Therefore, I tried getting competing quotes from nearby facilities. The only billing team that responded actually stated they "don't quote patient-portion costs". [3]
They suggested we check their "standard charges" list, which is a JSON file that cannot be opened by firefox. [2] (Can't seem to open with JSON viewer either)
This wouldn't seem to be a reasonable way to deal with patients seeking valid financial info. Do you have experience on successfully getting price info ? And, is there a regulatory agency to complain to due to lack of disclosure ?
[1] https://www.fairhealthconsumer.org/
[2] https://www.nyp.org/patients-visitors/paying-for-care/hospital-price-transparency/standard-charges
[3] Good morning,
The hospital does not process estimates for patients with insurance coverage. However, our web portal contains charges under the Hospital Price Transparency link. I have included the link in the subject line for easy access. As far as out-pocket responsibility, your insurance company is the best source for that information; they will advise if you have any copay for the encounter.
Respectfully,
XXXXXXXXXX Financial Clearance Center Supervisor Email: xxxx@nyp.org ______________________________________________ From: XXXXXXXXXXXXXXXXXXXXXXX Sent: XXXXXXXXXXXXXXXx To: XXXXXXXXXXXXXXX @nyp.org> Subject: [EXTERNAL] Patient responsibility inquiry
Hello!
I was told by the very helpful Ms. XXXX, that you would be able to provide patient responsibility amount , related to facility CPT codes for a XXXXX procedure.
For this purpose, I am attaching front and back of my insurance card (XXXXX). The member DOB is xxxxxx. The specific 2 codes in question are : CPT XXXXX CPT XXXXX Can you please provide the total patient cost for the facility charges for the CPTs above, so I know how much we are expected to pay ourselves (after insurance) for this in-network procedure?
Also, can you let me know if there is some kind of additional surcharge / tax ?
Thank you.