r/HospitalBills • u/dunderthecovers • Apr 18 '25

Hospital-Non Emergency Additional Hospital Bill *Confused*

Hi all,

Forgive me, as I am having trouble wrapping my head around this one. I am covered by Anthem Blue Shield and went to Mount Sinai in NYC to have my leg looked at from a knee injury. Two visits. Each time they charged me $75 at the physician's office and said that's all I would need to cover and Anthem would do the rest. A few weeks later and I am now getting billed an additional $360 per visit. I called Mount Sinai and they said this is an "outpatient facility charge" which is separate from the physician's office charge. Is this normal? I was under the impression my insurance would cover the rest of my visit. If anyone recognizes this and can clear it up for me I would gladly appreciate it! (screenshot of the bill summary is attached).

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u/elevenstein Apr 18 '25

Was this routine follow-up care from the surgery? If so, that should likely have been done at no charge to you.

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u/dunderthecovers Apr 18 '25

The two visits to Mt Sinai were:

Visit 1: I went in with concerns about my right foot hurting after i had a knee injury a couple days before (A City MD took care of the initial knee injury where they had to put staples in to close a wound). Mt Sinai then took a couple xrays since i thought my foot was broken. The doctor came in, looked at my foot, and determined it was gout. Gave me some dietary advice and then i left.

Visit 2: He looked at my foot, said it was healing. Took out the staples that City MD put in my knee and that was that. I left after.

Probably should've included that info in the original post but hopefully that helps!