To whom it concerns,
This is in reference to an EOB which I received recently from my insurer, CIGNA, regarding a facility fee of $1,155.64 for services on March 26th, 2010. I just received the St. Thomas bill today.
The amount charged is outrageous. The service provided was basically an hour-long wait on the bottom floor of an old building with stained carpets and a somewhat surly nurse who simply read me post-op instructions. The operating room was a cubicle with a chair, where Dr. W performed the 2-minute procedure by himself.
I have nothing but respect for Dr. W, and have been a patient of his and also St. Thomas for the past 15 years. I paid his bill immediately. Again, the complaint here is the ridiculous charge on behalf of the facility. To make matters worse, St. Thomas allowed no discount at all, whereas Dr. W's fee was negotiated down by over half.
In light of this insubstantial service on the part of St. Thomas, the fact that the facility fee is nearly $1,400 ($600 more than the surgeon's) is absurd.
This is a prime example of why consumers/patients need to get more directly involved in the costs of their medical coverage, in order to match services with expenses more properly. In this instance, I would suggest a reduction of the Facility Fee to at least the surgeon's fee ($800), along with a substantial discount as was applied to his bill.
I would prefer to come to an agreement with St. Thomas directly, without having to resort to a 3rd party, airing my discontent publicly, etc. I only want what I perceive to be fair, but am completely dissatisfied with the situation as it stands and will pursue it until it is corrected.
