Many Receive Surprisingly High Bills After Visiting In-Network ER

Share this content:
Many Receive Surprisingly High Bills After Visiting In-Network ER
Many Receive Surprisingly High Bills After Visiting In-Network ER

THURSDAY, Nov. 17, 2016 (HealthDay News) -- Many patients visiting an in-network U.S. emergency department end up with major unexpected costs, according to a perspective piece published in the Nov. 17 issue of the New England Journal of Medicine.

Yale University researchers looked at 2.2 million emergency department visits made by patients younger than 65 nationwide between early 2014 and late 2015. Nearly one-quarter of the patients who went to emergency departments within their health insurance networks were treated by an out-of-network doctor and ended up with unexpected expenses.

According to the findings, out-of-network emergency medicine doctors charged up to 798 percent of Medicare rates, while in-network emergency physicians were paid around 297 percent of Medicare rates. Patients were presented with an average bill of $622.55, and potentially much more, if their insurer only covered in-network rates, the researchers reported.

"Most patients with health coverage go to in-network emergency rooms and rightly expect to be treated by in-network doctors," study coauthor Zack Cooper, Ph.D., an assistant professor of public health and economics at the Yale School of Public Health in New Haven, Conn., said in a Yale news release. "Our study shows that nearly a quarter of people who visited in-network emergency rooms were exposed to potentially major costs. This is just wrong and we must do better. People should not face financial ruin from medical bills they cannot reasonably avoid."

Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!

Already a member?

Sign In Now »


Sign up for myCME e-newsletters


Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Price Transparency Intervention Doesn't Cut Lab Test Orders

Price Transparency Intervention Doesn't Cut Lab Test Orders

No significant changes in overall test-ordering behavior or associated fees in adjusted analyses

More Risks on School Playgrounds Linked to Happier Children

More Risks on School Playgrounds Linked to Happier ...

Greater opportunities for risk, challenge associated with fewer reports of bullying to adults

Black Men Have Higher Rate of Preclinical Prostate Cancer

Black Men Have Higher Rate of Preclinical Prostate ...

Also increased risk of progression to metastatic disease compared with the general population

is free, fast, and customized just for you!

Already a member?

Sign In Now »