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They aren't going to negotiate with the insurance company and then also negotiate some more with the covered party. Of course, why the insurance company agreed
by maxerickson 2y ago
They aren't going to negotiate with the insurance company and then also negotiate some more with the covered party.
Of course, why the insurance company agreed to some ridiculous price is a pretty fair question.
- briHass 2y agoThis is one of the big problems: if one went without insurance entirely, the hospital may negotiate 50-75% of the inflated charges away for cash on the spot, but with insurance involved, I have no control over the price I pay for that $150 Tylenol, which insurance knocked down to $75. On a HDHP, I'm out that $75, because the hospital 'isn't allowed' to negotiate further after insurance. An obvious example of this is with prescription drugs. I have a monthly script that is something insane like $250 'U&C' charge, but after insurance, it's $90. However, at a particular pharmacy, with GoodRx, it's $21. Paying 'cash' with GoodRx ends up being the better deal, even though it doesn't count towards my OOP/deductible with the insurance, because I'm not likely to hit that with a HDHP. Would my total cash outlay for a hospital visit be cheaper without insurance? Maybe, but the fact that I can't determine that upfront unlike what I can do with a script is what is infuriating.