General Question

wsxwh111's avatar

How much discount could you get from your health insurance when you go to hospital? (Hope it isn't inappropriate to ask?)

Asked by wsxwh111 (2464points) January 23rd, 2015

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8 Answers

elbanditoroso's avatar

It’s a negotiation. I had to have an MRI last year as an outpatient in a hospital. The hospital billing office said they would knock 20% off the cost, and let me pay in two installments, if I paid before the test. It would have been full price if I had to be billed.

Adirondackwannabe's avatar

Yeah, it’s at least 20 percent more if you don’t have the insurance or don’t pay before. I had some tests done and the bill came back before I had my insurance cards due to a change in companies. Dirtbags.

janbb's avatar

@wsxwh111 it’s too complicated a system to give a simple answer. Everyone’s insurance plan is different in the way they pay and if you’re not insured you can sometimes negotiate a lower price. There’s no one answer.

Tropical_Willie's avatar

One hospital, I know of, wants $10,000 up front if you don’t have insurance and have to be admitted. No discount mentioned.

wsxwh111's avatar

@janbb Thanks for your explanation:) Didn’t know that before.

LuckyGuy's avatar

You will hear a shameful mix of answers. Remember, the US health care system is privatized. It is not a national health care system like in many other countries. Often, Health care is actually a benefit offered by employers. Some employers provide a “Gold” level plan that pays for everything. Some pay for a “Silver” plan where the employee pays a percentage or a deductible amount. Now, States have gotten into the act. There are “High deductible plans”, “High value plans” and every other name you can think of.
Shameful. The big insurers: Blue Cross Blue Shield Excellus….. all administer this and get a cut. For fun you can look at the salaries given to the top dogs – many $10’s of millions of dollars annually for the CEOs.
Health insurance can cost $300 per month to $2000 (or more) per month depending upon the coverage selected and the person’s income.
Hospitals charge different rates for the same treatment.
I belong to a prostate cancer support group. We did a survey of about 100 guys and were able to compare prices for similar surgery. You can figure an average prostatectomy with no complications will cost about $25,000 here. In Thailand it was $10,000. Some fancy boutique surgeons were in the $60,000 range. The results were the same. The patient did not pay this however. Most have insurance and that paid the bulk.
My surgery cost ~$22,000. My health insurance paid for everything except about $100.
The bottom line is sick people’s bills are subsidized by healthy people who pay and don’t use it – minus the money used for administration and salaries.

cheebdragon's avatar

My hospital visits are free.

JLeslie's avatar

I’m in the US. Sometimes I wind up paying more because I have insurance. It happens more often than you would think.

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