Wellness

[Yardlie]

I recently fractured my wrist and am entering therapy early since I have a plate and 8 screws. In my small town, most of the doctors joined together under one group associated with the local hospital. My doctor referred me for therapy to the physical therapist associated with their clinic and hospital. I found out that if I go there, my therapy will be charged as "outpatient hospital" with a $60 co-pay for each visit, whereas if I go to an independent physical therapy group, my insurance will cover it for only $10 a visit. I was wondering why I had such a high mammogram cost, because in the city I used to live in, my mammogram was covered 100%, but in this city, all x-rays at the clinic are considered "outpatient hospital" and you get stuck with outpatient fees (in my case $60 per visit). Sneaky...and something I had to accidentally figure out on my own. The billing department told me that this was standard practice for hospitals. Most doctors offices have their own x-ray equipment for a lot of procedures, but I guess if it is a combined clinic/hospital...lookout! Can anyone explain this?