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Doctor's fees

From: AMD (anonymous@obgyn.net)
Fri, 13 Nov 1998 12:23:27 -0600 (CST)


This isn't a gyn question, but I thought some of the professionals who run Dr offices here might be able to offer insight.

I recently took my 4 y.o. son for his annual checkup and shots. While we were there, I asked her to look at some splinters in his hand that were started to get a little red and pus-filled -- it was one of those "since we're already here" things. She spent 5 - 10 minutes removing a couple and at least opening the skin over the others so they could work out on their own. I figured this was just part of the office visit. My "receipt" listed this as a foreign body removal.

I was shocked when I got my explanation of benefits from the insurance and saw that she had billed this procedure as "surgery" at a cost of $94 (of which I'll pay a little under $10 -- I would have done it myself for $10). I certainly understand being billed for the medical supplies used, but I certainly don't think he got $94 worth of care. Is this standard practice, or is this just a doctor trying to get the most out of managed care? I have trouble believing I would have been charged $94 for this procedure if I was paying cash. Now I haven't seen yet if she will actually bill me for the patient's portion.

Is this just business as usual, or should I consider challenging this charge?

Andrea




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