Neither my hospital system nor my insurance will give me the contracted rate for an upcoming outpatient occupational therapy evaluation. I have the CPT.
Insurance (Fidelis) says their member services has no tool to give that to customers – only providers can call in to their rep to get pricing.
Hospital/provider (NY Presbyterian) says they do not give estimates for insurance, only self-pay.
I’ve spent hours on this for such a simple thing – WTF do I do? This is the opposite of price transparency, but apparently since I am using insurance, that doesn’t matter!?
