Phelps Memorial Hospital Center

Review: I did a chest Xray and a spine Xray at Phelps hospital on 09/**. I received a bill for $975, where $510 for spine Xray, $465 for chest Xray. My insurance covered only $301.59 and I need to pay $673.41 from my own pocket. I was not ware that I would be charged such a big amount and I think it's highly overcharged, which I couldn't afford. Per my doctor's suggestion, I called Hudson Valley Imaging nearby and they charge only $65 for chest Xray and $100 for spine Xray. I am not sure why Phelps charged 600% higher and I think it's highly overcharged. As my insurance company paid $300 already, I am supposed to pay nothing if the price is reasonable.Desired Settlement: I am looking for Phelps hospital to adjust the bill statement to a reasonable amount so that it's fully covered by my insurance company and I do not need to pay anything.

Business

Response:

This is in response to your correspondence dated October **, 2013. We have completed a comprehensive review of the patient's billing history. The patient's insurance benefit coverage includes a significant deductible. We confirmed his insurance coverage processed the claim correctly based on his coverage. The balance represents a portion of his annual deductible.

The hospital received no payment from the patient's insurance for this visit. The $301.59 represents a contractual adjustment taken in accordance with the hospital's contract agreement with Blue Cross. Additionally, the charge for the service has been evaluated closely.

The hospital believes the price is consistent with that of other community hospitals in our region.

Phelps Memorial Hospital offers extensive financial counseling services and charity care for those experiencing hardship. The Hospital's charity care policy provides discounts to patients based on house hold income and family size. We also offer flexible interest free payment

plans. We encourage the patient to speak with our Financial Counselors directly regarding these options. The patient

may contact us directly at [redacted]. Thank you.