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> I doubt the $12k that was billed was paid by insurance company. Typically, the provider bills a ludicrous amount, and then they apply a ridiculous “adjustment
by yellowapple 4y ago
> I doubt the $12k that was billed was paid by insurance company. Typically, the provider bills a ludicrous amount, and then they apply a ridiculous “adjustment” for being a subscriber to the insurance plan, and then you pay per your deductible/coinsurance/out of pocket maximum situation.
That doesn't make the fact that they bill such a ridiculous amount in the first place any less unacceptable.
- lotsofpulp 4y agoIt is a well established practice in the US that billed prices have no bearing on reality and if you are insured, you have no liability to pay them, hence out of context for the purpose of discussing the reasonableness of the insurance negotiated price (which is well established to be real).
- yellowapple 4y ago> It is a well established practice in the US that billed prices have no bearing on reality and if you are insured, you have no liability to pay them And if you're uninsured? Or your insurance refuses to cover it? Or it does, but with a high deductible? My point is that the "well established practice" in question is useless at best and outright detrimental (to say the least) on society. Why even bother throwing out that number unless there's an expectation that someone would pay it?