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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u/bvvr19 Apr 19 '25

How is that not illegal? Like how is it not illegal that they can send me a bill with charges that they make up regardless of if the insurance negotiated that rate with them were not? That's just so that they can defer the patient being able to negotiate down they're out of pocket responsibility right?

I'm not agreeing with Luigi, but I am truly understanding

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u/positivelycat Apr 19 '25

They do not have to let you negotiate down your insurance out of pocket. In fact many see that of breach of their insurance contract. They simply say no. The contract saya they must make attempts to collect what your insurance left you.

It is itemized just without cpt codes.

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u/bvvr19 Apr 19 '25

Ah ok that makes sense, but how is that breaching their contract with the insurance? They must make attempts? What if they make attempts and then eventually just fold after trying to get payments from me? Would that still be them breaching the contract since there is record of going back and forth and the hospital trying to receive payment until they realize it's not worth their time?

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u/positivelycat Apr 19 '25 edited Apr 19 '25

Insurance has patient shares they don't like it when the patients cab wiggle out that share. But if the patient had their out of pocket max they would have to pay. ( greed amf bills)

Financial assistance though is allowed. As far as how much attempt is an attempt everyone's legal counsel I am sure feels differently about that.

The hospital wants your money too so they may never let you negotiate even in collections ( Greed and bills)