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To: FJB who wrote (183551)	2/26/2006 8:04:36 PM
From: Jim McMannis	Respond to of 186894

RE:"OT Medicare was charged $5000 for my mother's MRI of two weeks ago." Well, when you get in one of those it does sound like a 5000 dollar hammer.

To: FJB who wrote (183551)	2/27/2006 5:38:17 AM
From: John Carragher	Respond to of 186894

it is not the charge to medicare but what medicare accepts.. do you get a copy of the payment by medicare. for example i am not medicare age yet,,, when aetna is charged by hospitals, doctors, exam rooms , labs the prices are listed prices and when aetna pays them the price fields note submitted price,,, negotiated price or price allowed. aetna pays a % of the negotiated price or all of it depending on my situation. i am not liable to the difference between submitted price and negotiated price... negotiated price is the price these departments, drs have agreed to invoice. i am responsible for any amounts not paid to complete negotiated price. i expect if medicare pays for example $2000 then that is the price not the $5000. price.