How to Negotiate Your Medical Bill
What to actually say when you call the hospital about your bill. This guide includes word-for-word phone scripts, how to handle pushback, and the specific tactics that consistently get bills reduced.
Before You Call
Get your itemized bill and your EOB from insurance. Know the specific charges you want to challenge and have the Medicare rates for those procedures ready. Vague complaints don't work — you need specifics.
What to Say
Be polite but direct. Reference the exact line items that are inflated, mention that you've compared them to Medicare rates, and ask about financial assistance programs. Most billing reps have authority to offer 10-30% off. If they can't help, ask for a supervisor or patient financial services.
Key Tactics
- Ask about self-pay and prompt-pay discounts (15-25% off at many hospitals)
- Apply for the hospital's financial assistance program
- Request a payment plan if you need time
- Put disputes in writing for a paper trail