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Fri Jan 27, 2017, 01:35 PM

What Happens When Doctors Only Take Cash

en Art Villa found out, after one too many boating accidents, that he needed a total knee replacement, he began asking around to see how much it would cost. The hospital near his home in Helena, Mont., would charge $40,000 for the procedure, he says. But that didn't include the anesthesiologist's fee, physical therapy or a stay at a rehabilitation center afterward. A 2015 Blue Cross Blue Shield study found that one hospital in Dallas billed $16,772 for a knee replacement while another in the same area charged $61,585.

It was in the midst of this confounding research that Villa, who's 68, heard about the Surgery Center of Oklahoma, whose business model is different from that of most hospitals. There, the all-inclusive price for every operation is listed on the website. A rotator-cuff repair for the shoulder costs $8,260. A surgical procedure for carpal tunnel syndrome is $2,750. Setting and casting a basic broken leg: $1,925.

The catch is that the whole facility is cash-based. It doesn't take insurance of any kind. Not Aetna. Not Cigna. Not Medicare or Medicaid. Patients or their employers pay whatever price is listed online, period. There are no negotiated rates, no third-party reimbursements and almost no paperwork. "We say, 'Here's the price. Here's what you're getting. Here's your bill,'" says Keith Smith, who co-founded the Surgery Center in 1997 with fellow anesthesiologist Steven Lantier. "It's as simple as that."

link: http://time.com/4649914/why-the-doctor-takes-only-cash/


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Arrow 11 replies Author Time Post
Reply What Happens When Doctors Only Take Cash (Original post)
Boadicea Jan 2017 OP
specs Jan 2017 #1
Boadicea Jan 2017 #2
specs Jan 2017 #3
HerasHeaddress Jan 2017 #4
Boadicea Jan 2017 #5
Deplorable Jan 2017 #6
JJ667 Jan 2017 #7
tdavid88 Feb 2017 #8
Ravenquills Feb 2017 #9
oflguy Feb 2017 #10
Wyntir Feb 2017 #11

Response to Boadicea (Original post)

Fri Jan 27, 2017, 01:53 PM

1. That has been my experience as well. Cash gets you care at a very reduced rate

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Response to specs (Reply #1)

Fri Jan 27, 2017, 02:01 PM

2. We negotiate with our patients that have no insurance.

If they will pay on the day of service, we will give a discount. We are medicare providers, so we can't give them a cost below the medicare rate or we can get into trouble with medicare.

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Response to Boadicea (Reply #2)

Fri Jan 27, 2017, 02:11 PM

3. I have heard that from others as well.

Those rates are pretty low

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Response to Boadicea (Original post)

Fri Jan 27, 2017, 04:35 PM

4. That'd be fine with me.

Those are good prices. I don't mind filing my own insurance claims after the fact. It'd be out of network, but I'd still get some of the money back.

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Response to HerasHeaddress (Reply #4)

Fri Jan 27, 2017, 04:53 PM

5. I could go for it as well.

Of course, if this becomes mainstream, I could be out of a job, but I can always go into another field.

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Response to Boadicea (Original post)

Sat Jan 28, 2017, 09:19 AM

6. costs will go down.

Kick out he insurance companies that obama gave hundreds of billions to, and let patients negotiate directly wih doctors. Costs will drop so fast, you'll need to go to he hospital for winning related exhaustion.

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Response to Boadicea (Original post)

Sat Jan 28, 2017, 01:55 PM

7. Not surprising

The way medical bills are paid in the US is fairly insane. Quoted prices at normal hospitals and clinics are never paid as insurance companies negotiate heavy discounts and uninsured get poverty write offs. In many cases the uninsured are subsiding people who do have insurance but the billing is so obfuscated that it isn't clear.

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Response to Boadicea (Original post)

Wed Feb 1, 2017, 06:08 PM

8. why though?

 

That's nice to see and they charge the "real price" it supposed to be also...

But which people are using these facilities ?

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Response to Boadicea (Original post)

Fri Feb 3, 2017, 05:03 PM

9. Husband just showed me this

My husband just showed me this and we went out to see what they would charge for a surgery i need to have done. The surgery I need is a follow up to surgery i had done last year to treat Achalasia. here are the bills after all was said and done:

Health Insurance cost 2016 - $11,940
Co pay at the time of the first surgery - $1,000
Current Bill owed after health insurance paid their portion - $19,850.27
Cost of prescriptions - $463.18

Total Bills - 15,383.45 ( out of pocket)
Total without the insurance coverage would have been roughly $109,000

We looked to see if they offered the second surgery i need at this surgical center in Oklahoma and their cash price is just over $11,000, that is cheaper than the health insurance.

It is interesting to see how this works or doesn't work with health insurance. I THINK I WOULD RATHER PAY CASH!

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Response to Boadicea (Original post)

Sun Feb 5, 2017, 08:13 PM

10. It's never simple

My rotator-cuff repair required 4 screws in my shoulder. Two of the 4 muscles were ripped completely off the bone. Not all injuries require equal treatment.

Paying cash, however, does make it simpler

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Response to Boadicea (Original post)

Fri Feb 10, 2017, 04:36 PM

11. I think

You can also go to Canada and other countries and pay cash for medical care too. With exchange may get a good deal.

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