Out-of-Network Scorpion Bite Costs $83,000

PHOENIX (AP) — An Arizona woman is wondering what hurt more: getting stung by a scorpion or seeing her hospital bill after treatment.

Marcie Edmonds says the bill from Chandler Regional Medical Center was more than $83,000. That includes two doses of anti-venom at nearly $40,000 per dose.

The Arizona Republic (http://bit.ly/RD6bX8) says Edmonds’ insurer has paid more than $57,000 and the suburban Phoenix hospital is asking Edmonds for the balance of about $25,000.

The 52-year-old Ahwatukee (ah-wha-TU’-kee) Foothills resident was stung in June while opening a box of air conditioner filters in her garage.

Edmonds says an emergency room doctor told her about the Mexican anti-venom Anascorp that could quickly relieve her symptoms, but she was never told about the cost.

Chandler Regional says Edmonds’ bill represents the out-of-network costs for her treatment.

Editor’s Note: Produced in Mexico, this drug is administered for much less in that country than in the United States. $100 versus $64,000? Why? http://www.azcentral.com/arizonarepublic/news/articles/2011/11/10/20111110scorpion-drug-cost.html

Comptroller Warns Of Undisclosed Revenue-Share Agreements By TPA’s

“The side agreements, or “undisclosed revenue-share agreements,” involve money paid to TPAs by companies they contract with, such as managed care providers and medical bill repricing services.The money paid to the TPA is hidden from employers that contract with the TPA for claims management services.”

Continue reading Comptroller Warns Of Undisclosed Revenue-Share Agreements By TPA’s