No CPT codes on itemized bill

[u/bvvr19]

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

[u/Icy_Pass2220]

Such as? 

🤣

[u/bvvr19 → u/Icy_Pass2220]

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.

[u/Icy_Pass2220 → u/bvvr19]

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. 

[u/LivingGhost371 → u/Icy_Pass2220]

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.