece for a total of $6050 dollars. We've seen those in our past research for $25 or $30," he said. "In this case, the markup is tremendous," he added.

Considering the fact that 77 percent of American families are living paycheck to paycheck at least part of the time, a single hospital bill like this can be a financial death blow.

If you have time, read this tragic story where one man was charged $11,000 and all he had was a case of bad indigestion. Nothing was even wrong with him and now his family is going to have to declare bankruptcy.

Often medical bills are so complex and so confusing that nobody can really understand them. A lot of the times this is probably done on purpose to keep people from understanding how badly they are being overcharged. The following is from a recent article in the New York Times....

Hospital care tends to be the most confounding, and experts say the charges you see on your bill are usually completely unrelated to the cost of providing the services (at hospitals, these list prices are called the “charge master file”). “The charges have no rhyme or reason at all,” Gerard Anderson, director of the Center for Hospital Finance and Management at Johns Hopkins Bloomberg School of Public Health. “Why is 30 minutes in the operating room $2,000 and not $1,500? There is absolutely no basis for setting that charge. It is not based upon the cost, and it’s not based upon the market forces, other than the whim of the C.F.O. of the hospital.”

And those charges don’t really have any connection to what a hospital or medical provider will accept for payment, either. “If you line up five patients in their beds and they all have gall bladders removed and they get the same exact medication and services, if they have insurance or if they don’t have insurance, the hospital will get five different reimbursements, and none of it is based on cost,” said Holly Wallack, a medical billing advocate in Miami Beach. “The insurers negotiate a different rate, and if you are uninsured, underinsured or out of network, you are asked to pay full fare.”

It has been estimated that hospitals in the United States overcharge their patients by about 10 billion dollars every single year.

Medical bills are the number one reason why Americans file for bankruptcy. As I mentioned earlier, approximately 41 percent of all working age Americans are struggling with medical debt.

And health insurance is not as much protection as you might think. According to a report published in the American Journal of Medicine, of all bankruptcies caused by medical debt, approximately 75 percent of the time the people actually did have health insurance.

And if you can't pay your bills, many hospitals will come after you ruthlessly.

In fact, collection agencies sought to collect unpaid medical bills from approximately 30 million Americans during 2010 alone.

If you don't cough up the cash they are demanding you can even end up in prison. The following example comes from CBS News....

How did breast cancer survivor Lisa Lindsay end up behind bars? She didn't pay a medical bill -- one the Herrin, Ill., teaching assistant was told she didn't owe. "She got a $280 medical bill in error and was told she didn't have to pay it," The Associated Press reports. "But the bill was turned over to a collection agency, and eventually state troopers showed up at her home and took her to jail in handcuffs."

Although the U.S. abolished debtors' prisons in the 1830s, more than a third of U.S. states allow the police to haul people in who don't pay all manner of debts, from bills for health care services to credit card and auto loans.

But why do these bills have to be so high? It is not like many doctors are getting rich these days. In fact, many of them are going broke.

So what is the deal?

Well, as a recent article by Dr. Paul Craig Roberts explained, there are a whole lot of people pulling profit out of the system other than just doctors these days....

There are two main reasons that US medicine is so expensive. One is that profits are piled upon profits. In addition to wages and salaries for doctors, nurses, and medical personnel, the American health care system has to provide profits for private hospitals, diagnostic centers, insurance companies, and for the accountants, attorneys and management consultants made necessary by the enormous litigation and regulatory compliance cost. American medicine is the most regulated in the world and the most criminalized.

And another big factor is that the rest of us have to make up the difference for the patients that are not profitable.

It has gotten to the point where some doctors in certain kinds of practices barely make any profit on Medicare and Medicaid patients. In fact, in many cases doctors actually lose money treating them.

An article posted on medicalcostadvocate.com has some outrageous examples of the difference between what you and I are billed and what Medicare pays out for the exact same procedures....

A patient in Illinois was charged $12,712 for cataract surgery. Medicare pays $675 for the same procedure. In California, a patient was charged $20,120 for a knee operation for which Medicare pays $584. And a New Jersey patient was charged $72,000 for a spinal fusion procedure that Medicare covers for $1,629.

So not only do we pay very high taxes to support Medicaid and Medicare, we also have to pay higher medical bills in order to make up the difference for the money that doctors and hospitals are not seeing from those patients.

Unfortunately, Medicaid and Medicare are expected to grow dramatically in the years ahead.

For example, it is now being projected that Obamacare will add 16 million more Americans to Medicaid.

And enrollment in Medicare is projected to grow from 50.7 million today to 73.2 million in 2025.

How in the world can our current system possibly handle this?

And please don't tell me that Obamacare is the answer.

The truth is that Obamacare is going to take everything that is wrong with our health care system and make it even worse.

For a good summary on this, please see this article.

In the years ahead it is going to get even harder for those that are not dependent on the government for health care....

-Approximately 10 percent of all employers plan to drop health insurance coverage entirely because of Obamacare.

-According to one recent poll, 83 percent of all doctors in the United States have considered quitting the profession because of Obamacare, and we were already projected to have a severe doctor shortage in the years ahead even before Obamacare came along.

We are heading into the greatest health care crisis the United States has ever seen, and none of our leaders seem to have any answers.

In a recent article entitled "11 Signs That The U.S. Health Care System Is Heading Straight Down The Toilet", I detailed a lot more reasons why our health care system is a national disgrace. If you can handle some more ranting I encourage you to go check that article out.

I am just absolutely disgusted with the condition of our health care system. It is dominated by government bureaucrats, pharmaceutical corporations and the big health insurance companies. It is a giant money making scam that seeks to drain as much money from the rest of us as possible.



TOPICS: Business/Economy; Health/Medicine; Society
KEYWORDS: healthcare; hospital
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To: SeekAndFind

Cost shifting: free care for the indigent, cheap drugs and medical devices for other countries, and high profit margins for US medical companies mean we “deep pockets” consumers get to carry the whole load. It can be fixed, but that will lead to a lot of squawking by traditional supporters of the Republican Party - our team doesn’t likely have the balls to get it done.


61 posted on 09/08/2012 1:45:25 PM PDT by Mr. Jeeves (CTRL-GALT-DELETE)
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To: SeekAndFind
Can a defense attorney, judge, or jury foreman be sued because a criminal they got acquitted in a trial commits another crime?

There must be some way to protect our doctors from the personal injury attorneys the same way we protect our judges, defense attorneys, and juries when they fail in their duty to put away dangerous criminals.

I'd start by eliminating all pain and suffering from medical suits. Unfortunately pain and suffering are part of the business. Furthermore, doctors are imperfect and shouldn't be expected to be. Infrequent and understandable human errors (i.e. misdiagnoses) should be tolerated by the system. However, if a doctor was truly incompetent or negligent, then he goes to jail or loses his license - but no transfer of millions to the injured. Only the cost of their care.

62 posted on 09/08/2012 2:05:21 PM PDT by LaserJock
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To: driftdiver
The hospitals are required to use those DRGs.

And my point was that the DRGs were never intended to be used for billing purposes, and are not accurate for such purposes.

Government does not care about accuracy. The less accuracy, the more they can pad the bill.

63 posted on 09/08/2012 2:14:07 PM PDT by E. Pluribus Unum (Government is the religion of the sociopath.)
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To: cripplecreek

In 1971 it cost me $1500 for my son.


64 posted on 09/08/2012 2:18:12 PM PDT by Little Bill
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To: garbanzo
One of the big problems is lack of transparency on pricing. It would be like if walked into a McDonald’s where there no prices on the board and they rang you up for a $500 Big Mac after you ordered. Nobody asks how much will this cost before they ask for a procedure nor do hospitals post any prices for treatments so people can make rational care decisions.

Sometimes when you do ask, as my sister did, you are told it depends upon who your insurance company is.

I like your $500 Big Mac analogy and I'm certain it will come in handy for future discussions about this topic. Thanks. =o)

65 posted on 09/08/2012 2:35:40 PM PDT by arasina (So there.)
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To: PGR88
A friend who is in medical billing says its all “software.”

Real people program that software. Banning software won't bring prices down.

66 posted on 09/08/2012 3:35:04 PM PDT by BfloGuy (Without economic freedom, no other form of freedom can have material meaning.)
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To: Yaelle

#27 is great! i wish someone like you was in charge.


67 posted on 09/08/2012 3:48:40 PM PDT by Elendur (It is incumbent on every generation to pay its own debts as it goes. - Thomas Jefferson)
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To: SeekAndFind
Who gets the bill when some gang banger gets shot and spends weeks in the hospital and months in rehab.?

Does his momma get a bill for tens of thousands of dollars?

68 posted on 09/08/2012 3:56:47 PM PDT by count-your-change (You don't have to be brilliant, not being stupid is enough.)
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To: TASMANIANRED
2) Mexico didn’t pay a dime for the research.

Anascorp was developed by a Mexican company called Instituto Bioclon.

1) Anascorp is an orphan drug.. The mfg will never recover the costs of development.

Anascorp had already been available for years in Mexico when it was brought to the US. So the maker, which is a for-profit company, must have been able to recover all their cost of development or they would not have made the drug.

69 posted on 09/08/2012 4:25:37 PM PDT by wideminded
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To: SeekAndFind

It says that patients are over charged by $10 billion every year. It also says the Americans spend $2.47 Trillion on medical care. 10 billion out of 2.47 trillion is not that much.


70 posted on 09/08/2012 4:34:29 PM PDT by Blood of Tyrants (Never believe anything in politics until it has been officially denied.)
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To: Ann Archy; SeekAndFind
WHY?? Because allthe ILLEGALS that have no insurance uses them for EVERYTHING and they are NEVER asked to pay a CENT!!!

Parkland Hospital in Dallas #1 in the nation for illegal immigrant births

Parkland handled 11,071 births last year to women who could not provide proof of U.S. citizenship - or 74 percent of the total 14,872 births at the hospital. Most of these women are believed to be in the country illegally.

It was the busiest hospital in the state for such births.

_______________________________________________________

Just think, that's over 1,000 illegal alien births, EVERY MONTH, at just one single hospital in Texas.

And Texas is a red state?

71 posted on 09/08/2012 4:39:32 PM PDT by dragnet2 (Diversion and evasion are tools of deceit)
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To: E. Pluribus Unum

DRG are used by medicare to pay the inpatient stays, outpatient er visits and surgery are paid by a different method, DRG’s are based on the diagnoses codes. sorry for being technical but that is how medicare is currently setup to pay, blame HHS


72 posted on 09/08/2012 9:23:03 PM PDT by markman46 (engage brain before using keyboard!!!)
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To: SeekAndFind

I was in the hospital in april, the hospital bill came to be about 33,000 my insurance paid 4,000 and I owed the hospital 1255.00, plus ambulance,paramedics,mri,ct, dr’s total came to be about 50,000 and I have to pay about 3,000 for everything.


73 posted on 09/08/2012 9:28:10 PM PDT by markman46 (engage brain before using keyboard!!!)
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To: hedgetrimmer

Good Grief....the UNINSURED are NOT paying the bulk!! That makes no sense. I guess you hate insurance companies....geesh.


74 posted on 09/09/2012 12:47:05 AM PDT by Ann Archy ( ABORTION...the HUMAN Sacrifice to the god of Convenience.)
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To: driftdiver

EVERYTHING is based on what Medicare pays for.....that’s why the difference is so huge in what the insurance will pay and what the cost really is.


75 posted on 09/09/2012 12:48:55 AM PDT by Ann Archy ( ABORTION...the HUMAN Sacrifice to the god of Convenience.)
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To: markman46
I am just pointing out that DRGs were never intended for billing purposes and do not reflect costs in any rational way.

But that's what the goobermint uses them for, because the last thing goobermint ever wants to be is honest, about anything.

76 posted on 09/09/2012 8:07:55 AM PDT by E. Pluribus Unum (Government is the religion of the sociopath.)
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To: Ann Archy

To clarify, I hate the corporatist fascist relationship insurance companies have with the government.

It has help to destroy free enterprise and self governance in this country.


77 posted on 09/09/2012 11:08:21 AM PDT by artichokegrower
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