r/HospitalBills • u/ConsequenceOver9269 • 24d ago

Hospital-Emergency scam or not?

last month i went to fl for a week and went to the ER for a uti, as that is the only place to take my insurance. i received a bill from the ER already for $50 after insurance covered 2.5k for lab, ER and pharmacy. today i received a bill from physicanbillpay.com for $1,261 and a bill from east coast pathology of florida for $40 from my UAC. i was wondering if these 2 bills are scams. they came in about 2 weeks after my ER bill.

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u/Sloppysteaksslick 24d ago

No. The hospital split billed. It's legit, albeit annoying for patients.

Almost all hospitals now split bill, meaning facility charges and physician charges are sent separately, sometimes from different billing entities.

The pathology bill sounds high, though as does the physician bill. You were probably seen by an out of network provider and the UTI test was probably sent out of network as well. If that's the case, you can argue that. Although, surprise billing laws are really made for emergency situations.

You need to make sure you go to an urgent care next time you're in a situation like that.

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u/ConsequenceOver9269 24d ago

the urgent care is the one who told me to go to the ER

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u/Sloppysteaksslick 24d ago

That's unfortunate. I would have stayed at the urgent care and paid out of pocket. It's very annoying for patients. I'm sorry that you incurred those charges.

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u/ConsequenceOver9269 24d ago

i js wanted to make sure is physicianbillpay is legit, the website is very sketchy and even the bill i received looks sketchy. i googled them and found nothing good about them. i’ll call the hospital tomorrow and my insurance about it.

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u/Sloppysteaksslick 24d ago

I don't think I've heard of that one 🤷. Call the hospital and check to see who they use for their physician billing.

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u/Zetavu 23d ago

Always check your insurance to make sure they submitted it there. If they are out of network it should still work through in network insurance if you were at an in network hospital. I've seen some issue and typically insurance forces them to take in network pay which is lower. They will obviously try to get you to pay out of network rates if they can.