Anonymous
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Anonymous
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I know that this is a long message but I needed to vent. Maybe someone has an idea about this.
I've experienced a case of Lab Corp ripping insurance companies off big time. I just made a $190 mistake, and thought I'dshare it with everyone, with a hope of giving someone the option ofselecting an alternate diagnostic company (or at least, making sure you aren't overcharged).
Unfortunately, I lack health insurance, as I'm trying to finish school,to begin a job with insurance. I was surprisingly dx'ed with Type 1 diabetes in March, and shortly thereafter, Graves' Disease (hyperthyroidism). As with any thyroid disorder, you must get your
thyroid levels checked reguarly.
After several months of this, my doctor's office closed its lab, and sent me to one of LabCorp Patient centers for a simple TSH and free-T4 test (ironically, not free .
Everything was hunky dory, until the results came back. First, they messed up on my social security number, and secondly, wrote that I'm a "female." I'm definately a male.
But three weeks later, the bill arrives from LabCorp. ***$230 (USD)***! $20 for sticking the needle in me ("venipuncture"), $100 for TSH, and the remaining for the free T4 test.
I doubt that the lab worker who jabbed the needle in my arm even earns a fair portion of that charge for the needle stick.
Now, this is the real confusing thing: Had I not brought my doctor's note in, it would have cost only $40 USD. That's all! Forty bucks!
That, my friends, is a $190 difference. LabCorp is ripping insurance companies -- and people without insurance -- by at least $190 for just a TSH and T4 test that had been ordered from their doctor,versus just going in on their own.
Are they giving that $190 as a kick-back to the doctor's office? Onemust ask that question. LabCorps website is complicated, and contains a lot of information aimed towards getting doctors to force patients to use their services -- this is a must-have requirement for a $4.0+ billion Corporation. A company of that size does not make money
like that without a lack of regard for all ethics towards billing patients.
If you have a better alternative for your lab tests, DO NOT USE LABCORP. I will not recommend them, and will continue to spread my experience with them until I can see
something come better of Lab Corps Medical and Human ethics.
I called their customer service to inquire about the huge difference in price, and was told that the only difference between my test and their test was that "my test was ordered by a doctor." By the way, hopefully you will not need to call them. Their voice automation
system makes every attempt to keep you from speaking to a human.
If you don't have insurance and pay out of pocket, I highly recommend that you check around for cheaper tests. In my case for TSH and T4, LabCorp would have performed the same TSH and T4 tests, but for $190 less, had I not shown them my doctor's note by just opting for the Lab Corp walk-in" option.
The customer service rep simply gave me an option for a "5 month payment plan" and seemed sympathetic to my situation, but unable to do anything. I basically paid $190 for them to fax the results to my doctor. And I don't even want to know how much I have overpaid for the half-dozen other tests I've had them do for me.
It's too bad that there aren't many other choices outside of LabCorp, which has grown to a mammoth of a company. Insurance rates are going up because diagnostic companies like LabCorp which takes advantage of situations where a person is left with no other choice.
I'm going to ask my doctor about the strange pricing, as I'd hate to think it's a kick-back scheme by LabCorps' unethical price gouging. If anyone has any similar insight as to why LabCorp might charge $190 more for a doctor-ordered test versus a "walk-in-off-the-street" test for TSH and F-T4, please inform me.
If other people have experienced this, then perhaps we're about to uncover something big.
I can certainly understand why someone outside the industry would be confused. Because it is very confusing. Let me point out that your experience with LabCorp is not exclusive and would would be similar with any commercial clinical laboratory.
The patient pricing is so high because when it is all said and done over 20% of the patient bills sent out by labs never get paid. Not even partially. So while it may not be fair, everyone else has to make up the loss.
When LabCorp (or any lab) bill insurance carriers, we must bill them the same amount that we bill patients. LabCorp (and most major labs) has negotiated contracts with many carriers that details what they will pay LabCorp for various tests. The contracts are negotiated so that costs are contained for employers, and hopefully reduces the amount
patients must pay in the long run.
So, yes labs may bill insurance company X the same $230 we billed you, our agreement may be that they will only pay $40. Contracturally we must write off the remaining $190. Now the insurance company might only pay 80% of that $40, leaving you a balance of $8 to pay out of pocket.
Unfortunately all of this means nothing to you, since you have no health insurance, it only makes it more difficult to understand. But there is nothing illegal about this scenario, and nobody is getting a kickback. I just hope I helped you understand our broken system.
Good luck going forward