New rip off - the facility fee - Page 2

151949 · ‎03-09-2010

On one hand you have them constantly bugging you to get screening colonoscopies then on the other hand they do this to you. This facility just told him the average cost of a colonoscopy in their facility is $3000 so if he has any polyps this will cost us $900 plus 20% of the anesthesia.AND THEY WONDER WHY PEOPLE DON'T GET THESE DONE!!!

151949 · ‎03-09-2010

I thought the whole point of staying within the network was to avoid these ridiculous extra charges.

wonderfulworld · ‎12-05-2012

I had my first colonoscopy at an out patient clinic setting. The nurse anesthetists got me ready. Another arrived and they were talking about how slow it was so the second one stopped by to see if they needed any help, yada yada. I was already IV'd and ready to go into the procedure room.

When I received my bill I was charged by both . As far as I know I only needed one (routine..no biopsy needed).

Burnsite · ‎03-10-2010

I don't know if this is FL related, but I have had ER visits, even though I have full insurance and the hospital is in the network, that cost me a lot of money out of pocket.

FL does not require ER doctors to agree to insurance for a year. I was in a facility that was insured, but its ER doctors are not necessarily insured. Florida.

151949 · ‎03-09-2010

Actually, in Florida there was a law passed last year that said if you go to the hospital and are seen by doctors who are not in network - like the ER or a radiologist, hospitilist or anes. doc - the insurance must pay them since this is not within your control, and they must accept the insurance amount. It was all over the local news last spring.

Lovingq · ‎03-09-2010

In some states it is illegal to have out of network doctors perform on patients who are in an in-network facility. This happened to my brother in Las Vegas. He was not told that a couple of the doctors were out of network. His bill was huge. He complained about it and his amount owed was reduced to something more acceptable.

hckynut · ‎03-10-2010

It got lost

hckynut(john)

151949 · ‎03-09-2010

@Burnsite wrote:
I don't know if this is FL related, but I have had ER visits, even though I have full insurance and the hospital is in the network, that cost me a lot of money out of pocket.

FL does not require ER doctors to agree to insurance for a year. I was in a facility that was insured, but its ER doctors are not necessarily insured. Florida.

If you have a medicare advantage plan and go to the ER - but don't get admitted there is a large co pay. They try to encourage you to use outpatient walk in type facilities.

SaRina · ‎04-17-2015

It's not a new rip-off where I live. For the past 10 years or so, I have paid any of my doctors whose offices are within a medical center or hospital my insurance co-pay as well as a separate "facility charge", which is the same amount as the co-pay. (I prefer seeing specialists rather than my PCP.) I was livid when this first started years ago -- I said that I was essentially paying the doctor's rent for her/his office space in the hospital.