r/HealthInsurance 9d ago

Plan Benefits High charge at urgent care

I was charged $900 for a 15 minute visit to urgent care. Insurance doesn't cover any of it because I have a high deductible plan. I called the medical practice saying the charge was ridiculous. They checked the billing codes and found no error.

They said the insurance company sets the price and I can file a grievance with insurance. That seems like a wild goose chase.

Why is it so expensive? Is there anything I can do to reduce the cost?

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u/MissionEnvironment34 9d ago

They can charge whatever they want, but what is the insurance’s allowable for those codes? They can charge several hundred, but the insurance company has an allowable amount for each of those codes. Have you received an eob from your insurance - or is this just what the urgent care is telling you? Call your insurance company customer service phone number and ask them for help explaining how much you owe the urgent care.

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u/PromotionAgile 8d ago

I'll check the eob