Negotiated Fee Rate
What is the regular Price?
is the amount of payment that an Insurance Company has negotiated with the Participating Provider as the maximum they can charge both the Insurance Company and YOU!
It’s the secret number the insurance company and the provider have worked into their contract. The industry often calls that number the “adjusted rate” or the “negotiated rate.” NPR.org
More explanation calhealth.net– Can MD’s charge more? Uninsured?
How do I know that the amount I’m being billed is the correct amount?
Once your insurance carrier pays their portion of the bill, they will send you an explanation of benefits (EOB) to show how the claim was paid. You can compare your EOB to the statement sent by the hospital. How the carrier paid the claim is based on their contract with us and their contract with you. If you feel the insurance company should have paid a higher amount, please contact them directly for resolution.
Learn More ===> Scripts.org Patient Billing FAQ’s
Todd Friedman, Esq. can help if debt collectors are harassing you when you don’t owe the $$$
Might it be better to pay cash?
CMS is looking for a contractor to create a price comparison tool. Modern Health Care 8.28.2018
CA Healthline 1.4.2019 it will still be too complicated for anyone to figure out.