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I'll echo what others have said. I have requested rates multiple times, and gotten numbers, but the numbers they give is the amount they bill insurance. However
by pavon 10y ago
I'll echo what others have said. I have requested rates multiple times, and gotten numbers, but the numbers they give is the amount they bill insurance. However that number is practically meaningless. Even for something as simple as a yearly preventative care visit, my wife and I each went to a different doctors, both of which billed the insurance about the same amount, and both of which were in-network. However, they had different negotiated rates with the insurance, and coded things slightly differently the end result being a factor of 10 difference in our out-of-pocket expenses for the two visits.
None of this information was available in the computer systems of the providers who file the claims, nor have I been able to get it from my insurance in advance.
- tehlike 10y agoit's because they don't know. What insurance provider considers preventive care is different from what doctors think it is. Recent anectode: 10minute chat to doctor about general health costed my wife 200$. She didn't get any blood work done, it was the price of the "visit/consultation". It was supposed to be preventive care, but not coded as such.