could you explain how that’s possible? I’ve given birth 3 times, and the bills were always enormous. The one that really got me, however, was my second. She was stillborn at full term. I birthed her without medication. She obviously needed none of the usual stuff newborns gets since she was dead. And I was in and out of the hospital in 11 hours - didn’t even stay overnight. Our bill was $25,000. Insurance covered all but $3,500, but how on earth does a hospital not profit from $25,000. I didn’t need surgery, I didn’t have an anesthesiologist....there’s no way they lost money there.
Again, I have stated this in this thread before but what was the Allowable? On the EOB (explanation of benefits) what was the actual allowable charge as in what did insurance adjust for? The initial price you see is the equivalent of the “rack rate” at Disney resorts, but in the same way that no one pays rack rates, no one pays the initial charge unless you are a cash payer. Even in that situation you can often call the billing department and maybe even negotiate a cash rate. This is frequently done with the Amish. The actual paid amount is nothing close to that. So go back to your EOB and see what was actually paid. If you paid $3500 you may in fact have paid the entire stay as that could have been your deductible. I am totally speculating here as I do not know your schedule of benefits for your insurance plan, such as co insurance, copays, deductibles, etc. I am sorry to hear about your stillborn child, but in that situation due to the length of stay, the hospital did likely make some money on that delivery, but for every delivery they have there is a delivery the likely lost a little money on.
Our OB department runs a $350,000 budget deficit on average. We had 1193 deliveries last year. Those are the numbers. And we have cut everything out we can and have negotiated with our vendors to the max. We do have a very unfavorable payor mix however and that hurts us a lot. Private insurance helps and you can typically make at least some money on an uncomplicated delivery.
I was once billed $5000 for an ED visit that lasted 6 hours. I had an EKG, CBC, and a GI Cocktail. After the insurance adjusted, the allowable was only a little over $500 dollars that was paid to the ED.
No insurance company would pay a hospital $25,000 dollars for an uncomplicated vaginal delivery. Just not happening. If that was the case every hospital in America would fight to get delivery capabilities. Our hospital gets paid on average $2900 for an uncomplicated vaginal delivery. That includes 2 nights hospital stay. A 3rd night with no complications would not be covered by insurance. This does not include the OB bill as that is billed separately.
EDIT: Thank you moderators. You have given a significant amount of leeway regarding of topic discussions and it much appreciated.