As you will see, my insurance company negotiated a bulk 67% discount on the “rack rate” bill from my hospital. The final level of detail was not itemized.
Again, this is only for the baby. My wife’s care is in another bill.
(In case I don’t get back to posting for a while, the “rack rate” on my wife’s bill is only $13,236.75. And this doesn’t include any doctor’s fees, lab work, etc.)
This a summary level bill. I’ll request an itemized bill in bit (hey, I’m paying for it).
| CPT | Rack | Greedy | Net | ||
| Code | Rate | Markup | Cost | ||
| Nursery Level 1 | $1,938.00 | ||||
| Pharmacy | 75.00 | ||||
| Laboratory | 19.00 | ||||
| Lab/Chemistry | 147.00 | ||||
| Lab/Immunology | 122.00 | ||||
| Blood/Stor-Proc | 74.00 | ||||
| Audiology | 125.00 | ||||
| Drugs/Detail Code | 119.50 | ||||
| Circumcision | 139.00 | ||||
| 2,758.50 | 1,853.67 | 904.83 |
Most insurances have a lifetime limit, say $2 million. Which number is counted against the lifetime limit, $2758, or the discounted rate?
Hi Brad.
That’s a good question. Sorry, but I don’t know the answer; my plan has a $5M cap, so I never asked that question.
For calculating my deductible, the discounted amounts are used.
Please leave a comment if you do find the answer.
Underinsured