r/HospitalBills • u/bvvr19 • Apr 19 '25

Hospital-Emergency No CPT codes on itemized bill

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I went to the emergency room in the beginning of March 2025 and was there for 6 hours got one bag of IV and a nurse took my blood and then I spoke to a doctor once, and then I spoke to a student doctor twice, and then I was given to packs of crackers and two packs of apple juice and another plastic cup of ice water.

I was in discharged the same day.

I requested an itemized bill, and I attached what I received. I don't see any CPT codes and when I look up the numbers next to the listed items... I can't find what the codes are for or what a fair market value of those codes would be in my area. As you can see in the picture they charged me twice for three procedures or whatever the list of things are called. I'm not sure the technical term.

I went to an in-network emergency room in a in network hospital and owe a total of $637.32.

the hospital billing department said there is some new law where you have to prove that you paid 10% of your gross income in the previous year to qualify for financial assistance, and I did not pay that much in medical bills last year so I am trying to negotiate down the bills as much as I can since I can't apply for assistance.

Does anyone know why these codes don't come up on Google? Did the hospital not give me a true itemized bill? Do I need to request another one specifically demanding their cpt codes in the itemized bill? Any help would be super appreciated thank you so much

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8

u/kangaroomandible Apr 19 '25

You owe $637.32, that’s your deductible and/or coinsurance.

2

u/bvvr19 Apr 19 '25

Yes I understand that, but what I'm asking is how do I find out what these codes are and what fair market value is for such codes? On other bills from other providers I'm able to look up CPT codes and negotiate my bill with the provider based on what fair market value is in the area

10

u/SnooChickens9974 Apr 19 '25

You went to the ER and only owe $637. You aren't going to get better than that, in my opinion. Your insurance has already negotiated the prices with that hospital and you went through your insurance. You have to pay that amount.

5

u/kangaroomandible Apr 19 '25

Why do you care? You cant negotiate your deductible/coinsurance, you have to pay it.

2

u/bvvr19 Apr 19 '25

Because if they're building my insurance and absurd amount for one IV bag.... Like if I find out they charged my insurance the negotiated rate of $5,000 or something per IV bag and I only got one IV bag I don't care if I only owe a dollar as car insurance there is no way in other hell that IV bag is $5,000 and I'm not going to pay that so that's why I'm asking about finding out exactly what they're building me for

10

u/Over-Yard-7069 Apr 19 '25

You’re not going to win that battle. If the hospital is in network with your insurance, they’ve already negotiated that price. It’s irrelevant if you think their negotiated price is too high.

Emergency departments are for life and death situations. That’s why they are expensive. The overhead fur staffing and serving actual emergencies is baked into everything. So, yes, an IV bag at an urgent care might be $100, but, because you chose to receive it in a highly specialized environment, you pay more.

0

u/bvvr19 Apr 19 '25

Can you negotiate payment plans? Something ridiculous like "I'll pay 50% interest over 100 years"?

1

u/Over-Yard-7069 Apr 19 '25

No. You could propose something like $100/month. But, they’re not going to do anything like what you want.

1

u/bvvr19 Apr 19 '25

So what happens in the scenarios where the bills like a million dollars and the payment is "only" $1,000 a month... They just expect people to pay that much?

1

u/Over-Yard-7069 Apr 19 '25

Insurance has out of pocket maximums. For example, mine for my entire family is $7,000. Once you pay $7,000, that’s it.

So, unless uninsured, that’s not happening. If you were uninsured, there would be other options.

0

u/bvvr19 Apr 19 '25

That way the payment is pennies

1

u/kangaroomandible Apr 19 '25

Not sure what that word salad means, best of luck.

0

u/bvvr19 Apr 19 '25

Thats what these hospitals are betting on, people just giving up 😭

2

u/kangaroomandible Apr 19 '25

I mean you have to pay the deductible/coinsurance, as others have pointed out.

1

u/Captain_Potsmoker Apr 19 '25

I mean you went to the emergency room when you clearly weren’t having an emergency my guy.

0

u/bvvr19 Apr 19 '25

The urgent Care sent me there because I was throwing up the night before my blood pressure was low. You just exactly proved my point on the itemized bill they sent me they have me at like a level four emergency.... I was just extremely dehydrated had any eaten in over 12 hours because I was vomiting for 6 hours a night before and my blood pressure was around 90/60 at 27yrs old. Like they're making me out to be more f***** up than I actually was to just build more money like I get it but like go f*** someone else not me

4

u/Captain_Potsmoker Apr 19 '25

I mean, hardly an emergency but you chose to go there and receive treatment, and agreed before receiving treatment that you’d pay your portion. You could have gone to the store and gotten a bottle of pedialyte, gone home and gotten the same damn results for less than $40.

But ChatGPT also could have told you that for $20/month.

-1

u/bvvr19 Apr 19 '25

And apparently the billing department hates when you call them out on upcoding and making you more f***** up on paper than you really were LMFAO. I miss Obamacare

4

u/Captain_Potsmoker Apr 19 '25

Why would you miss Obamacare? You have health insurance right now that you wouldn’t have otherwise. Without that Obamacare plan you’ve got, you’d have the hospital asking you to pay them several thousand dollars for your tummy ache.