+ Reply to Thread
Results 1 to 9 of 9
  1. #1
    kapeedmaro is offline Member
    Join Date
    Nov 2005
    Posts
    133

    I got billed for the emergency room but I went to Urgent Care

    City/State : San Diego - California

    About a month ago, I had really bad back pain and almost couldn't move. I didn't know what was causing it and needed to see a doctor. I have Anthem health insurance but just moved to the area and didn't have a regular doctor. I called around trying to get registered at a doctors office who could see me the same day but they all recommended that I just go to urgent care in order to get a same day appointment. When I called urgent care, they told me to come right over as urgent care wasn't busy. At the UCSD Medical Center, the ER and Urgent Care office are in a shared space and the triage nurse decides which you will go to. I waited there for over 14 hours surprisingly and was finally able to see a doctor in what I believed (and still believe) was urgent care - as that is what I requested. He diagnosed me with Kidney Stones after running blood and urine tests. I left that evening and filled my prescription.
    I just received my bill and they charged me over $5,000 for my visit. Even with insurance, I am still being charged almost $2,000 out of pocket. I am planning on calling the Medical Center to let them know that I didn't go for ER services, but I am not sure what the best course of action will be. Has anyone ever run into something similar? I appreciate your help in advance.
  2. #2
    OHRoadwarrior is offline Senior Member
    Join Date
    Jan 2011
    Posts
    10,568
    Call the billing office. You may have been upgraded to ER services, due to your affliction.
  3. #3
    startedone is offline Member
    Join Date
    Aug 2011
    Posts
    688
    Quote Originally Posted by OHRoadwarrior View Post
    Call the billing office. You may have been upgraded to ER services, due to your affliction.
    Maybe.. a 15 hr wait ? "come-on in, we have no patients"..I wonder what it would be if some patients were there ..50 hr wait.

    ERs are a scam...and the OP has a good case if asked for only urgent care.

    I would check it out but ultimately, not pay anything unless a court orders it.
  4. #4
    FlyingRon is offline Senior Member
    Join Date
    Feb 2007
    Posts
    16,517
    Many of the "urgent care" facilities actually claim to be "stand alone ER's" rather than the "doc-in-a-box" that they are.
    Yeah you'll get the ER facility bill, the doctor's bill, bills for the X-Ray and radiologist as well.
  5. #5
    Zigner is offline Senior Member
    Join Date
    Jan 2005
    Location
    California
    Posts
    53,665
    Quote Originally Posted by startedone View Post
    Maybe.. a 15 hr wait ? "come-on in, we have no patients"..I wonder what it would be if some patients were there ..50 hr wait.

    ERs are a scam...and the OP has a good case if asked for only urgent care.

    I would check it out but ultimately, not pay anything unless a court orders it.
    Your advice for our OP to not pay anything until she has a judgement entered against her is absolutely asinine. But, it is right in line with what we've come to expect of you.
  6. #6
    startedone is offline Member
    Join Date
    Aug 2011
    Posts
    688
    Quote Originally Posted by Zigner View Post
    Your advice for our OP to not pay anything until she has a judgement entered against her is absolutely asinine. But, it is right in line with what we've come to expect of you.
    No, its the system we live under. Not happy with a bill? What do you do .. just pay. Sucker.
  7. #7
    lealea1005 is offline Senior Member
    Join Date
    Jul 2006
    Location
    supratentorial region
    Posts
    2,603
    Some Urgent Care Centers meet specific criteria, such as seeing patients on an urgent basis, without appointments, and will treat an emergent medical condition. They permitted to code visits as an emergency room would. Therefore, the fee would be much higher (and possibly covered differently) than a Physician's office.
    Last edited by lealea1005; 04-24-2012 at 06:20 AM.
  8. #8
    Hot Topic is offline Senior Member
    Join Date
    Jun 2006
    Posts
    5,226
    Quote Originally Posted by kapeedmaro View Post
    City/State : San Diego - California

    About a month ago, I had really bad back pain and almost couldn't move. I didn't know what was causing it and needed to see a doctor. I have Anthem health insurance but just moved to the area and didn't have a regular doctor. I called around trying to get registered at a doctors office who could see me the same day but they all recommended that I just go to urgent care in order to get a same day appointment. When I called urgent care, they told me to come right over as urgent care wasn't busy. At the UCSD Medical Center, the ER and Urgent Care office are in a shared space and the triage nurse decides which you will go to. I waited there for over 14 hours surprisingly and was finally able to see a doctor in what I believed (and still believe) was urgent care - as that is what I requested. He diagnosed me with Kidney Stones after running blood and urine tests. I left that evening and filled my prescription.
    I just received my bill and they charged me over $5,000 for my visit. Even with insurance, I am still being charged almost $2,000 out of pocket. I am planning on calling the Medical Center to let them know that I didn't go for ER services, but I am not sure what the best course of action will be. Has anyone ever run into something similar? I appreciate your help in advance.


    I find it really hard to believe that you weren't given a CT scan to confirm not only the presence of kidney stones but the location and number. If you aren't lucky enough to pass it/them, where is the doctor going to look for the stone/stones? You would have received more than one prescription.

    The pricing sounds about right.
  9. #9
    Jendor is offline Member
    Join Date
    Sep 2011
    Posts
    79
    Your situation is not unheard of. This link will take you to an article (that I recalled reading a couple of years ago so just now Googled it)
    http://www.jsonline.com/watchdog/pi/110892474.html

    One of the reasons I'm pointing the above writing is I'm wondering if your situation may have been like this with a subtle sign that you hadn't thought of to look for.
    He missed the 18-by-24 inch sign in the lobby. Under the heading "Thank you for choosing us for your health care," the sign says services may be billed as a hospital charge, and hospital emergency room co-payments, co-insurance and deductibles may apply.

Similar Threads

  1. Emergency Room Bill - Never Seen
    By Wildbird55 in forum Health Insurance and HMO Plans
    Replies: 10
    Last Post: 01-04-2010, 01:19 PM
  2. 10K Emergency Room Bill - Ins won't pay
    By al91206 in forum Health Insurance and HMO Plans
    Replies: 13
    Last Post: 11-23-2009, 11:52 AM
  3. Emergency Room
    By ctbrowne in forum Medical and Health Care Malpractice
    Replies: 3
    Last Post: 10-07-2009, 04:11 PM
  4. Emergency Room Bill
    By markymark123 in forum Health Insurance and HMO Plans
    Replies: 1
    Last Post: 09-07-2009, 02:19 AM
  5. Emergency Room Question
    By mgorse09 in forum Medical and Health Care Malpractice
    Replies: 14
    Last Post: 11-15-2008, 11:21 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

© 1995-2012 Advice Company, All Rights Reserved

FreeAdvice® has been providing millions of consumers with outstanding advice, free, since 1995. While not a substitute for personal advice from a licensed professional, it is available AS IS, subject to our Disclaimer and Terms & Conditions Of Use.