Reply to How can I dispute hapital’s predatory billing?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Why are you going to a hospital for Botox???? [/quote]

This. I recognize it isn't helpful to hear this after the fact, but hospital facility fees are much, much higher than outpatient centers.[/quote]

OP. I have tried a number physicians who offer this service. The level of pain relief depends a great deal on how well the botox is placed. This is the best provider in the area. I will now have to drive an hour and take my chances.

As for cost, many non-hospital providers are OON for this service. I’ve had this done in hospital settings in other areas. This is the first facility fee I have ever seen that’s anywhere near this level.[/quote]

I'm curious- were these encounters coded the same way but the providers?

My guess, though, is that you may be hitting a combination of a higher-than-historically-normal facility fee with insurance plan changes to not cover facility fees at hospitals for services that could be done in ambulatory care center. They probably had you sign a notice that warned you, in very vague terms, that you could be on the hook for the facility fee if the insurance company wouldn't pay it. This comes up with other kinds of procedures, too, like colonoscopies.[/quote]

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