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Not sure why you think that, hospitals charge insurers a lot less than their sticker price. Pricing is usually done as multiples of what Medicare pays, so insu
by iooi 7y ago
Not sure why you think that, hospitals charge insurers a lot less than their sticker price.
Pricing is usually done as multiples of what Medicare pays, so insurers will build their network and usually have a cap at 2x Medicare. If you are taken to an out-of-network hospital during an emergency, the hospital can charge their regular prices, although this usually gets negotiated down for extended in-patient stays. As an uninsured individual, however, you would be liable for the complete amount, which is a lot more than what the insurance pays.
- lonnyk 7y agoIn my experience self pay is billed at Medicare rates. But I do imagine mileage will vary.