Pretty much what the title says. Not sure if this is where I am supposed to post this, but here goes. I (22 F) live in the USA, and earlier this year I had to visit the emergency room for intense abdominal pain and unusual GI symptoms. To avoid costs, I normally would have gone to an urgent care or outpatient clinic, but my symptoms were rapidly worsening during the early morning hours. At 1:00 AM my mother insisted on taking me to get immediate care, and the ER was the only facility who could see me since everywhere else nearby was closed.
I ended up being prescribed a couple of meds after they did a CT scan with contrast and an X-ray. Of course, as a young woman you can't get these imaging procedures done before confirming you are not pregnant, regardless if there is a zero percent chance of pregnancy.
Anyway, I did the stupid "pee in a cup" dip-stick test. I gave the student nurse my urine, she put the test strip in, and confirmed the results. No lab analysis, no blood work, no fancy testing equipment. Just a paper urine test strip.
Here's the problem- listed on my charges for the ER visit, I was billed $180 just for that little urine test. If I am going to be generous; the test strip, specimen cup, and latex gloves, can't cost more than $5 USD at MOST for the grand total for each individual unit. Those test strips cost pennies per unit, and if we assume the hospital buys them in bulk, there is no way that one strip costs the hospital more than one singular dollar. The nurse who performed the "test" was not even a registered nurse, but an unpaid nursing student completing her clinical education experience- so the hospital would not even have to pay her for the labor anyway.
So why on God's green earth was I billed $180 just for that? There is no rational or justified reason why anyone should be charged that much money for a test that takes seconds to perform and requires the cheapest equipment/materials. I don't care that it was because I went to the ER, its still a ridiculous markup that should not exist. I work in healthcare, obviously its well known that hospitals and insurance companies are super greedy. Still- even this kind of shameless, blatant exploitation of patients' finances is an outrage. This is why people don't go to see their doctor or seek out emergency care when they legitimately need it. Even the most simple and basic services are marked up beyond any reasonable amount. It is such a significant burden on the middle/lower class patients who can't afford even the least complicated care.
Long story short, I ended up calling the billing office of the healthcare network and asked to dispute the charge, and that I believe the hospital improperly coded the pregnancy test on my billing statement. They said they will flag my billing statement for review, and that someone would evaluate the billing codes to see if I have been charged incorrectly for the pregnancy test. I also requested an itemized bill for every single charge from the ER visit, so who knows what other ridiculous charges could be hiding in that. I was informed that it would take 3-4 weeks to receive a copy of my itemized bill and the decision about my dispute. Ugh... the American healthcare system is just a joke.
https://ift.tt/EMzgLi2 Submitted September 18, 2025 at 12:55AM by red34278 https://ift.tt/Wz1YvOe