Medical Bill Questions — Answered

Real answers about fighting medical bills, negotiating with hospitals, and understanding what you actually owe.

Can I negotiate my medical bill?

Yes. Hospitals negotiate all the time — it's part of how the system works. The billed amount is rarely the final number. Call the billing department, reference the specific charges that are above fair market rate, and ask about financial assistance or self-pay discounts. Most reps can offer 10-30% off on the spot, and supervisors can go further.

How do I check my medical bill for errors?

Get the itemized bill — not the summary. Look at the CPT and ICD-10 codes on each line. Watch for duplicate charges (especially labs), upcoded visits (billed as a higher level than what happened), and charges for things you didn't receive. Compare the charges to your insurance EOB and to published Medicare rates for the same procedures.

How much can I save on my medical bill?

It varies a lot. A routine outpatient visit might have a few hundred dollars in overcharges. An ER visit or surgery? We routinely see bills with $2,000-5,000+ worth of problems. The biggest reductions usually come from financial assistance programs, which can knock off 50-100% of the bill if you qualify.

What should I do if my medical bill is too high?

Don't pay it right away. Request an itemized bill and your EOB from insurance. Review the charges for anything that looks wrong. Call the billing department and ask about their financial assistance program — the income limits are often higher than people expect. You can also ask for a prompt-pay discount or a payment plan.

How do I negotiate a hospital bill down?

Have your itemized bill in front of you when you call. Be specific about which charges you think are wrong or inflated — vague complaints don't work. Mention that you've looked up the Medicare rate for those procedures. Ask about financial assistance and prompt-pay discounts. If the rep can't help, ask for patient financial services or a supervisor. Stay calm and persistent.

How much does Repriced Health cost?

Way less than a traditional medical bill advocate. Those folks typically take 20-40% of whatever they save you, which on a large hospital bill can mean $1,000 to $2,000+ in fees. We charge a flat rate for the analysis, and if you negotiate the bill yourself using our guidance, you keep every dollar of the savings.

Can I reduce my hospital bill after I've already paid?

Sometimes, yes. If there are legitimate billing errors — duplicate charges, wrong codes, services you didn't receive — the hospital has to refund you regardless of when you catch it. Financial assistance is trickier after payment, but a lot of hospitals will still consider retroactive applications, especially nonprofits.

What is charity care and do I qualify?

Charity care — officially called "financial assistance" — is something every nonprofit hospital is required to offer under the ACA. The income thresholds vary by hospital, but they're often more generous than people realize. A family of four earning $75,000-$120,000 can still qualify at many hospitals for a partial discount.

Can I dispute a medical bill I think is wrong?

Yes, and you should. Get the itemized bill, compare it against your EOB, and put your dispute in writing to the billing department. Be specific about which charges you're contesting and why. The No Surprises Act also gives you protections if you were billed out-of-network at an in-network facility.