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/[deleted] Apr 19 '25

Ask for a HCFA-1500. It’s the bill that providers send to carriers. I used to work for a carrier.

1

u/bvvr19 Apr 19 '25

I think I'm in love with you. Thank you so much

1

u/bvvr19 Apr 19 '25

So does that bill have a CPT codes on it? Is there other stuff that will basically help me reduce my responsibility?

1

u/bvvr19 Apr 19 '25

ChatGPT is telling me I should also ask for form UB-04... Do you know that one? Should I also ask for that one too? Apparently the form you told me to ask for is from the doctor group that bills and then this UB-04 form is for the hospital services like blood draws IV fluids and labs and the ER bed.

Any thoughts?

1

u/RockeeRoad5555 Apr 19 '25

The 1500 is used for physician claims, not for facility claims. The hospital claim form is a UB-04.

1

u/[deleted] Apr 19 '25

Ask for that as well. Just spell it out you want a bill that has cpt codes on it

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u/Sweet_Livin Apr 19 '25

A 1500 doesn’t come from the hospital, it will be a separate bill from the physician in addition to the one attached. OP will owe cost share on that one as well