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Can I get doctor to tell me in advance what a visit will cost?


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2012 Mar 16, 2:48am   32,531 views  89 comments

by Patrick   ➕follow (60)   💰tip   ignore  

I have a suspicious mole on my back, and would like a dermatologist to look at it. But FIRST, I want to know:

A: What will the dermatologist charge?
B: How much if anything will my insurance cover?

So the question is whether it is even possible in America to know in advance what a visit will really cost the patient.

I'll keep my experience updated here.

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82   Patrick   2012 Jul 24, 4:22am  

BTW, I got screwed anyway!

I carefully confirmed that one annual physical is covered 100% and make an appointment for a physical and nothing else.

Then I got a bill for $325 for an "Office Visit", which is not covered by my insurance.

I called and confirmed that I made an appointment for a physical, and they said they'd check the coding. If they don't code it as what I asked for, I do plan to go to small claims court over it.

Boy I hate the medical system. I probably am fine, except that their billing is going to give me a stroke.

83   AlexS   2012 Jul 24, 4:23am  

Next time go to a cash doctor. He'll tell you exactly what the price is, and will treat you much better.
Your bill will be lower than what you paid.

84   PockyClipsNow   2012 Jul 24, 4:28am  

Maybe its possible to make a list or calculator for figuring out the costs of medical procedures up front? Perhaps similar to the rent vs buy calclulator. You could select from a list of 'treattments' and options and it would have boxes to fill in ahead of time that would tell you what to ask them BEFORE the appointment/treatment.

We really need to make the medical industry accountable like other professions - you should be able to get a quote up front in writing and they should NOT be able to arbitrarily tack fees on without you signing a new quote.

Its really insane, maybe Patrick and some good software coding can help!

85   Patrick   2012 Jul 24, 4:32am  

PockyClipsNow says

Maybe its possible to make a list or calculator for figuring out the costs of medical procedures up front?

But they won't tell you!

Prices are all SECRET and the only way you can find out what they are is when you get the bill.

I suppose I could try to get everyone to enter medical codes, bill amounts, and provider from their own bills, kind of like gasbuddy.com, but I bet hardly anyone would do it, even if it were completely anonymized.

I'm having no luck getting any departing tenant to say anything about their rentals:

/?p=1214531

86   curious2   2012 Oct 11, 4:29pm  

Just a follow-up @Patrick, since it's been more than six months. How did this story turn out? Did you photograph the mole, and has it changed or remained stable?

87   Patrick   2012 Oct 11, 5:13pm  

Thanks for asking!

I called twice and was assured twice that the mis-billing would be corrected because their own records showed I had made an appointment for a physical. But it was not corrected and I started getting calls from a collection agency.

So I wrote two letters and got no response at all to them. Finally I filled out the small claims papers and went to file them at the court. The court clerk told me I did not have the exact correct legal name to serve papers to, so I had to go look that up. Since I was passing the Palo Alto Medical Foundation anyway, I stopped in to show them that I was about to file suit.

A nice person in the billing office assured me they would fix it, but I pointed out I had been told that before. But it looks like a credible threat of suing worked. I have not been billed by them for a month now so I think they finally did correct their error.

The doctor said the mole is nothing to worry about.

I would rather die than deal with them again.

88   Tenpoundbass   2012 Oct 12, 11:01am  

Yes

And it's cheaper than most people's copay.

89   curious2   2012 Oct 12, 11:21am  


The doctor said the mole is nothing to worry about.

This may be the best reward of being a difficult patient. If you were a typical patient, especially with gold plated "Cadillac insurance", you might need a lot more tests to get the same answer. And, if any of those tests showed an ambiguous result or if any samples got switched at the lab, you might need some expensive and dangerous procedures too. That's how the premature deaths caused by "preventive care" tend to offset the lives "saved" by it, even before counting the fact that those "saved" include Elizabeth Edwards and others who endured more than five years of treatments without living much longer than if they had done nothing.

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