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The insurance most definitely did not pay $11,000 USD. They paid a percentage of an adjusted figure, and the balance was passed on to you. Billing and payment amounts usually differ by an order of magnitude.



Oh yea they paid it. Negotiation for rates happens before you pay coinsurance. I’ve called them and discussed it all. They send a $10000 check.

Odd part was in this case, we had a follow up ultrasound for another $2500 for a second hour after they “saw something odd” and it turned out to be nothing. Second hour had billing codes that were 75% less for some reason.

https://imgur.com/a/Ffmt8YT


Wow, that's an absurd disbursement, even if the procedure might have been done out-of-network. Glad everything turned out okay. The administrator should have taken you out to celebrate. :)


So deducibiles are a sham?




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