Certain health care services are expensive, but some bills take pricing to a whole new level. This was the case for a recent medical bill our team received involving a simple CT scan.
The case involved a workers’ compensation claim for a routine computed tomography (CT) scan of the abdomen and pelvis, with and without contrast materials at a hospital in Arizona. The bill for this single radiology service came to a staggering $21,439.
CT scans are a standard diagnostic tool and, while the technology is valuable, charging over $21,000 for this procedure was difficult to justify by any metric. The hospital’s pricing seemed completely disconnected from the true costs associated with this service.
Fortunately, at WellRithms, we specialize in ensuring that medical bills reflect fair, accurate pricing. Our team repriced the bill to $652, a reasonable rate based on the state’s average facility cost for this procedure of $248. By repricing the claim, we saved the payer $20,787, reducing the bill to 3% of the original charge.
This case underscores the importance of rigorous medical bill review and repricing. Without intervention, this case would have been overcharged by more than $20,000 for a single scan. At WellRithms, we strive to ensure fair pricing across the board, leveraging both data and clinical expertise to identify inflated bills and bring them in line with reasonable costs.
These kinds of extreme overcharges are more common than many realize, and it’s crucial for payors to partner with experts who can uncover and correct unjustified pricing. Our work in this case not only saved money but also highlighted the need for greater transparency and accountability in healthcare billing practices.
Don’t let inflated medical bills go unchecked. WellRithms has the tools and expertise to ensure fair pricing and protect payors from overbilling. For more information on how WellRithms can help you reduce inflated healthcare costs, contact info@wellrithms.com.
