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this post was submitted on 19 Feb 2024
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No Stupid Questions
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No such thing. Ask away!
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Costs for services are basically made up. It's incredibly complicated but I'll give an example.
My last doctor appointment was billed at $220. I am in-network (which means my insurer has negotiated specific rates) so the insurance company says "you can only charge our insureds $105 for that service. We'll pay $80. The patient is responsible for the rest."
If I didn't have insurance, I'd be on hook for the full $220. If the doctor was out-of-network, my insurance company would pay what they thought was reasonable and I'd be on the hook for the rest.
The $220 is just whatever the doctor feels like billing. It's not based on anything other than "I feel like $220 is what my time is worth."
Sounds fairly accurate. It's just one privatized industry negotiating with another. Doesn't necessarily mean that your leg is worth 145k$, however that's how much they feel they can leech from each other. In the States, this is exactly why you ask for a full itemized bill, any time you get any work done. They will, and do abuse this system for profit