That Out-of-Town Medical Bill Gets Bigger!


Last month, after much contemplation, I decided to remain in North Carolina rather than driving over two hundred and sixty miles back to Maryland for an unexpected medical test.

I was all set to pay a higher price for that procedure and called in advance to receive a quote. Unfortunately, on the day of the scan the hospital could not confirm the quoted price.

My original $550 estimate went right out the window. It was too late to choose a different facility, (the test had to be performed within a specific time frame), so I proceeded without any idea of what I might actually owe.

Well the first bills have arrived and my final cost is twice the original estimate! The quoted $550 procedure was correct, but an additional and completely unexpected charge of $330 was included in my bill along with an additional doctor’s bill of $268. The ugly total; a whooping $1148!

On top of that my insurance company has denied the claim due to lack of preauthorization. I knew that I would pay the out-of-pocket total but I hoped that out-of-network rates would apply and that the final payment would be added to my yearly deductible. As of now, no such luck.

For those wondering I did ask the doctor’s office requesting the exam to seek preauthorization from the insurance company a week before the test was scheduled. They called twice and were told on both occasions that preauthorization was not necessary. So my only recourse is to appeal the denial and hope that the claim is reprocessed.

Despite this rather hefty medical bill I am still happy with my decision to stay in North Carolina on the day of the test. My family was in town with me that week and I did not tell them about the scan. I don’t like them to worry necessarily. If I had gone home I inevitably would have told them or lied to them about my need to return to Maryland.

It would have been a six hour drive each way, which would have been a twelve hour round trip, not including the time at the doctor’s office getting scanned or a twelve hour drive plus an overnight stay in Maryland away from my family.

If the outcome was poor I would have spent six hours driving alone contemplating those results, which would have made for a rather somber and depressing ride.

I am certainly not happy paying over $1100 for a procedure that should have cost nothing more than a $30 copay. I am still hopeful that the claim can be properly appealed and that the final cost will be closer to five or six hundred dollars.

It was certainly not the frugal choice, but if I choose the frugal options all along the way, then every once in awhile I should get to select an option that makes sense in ways that aren’t financial. At least that’s what I’m telling myself to help me feel better.

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