I had a procedure done recently that I had to pay for out of pocket as insurance would not cover it. The hospital provided a good faith estimate for 26k, and I paid half up front. The procedure went well with no additional items or complications. A week later, I go on the hospital's website to set up payment for the remaining balance and am met with a summary bill for 128k bill. I could understand the estimate being off slightly, but by 500%???????
I am requesting confirmation that this value is correct and an itemized bill. Are there any other steps I should take to dispute this? I just don't understand how this happened or what I'm going to do. It took me 3-4 years to sace up for the procedure when I thought it was 26k. I just don't understand how they could be off by 500% when there were no complications or additional procedures/steps ordered.
Recent Surgery Bill for self pay (no insurance) was 5 times the good faith estimate. Next steps.
byu/IAmLee2022 inpersonalfinance
Posted by IAmLee2022
2 Comments
Since you are more than $400 over the good faith estimate, there is a process for disputing it. You have 120 days to initiated the dispute process:
https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-B/part-149/subpart-G/section-149.620
See [https://www.cms.gov/medical-bill-rights/help/dispute-a-bill](https://www.cms.gov/medical-bill-rights/help/dispute-a-bill)