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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14

u/Icy_Pass2220 Apr 19 '25

I can tell by this that you were charged for venipuncture and labs. Which is exactly what you describe happening above. 

You can request the CPT codes. You won’t understand them. You won’t be able to tell if something’s wrong with those codes because you are not a coder. 

-2

u/bvvr19 Apr 19 '25

True, but I have chat gpt for $20 a month and know to ask the questions the hospital doesn't want me to know 🙂

8

u/Icy_Pass2220 Apr 19 '25

Such as? 

🤣

-1

u/bvvr19 Apr 19 '25

Can you please provide the CMS pricing and CPT codes associated with each charge on my itemized bill, along with the hospital’s self-pay cash price list and any available uninsured discount schedule?

I also request an explanation for the duplicate charges I’ve identified. If there are errors or overcharges, I’ll need a corrected itemized bill before proceeding with payment

Honestly I don't think the hospital would even qualify me for cash pay pricing because obviously I used insurance but asking even pointless s*** I guess kind of tells them not to treat you like you're stupid. Because again I don't care how good or how bad your insurance is a plastic bag from the dollar store with IV fluid in it is not even $1,000.

20

u/Icy_Pass2220 Apr 19 '25

I work in this industry and I can tell you that this response screams to me that you have no idea what you are talking about!🤣

This is a Karen type of call. 

10

u/LivingGhost371 Apr 19 '25 edited Apr 19 '25

I'll also point out the insurance company paid their 80% without seeing a problem with the bill, and they have trained professionals looking for problems. And that insurance company allowed amounts are subject to signed, legally binding contract and aren't negotiable or appealable by a patient screaming "that's too much!!!"

We don't see what the insurance company allowed on each individual line, so it's possible if those charges really are duplicates they already got them zeroed off the actual amount due on the bill.

1

u/DoritosDewItRight Apr 19 '25

Please either answer OP's question or stop commenting. Posting more personal insults will result in a temporary ban from this subreddit.

3

u/Low_Mud_3691 Apr 19 '25

OP said the r word and that's what you have to say? LMAO

-5

u/bvvr19 Apr 19 '25

Its really not, you sound like one of those people that are proud to be in a high tax bracket

13

u/Icy_Pass2220 Apr 19 '25

Nope. Medical Coders are not in a high tax bracket. 

Again… just utter ignorance on display. 

Pay your damn bill freeloader!

6

u/Low_Mud_3691 Apr 19 '25

Well...some of us are lmao but we're not the ones having to deal with this guy!

-1

u/bvvr19 Apr 19 '25

Why would I pay a bill when your taxes could pay it for me😭, that's like studying for stuff that isn't even gonna be on a test

8

u/Icy_Pass2220 Apr 19 '25

Bitch, I probably make less than you. 

What a child!

-4

u/bvvr19 Apr 19 '25

Yeah probably, and I had speech therapy as a child, so I'm fucking retarded

1

u/bvvr19 Apr 19 '25

That's like being proud you got a 90% in a test meanwhile some dumbass that didn't study for a 90

4

u/Low_Mud_3691 Apr 19 '25

Another person who saw on the internet that they could ask for an itemized bill and their price will drop $20,000

2

u/Current-Victory-47 Apr 19 '25

Then get a bag fill it with water and set it up an an iv... this alone is so vile