Colorado woman faced massive surprise bill after a hospital employee misread her insurance card.
Colorado's Supreme Court has ruled in favor of a woman who expected to pay about $1,300 for spinal fusion surgery but was billed more than $300,000 by a suburban Denver hospital that allegedly included charges it never disclosed she might be liable for.
French had expected to pay $1,337 out of pocket after her medical insurance covered the rest, believing St. Anthony's was an in-network provider. But a hospital employee provided her an incorrect estimate after apparently misreading her insurance card; in fact, the hospital wasn't in-network, The Denver Post reported.French's bill was $303,709. Her insurance paid roughly $74,000 of that amount. Centura Health, which operates the nonprofit hospital, sued for the balance.
But the court ruled that French never agreed to those charges since they weren't specifically mentioned in the contracts.The justices also declared that an internal database of such prices, referred to as"chargemaster" rates, don't reflect actual care costs because insurance companies often negotiate a lowering of prices to"in-network" rates.
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