How much health insurers pay for almost everything is about to go public
I work in healthcare.<p>Here is an exchange I had with a major hospital about standard surgery (one of those deemed &quot;Shoppable services&quot;) earlier this year. This exchange was possible after I was able to get an email recipient, following a 30min conversation.<p>&gt;&gt;&gt;&gt;
Hello!<p>I was told by the very helpful Ms. XXX, that you would be able to provide patient responsibility amount , related to CPT codes for XXX procedure.
I am attaching front and back of my insurance card (Payor). The member DOB is MM&#x2F;DD&#x2F;YY<p>The specific 2 codes in question are :
CPT 12345
CPT 01234<p>Can you please provide the total cost and patient resp. for the CPTs above?<p>___________________________________________________________<p>Response:<p>Good morning,<p>&gt;&gt;&gt;&gt;&gt;The hospital does not process estimates for patients with insurance coverage. However, our web portal contains charges under the Hospital Price Transparency link. I have included the link in the subject line for easy access. [comment: This link was broken. After much browsing.. I was able to find an alternate route. The linked file turned out to be a JSON. I couldn&#x27;t figure that one out] As far as out-pocket responsibility, your insurance company is the best source for that information; they will advise if you have any copay for the encounter.<p>_______<p>Read the 1st sentence of the reply again. My blood still boils from that...