Q: What hurts more than a procedure to repair a leg fracture that has not healed?
A: The bill.
Doctors Medical Center in Modesto, CA, charged $343,636 for a surgical procedure and two-day stay in the medical surgical unit – an area where a general patient population is hospitalized for illnesses, surgical recovery, testing, or observation in contrast with more expensive intensive care units.
Operating room charges for the procedure on the patient’s thigh bone, including a bone graft to repair and rebuild the damaged bones, were $128,488. WellRithms’ bill review team of physicians and surgeons examined this invoice and repriced it to $11,856.
The medical implants placed inside the area to provide support were charged at $108,892 and our team repriced this to $23,719 — a charge that the bill review team deemed generous and more than enough to cover the implants.
Overall, this $343,636 bill was reduced to 13% of billed charges, $43,830. For the plan sponsor, the adjusted amount is an easier pill to swallow.
For more information on how WellRithms can get you results, contact info@wellrithms.com.
