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by legitster 1053 days ago
> But it is ultimately the doctor who decides which services you end up getting (like a chef deciding which dishes you will be served). As a result, you can compare upfront out-of-pocket costs specific to your insurance and book a provider without worrying about surprise bills.

This is the problem though. 9/10 when I get a surprise bill, it's because the hospital tacked on billing codes. So unless your model can spit out a likelihood that a clinic is going to classify an ear cleaning as a surgery, it will not prevent the worst surprise bills.

You should also include cash-price options. Since switching to an HSA, I have saved tons of money. Some hospitals even have across the board 60% discounts for cash. Pretty often the cash price can be lower than the out-of-pocket expenses when going through insurance! And I have never yet gotten a surprise bill when I settle the bills immediately.

2 comments

That's a great suggestion, we are planning on adding cash prices! It's a bit harder to collect them as we have to manually call all these places (not covered by the regulation).
> You should also include cash-price options

This is an amazing hack.

Also, it's harder for them to include it, because those aren't available like insurance rates are.

In our area there is a somewhat new chain of clinics (ZoomCare) that has all of their prices listed on their website.

They have been SUPER awesome. I have had to play 0 games with their billing department and I think everyone should demand the same for all clinics.