I'm looking for some assistance from my ER physician colleagues. This may not be the right subreddit, and if not, I apologize. But I'm a Family Physician and ignorant when it comes to ER billing/coding.
The short story is that I took my wife to the ER a couple months back with some abdominal pain. My suspicion was a ruptured ectopic because of an elevated b-hcg as an outpatient (but not predictably rising) and a clean ultrasound. When we got there, I told the ER doc the story like I was presenting on rounds, and he examined her abdomen. We saw him less than 3 minutes. US confirmed likely ectopic. The next time we saw the ER doc was when he handed her care over to the OB/GYN. She remained hemodynamically stable the entire time with a normal Hgb.
Fast forward 2 months, and we get a bill for $1150 for just the ER doc charge; Critical Care 1st hour. This seemed excessive to me and comparable to if my wife was receiving chest compressions and intubation. Am I wrong here?
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