 Patient Advocate (1000+ posts)
Joined: Jan 2013 Posts: 1,294 Likes: 1 | Welcome to OCF,
On the pay as you go plan, it really sucks to have to deal with "retail" pricing. I have a discrepancy in my billing which forced me into the whole world of coding and the crazy way the adjustments to invoices are applied based on various agreements and insurance schedules and such.
What I found in my case is the actual amount paid for service is between 5% and 10% of the "retail" price. I would be happy to share the common codes for radiation services and what I found are the standard Medicare reimbursement rates. So a $200,000 bill ends up closer to $20,000 of real dollars. Incredible as it sounds, that is what I am finding out thus far. Still not done but getting pretty close.
don
Don
Male, 1955
Great health except C
Dec '12
DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes
1 tooth out
Jan '13
2nd tooth out
Tumor Board -induction TPF (3 cycles), seq CRT
4-6/2013
CRT 70gr 2x35, weekly carbo150
ended 5/29,6/4
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