Published Jan 30, 2006
General E. Speaking, RN, RN
1 Article; 1,337 Posts
We are required to screen all our eligible patients for flu/pneumo vaccine. One nurse had a patient call her back after discharge. He wanted her to know that the flu shot she gave him had a price tag of $400! The pt must sign a "I accept" or "I decline" form. This covers informed consent and allows the hospital to say, "Well, you consented to the vaccine..." I imagine if we saw the itemized billing of most of the services we supply, we would all be shocked.
I guess it would be hard to get the patients to have these things done if the price tag was listed by them like a resturant menu:
MRI...............................$2,500
CT scan.........................$832
Adhesive bandage............$82
Influenze vaccine.............$400
What do you think?
sirI, MSN, APRN, NP
17 Articles; 45,819 Posts
I'd think typo in regards to the flu injection.
I'd think typo.
pretty sure it was confirmed by pharmacy...
A patient may sign this form, but they do not sign a form to be ripped off by the entity. This can be contested as against UCR.
Nurse Ratched, RN
2,149 Posts
Agreed. This is absolutely outrageous.
RosesrReder, BSN, MSN, RN
8,498 Posts
Antikigirl, ASN, RN
2,595 Posts
Well, I would be suggesting one of those clinics that come around to grocery stores instead...LOL, at least here a flu shot is only 32 bucks max! WOW!
I know things are very overpriced in facilities...I worked in an ALF that had its own pharmacy and the cost of a duoderm was beyond reasonable! Heck, a bandaid cost about 2 bucks per bandaid...and the types you can buy at the dollar stores stuck better (and that is per box)! LOL!
I once worked at a facility that had the nurses document the amount of time they spoke to a patient in 15 minute blocks so they could be charged for nursing services (I thought that was crazy...I mean, patient teaching is important and I teach them till I know they understand, and if that takes a while...well...it isn't like the patient is feeling their best, sometimes it takes time!). I was a student luckily, and never saw how much they charged per 15 minutes...but wow!
kukukajoo, LPN
1,310 Posts
I would be betting that somewhere along the lines what should have been $40.00 was entered as $400.
There can not be any way that a flu and Pneumonia shots could ever be that expensive. It would be unethical for sure. I can't even imagine!!
mommy2boys
161 Posts
A lot of hospitals charge an arm and a leg for simple items. I passed a kidney stone once without medical insurance (I had less than a month left on the waiting period so I had to pay the entire thing out of my pocket) almost 9 years ago. I had to go to the ER because I was DYING from the pain.
They did a pregnancy test and it cost me $200. They "accidently" charged me twice so when I saw the bill I nearly died. $400 in pregnancy tests!!! YOu have got to be kidding me. I called the billing dept. and spoke to them and they said that they had overbilled me, but they still charged me $60. I could have gone to drug store and bought one for $10.
It just proves that the mark up for simple supplies are crazy. I guess they need to find funding to make up for people who don't pay their bills, but why $60 for a simple pregnancy test.
Thank God I have insurance now. Even though it doesn't cover all that great, at least it is something.
carolinapooh, BSN, RN
3,577 Posts
My father spent egdays and six nights in a local ICU.
His pharmacy bill was - I saw it, have a copy of it - fourteen pages long and was - are you ready? - $19K.
They charged $18 for A DOSE OF LIPITOR. His fentanyl patches were $151 EACH.
He had no chemo, no nothing - he got several bags of vancomycin, which I know are expensive - but PLEASE. NINETEEN GRAND?
Thank God for health insurance.
A peds ED here tried to charge my sister two hundred bucks for an injection my niece did not receive. I would guess it happens a lot.
SCmomof3, RN
407 Posts
Similar experience here several years ago. I was in the ER for a particularly bad asthma attack. They gave me 2 doses of albuterol via nebulizer (which I also have at home btw). I was charged $160 for those two doses!!!!!! TWO STINKING VIALS! Albuterol is NOT an expensive drug at all. I was uninsured at the time. The total visit was $1200 and took me nearly a year and a half to pay off I felt like I'd been raped. Never mind that the ER doctor never even came in to see me once and I was still charged $375 from him!!
imenid37
1,804 Posts
I know infant hearing screens w/ the ABR can cost about $300.00-400.00. I was also shocked at the price tag. Many insurances say this is reasonable and customary for this service and do pay a substantial portion of the cost. In some states, where the screenings are mandated, but insurance coverage is not, parents get a big bill. This means some people are choosing not to have it done. When my oldest child was a baby, vaccinations were not covered by my insurance. I had to pull $150.00 out of my pocket several times. This was when I made a whopping $11.00/hr as an RN. It was definitely a hardship, but I had to do it. The health dept. gave them for free. To me, that was for people who were really poor! Healthcare costs are outrageous. I had two MRI's in 2004 at $2800.00/ each. Enbrel for my daughter's JRA was going to cost us $400.00/month (that was w/ insurance paying 75%). We had to stick w/ methotrexate which was less than $10.00/ month. Thank God it was effective. The crime of all of this is that we pay several hundred dollars/ month for insurance and if we had Medicaid it would be free. Of course, in my local area finding a doctor or (God forbid) a dentist to take an MA pt. can be a challenge. It is very sad. I firmly believe that healthcare is as much a right as education. It makes me sick to think that a family can be devestated twice not only by their loved one's illness but also by the financial burden it creates. I have heard of many people who lose their family member and then lose their home or have to declare bankruptcy.