Question
A 60-year old female is admitted to an out-of-network hospital for an episode of congestive heart failure (CHF). The hospital charge for the CHF episode
A 60-year old female is admitted to an out-of-network hospital for an episode of congestive heart failure (CHF). The hospital charge for the CHF episode is $4,000. The insurer has an allowed rate of $3,000 for the CHF inpatient stay. For in-network services, the patient's insurance plan is responsible for 80% of the allowed rate and the patient is responsible for 20% of the allowed rate in coinsurance. For out-of-network services, the patient's insurance plan is responsible for 60% of the allowed rate and the patient is responsible for 40% of the allowed rate in coinsurance. What is the total that the patient will ultimately have to pay for the inpatient stay?
A.
$1,000
B.
$1,200
C.
$1,600
D.
$2,200
E.
None of the above
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