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PaperclipPerfector  22hr ago (text post)   3419 thread views

Culture War Roundup for the week of August 25, 2025

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The answer is that the guidelines say that level 4 is when "more complex decision making is required" or a diagnostic test like an ultrasound is required, which is what they did. OK, but then you charged us separately for the ultrasound and the doctor's time, so you are essentially double-counting.

I haven't seen your details, but the complex issue could be the ED physician and the extra doctor's time was probably the radiologist. It's not double counting.

Just looked over my bills. We got itemized $600 for the radiologist, $800 for the emergency room doc. Then on top of that was the $3,300 for the ultrasound itself. Then on top of that was the up-coding of the ER visit from level 2 (which would have been $700) to level 4 which was $2,400. And then there was also another $900 for catheter insertion and $940 for labs. Everything feels over charged ($900 for a two minute catheter insertion..?) but it particularly galls me that they up-coded me from 2 to 4 because of the ultrasound and decision making and then charged us separately for those things.

Yup. I mean, it’s bad alright.

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