Treatment FAQ

how to find out how much a treatment wil cost

by Chandler Dickinson Published 3 years ago Updated 2 years ago
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Healthcare Blue Book aims to help consumers find fair prices for medical procedures in their neighborhood. Simply type in or search for your medical treatment, and you’ll get a break down of all the costs associated with the procedure.

Full Answer

How do I get an estimate of my treatment costs?

With our new online Treatment Cost Calculator (also known as Estimates), you'll receive an estimate of your out-of-pocket costs before you come in for a visit. To get started, just select your region from the list on the right.

Do you know how much a particular procedure should cost you?

Having the knowledge of how much a particular procedure should cost will enable you to negotiate a fair price and avoid excessive health-care bills. Here’s a look at some must-have price transparency websites to check out before getting any treatment: 1. FAIR Health’s Consumer Cost Lookup

Is it worth it to shop around for medical costs?

When it comes to medical procedures and treatment, it pays to shop around. According to a recent study by the Centers for Medicare & Medicaid Services, there are “significant” variations across the country and even within communities of what medical providers charge for common inpatient and outpatient services.

How do I find out what things cost?

The National Conference of State Legislatures has a scorecard of those resources. Here are some easy steps to find out what things cost. 1. Find out the exact name of the procedure, and how it’s referred to in the medical billing system, (the Healthcare Common Procedure Coding System (HCPCS) or CPT codes).

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Which states have the best pricing tools?

Some states have terrific pricing tools, such as Minnesota and New Hampshire, but a lot of the state resources are not so great. In Ohio, for example, the prices are simply the list or “chargemaster” prices, which are the top-end rates, and thus not very useful.

What to deal with when you're insured?

When you’re insured, you have to deal with factors like: Have you met your deductible? Does your plan require pre-approval? Are you in network or out? So indeed it can be complicated. But we’re hearing more people asking for cash or self-pay prices, negotiating surgical fees (a friend just negotiated a $40,000 fee down to $10,000), and being thoughtful about purchasing.

Can you get a lower sticker price in California?

Depending on where you live, you might be entitled by law to a much lower price . In California, for example, discounts off the sticker price must be given to uninsured or underinsured patients below a certain income level. Ask if there are any price breaks. Then ask again.

Can you shop around if you have a broken leg?

You’re not likely to be shopping around if you’re in an ambulance with a broken leg, or unconscious on a gurney. But there are things you can do to make smart choices about emergency care.

Do you get a discount for Botox?

Quite often, providers will offer a discount if you pay upfront, in advance—not just for discretionary procedures like Botox and Lasik eye surgery, but also for things like an MRI, a mammogram, or an ultrasound. We hear a lot from people who are asking to pay the Medicare price, or something close.

Understanding Outpatient Treatment

Outpatient treatment is a form of addiction recovery that will not require you to live in a facility as you try to achieve a state of sobriety. Through this form of rehab, you can continue living at home, and attending to your responsibilities at work and school.

The Cost of Outpatient Treatment

The cost of your addiction treatment will vary based on many different factors. Chief among these factors would be the type of recovery services that you are going to receive, the location of the drug rehab center, as well as the duration of your treatment.

Paying for Treatment

Irrespective of the type of outpatient treatment that you choose, it is essential that you ensure that you can pay for your recovery services. You can do this through your insurance coverage. Alternatively, you could search for financing and payment plans to help you offset the cost of treatment, or get sliding scale fees.

How Much Does Drug Detox Cost?

Detox treatment costs can vary depending on the number of days a person is in it and the level of care. It can also take place in various settings and levels of intensity. 2 Many inpatient and outpatient programs include detox and therefore, the cost of detox may be a part of the program you choose. Many insurance providers help cover the cost of detox so that it’s more accessible. 2

How Much Does Inpatient Rehab Cost?

The cost of inpatient drug or alcohol treatment is typically higher than outpatient because a person lives at the facility and has access to medical care and a team of treatment professionals around the clock. 1

What is outpatient addiction treatment?

Outpatient addiction treatment. allows you to continue living and working at home while undergoing treatment. It tends to cost less than inpatient treatment. This type of program will involve focused but not around-the-clock care and often includes group and individual therapy sessions.

What is detoxing inpatient?

Detox is the process of removing all drugs and/or alcohol from the body while managing withdrawal symptoms. Many inpatient and some outpatient programs include detox as part of treatment. 1,2. Detox in itself is not comprehensive addiction treatment, but is an important first step in the recovery process.

What is residential treatment?

, which is sometimes called residential treatment, is a treatment setting where patients live full-time at the facility while participating in a recovery program. It offers several advantages over other types of programs including continuous medical care, removal of distractions, and regular access to addiction treatment providers. 1

Does insurance pay for rehab?

Some programs cost very little and others cost significantly more. Insurance is commonly used to pay for rehab. The amount an individual’s insurance covers depends on the insurance provider and what the substance abuse facility accepts.

Does everyone have insurance for rehab?

State-funded insurance. Not everyone has insurance and so they must find alternative ways to pay for rehab. But even if you do not have insurance, there are still options available to help you or a loved one get the treatment you need.

Which states have the best pricing tools?

Some states have terrific pricing tools, such as Minnesota and New Hampshire, but a lot of the state resources are not so great. In Ohio, for example, the prices are simply the list or “chargemaster” prices, which are the top-end rates, and thus not very useful.

What to deal with when you're insured?

When you’re insured, you have to deal with factors like these: have you met your deductible? Does your plan require pre-approval? Are you in network or out? So indeed it can be complicated. But we’re hearing more people asking for cash or self-pay prices, negotiating surgical fees (a friend just negotiated a $40,000 fee down to $10,000) and being thoughtful about purchasing.

Do you get a discount for Botox?

Quite often, providers will offer a discount if you pay upfront, in advance — not just for discretionary procedures like Botox and Lasik eye surgery, but also for things like an MRI, a mammogram or an ultrasound. We hear a lot from people who are asking to pay the Medicare price, or something close.

Can you shop around if you have a broken leg?

You’re not likely to be shopping around if you’re in an ambulance with a broken leg, or unconscious on a gurney. But there are things you can do to make smart choices about emergency care.

Is a walk in center more expensive than an emergency room?

Walk-in centers tend to be much less expensive than full-blown hospital emergency rooms. Many of us routinely took croupy kids to emergency rooms in the middle of the night, but that’s changed in a big way. Walk-in centers of all kinds are the fastest-growing part of the medical marketplace.

What time does the CPT office open?

Office hours are 8 a.m. to 5 p.m., Monday through Friday. Prior to your call, you will need to have the following information: Description of services — you will need to provide a description of the medical service you are seeking or the CPT procedure code, which can be obtained from your attending or referring physician. ...

Is pricing information a best estimate?

The pricing information provided is a best estimate based on the information we currently have available at the time of the request and is not a guarantee of what the patient will be charged.

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