- Reaction score
- 1,678
A woman who expected to pay $1,337 for surgery at a Westminster hospital nearly a decade ago but was billed $303,709 may finally be off the hook for the massive bill after the Colorado Supreme Court ruled in her favor Monday.
The justices unanimously found that the contracts patient Lisa French signed before a pair of back surgeries in 2014 at St. Anthony North Health Campus do not obligate her to pay the hospital’s secretive “chargemaster” price rates, because the chargemaster — a list of the hospital’s sticker prices for various procedures — was never disclosed to French and she had no idea the chargemaster existed when she signed the contracts.
At the time, the hospital had represented to French that the surgeries were estimated to cost her $1,337 out of pocket, with her health insurance provider covering the rest of the bill.
But the hospital’s estimate was based on French’s insurance provider being “in-network” with the hospital, which it was not. A hospital employee gave a mistaken estimate after apparently misreading French’s insurance card.
After her surgeries, the hospital billed $303,709 for French’s care; her insurance paid about $74,000 and the remaining balance of $228,000 was disputed in a civil case.
Attorneys for Centura Health, which operates the nonprofit hospital, had argued that the contracts, which required French to pay “all charges of the hospital” for her care, implicitly included the hospital’s then-secret pricing schema.
www.denverpost.com
The justices unanimously found that the contracts patient Lisa French signed before a pair of back surgeries in 2014 at St. Anthony North Health Campus do not obligate her to pay the hospital’s secretive “chargemaster” price rates, because the chargemaster — a list of the hospital’s sticker prices for various procedures — was never disclosed to French and she had no idea the chargemaster existed when she signed the contracts.
At the time, the hospital had represented to French that the surgeries were estimated to cost her $1,337 out of pocket, with her health insurance provider covering the rest of the bill.
But the hospital’s estimate was based on French’s insurance provider being “in-network” with the hospital, which it was not. A hospital employee gave a mistaken estimate after apparently misreading French’s insurance card.
After her surgeries, the hospital billed $303,709 for French’s care; her insurance paid about $74,000 and the remaining balance of $228,000 was disputed in a civil case.
Attorneys for Centura Health, which operates the nonprofit hospital, had argued that the contracts, which required French to pay “all charges of the hospital” for her care, implicitly included the hospital’s then-secret pricing schema.
Colorado Supreme Court rules in favor of woman who expected to pay $1,337 for surgery but was charged $303,709
A woman who expected to pay $1,337 for surgery at a Westminster hospital but was billed $303,709 may be off the hook for the massive bill after the Colorado Supreme Court ruled in her favor Monday.
www.denverpost.com
