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do not go to St marks Utah!



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Rocky moumtain assc physicans...i think they do the bait and switch method..private pay quote...only estimate...when I got my insurance bills..surgery cost....32000 plus 5500 surgeon fees plus 1400 anest fee!!!!!

38900..... Gonna cost me 6000 after insurance..

The advertise it is 15900 which includes everything!!!! Not even

Rip off big time!!

Why would my surgery with insurance cost twice as much as someone with no insurance????

I had 45 minute surgery, no gallbladder removal, 3 hours late...1pm turned out to be 4pm Tossed me out 6 the next night. Could not even get in to see doctor post surgery until Nov.26.. 2 months after surgery... Haven't call since.

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What was the contracted rate that your insurance paid for each item?

(E.g.,

Facility Charge - $8,000 Contracted discount - $5,8000 Paid to Facility by Insurance - $2,200 total )

If you pay $6K, will $32K total have been paid out? Or is it $32K billed, you pay $6K and then insurance pays a discounted/contracted rate for each item?

If they deceived you, I have some ideas for you to pay less.

Edited by rhw94123

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They did not neg rates... There is even on charge for 6300 not Assoc. With anything! Would love any ideas...

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Call your insurance company and report a suspicion of fraud and explain the numbers on your statement compared to the numbers discussed with you. They will lead you in the right direction. If the insurance company suspects fraud they will red flag that hospital. Not sure what happens after that though.

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These comments are all opinion and just I think statements

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Before anything - ask for an itemized bill not just a drs or facility charge but an itemized list of how they came up with the charges. Talking to your insurance may help at least they will be very interested in all the member responsibility you seemed to have accrued. Usually your insurance company will have an amount that is the patient responsibility and they account for that when they pay the hospital above and beyond that is called ' balance billing' they may or may not be allowed to do that but your insurance company will know that. Good luck I'm sure this is one pain you could do without!

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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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