Sticker Shock in the ER: The $30 Million CT Scan That’s Leaving Patients Reeling
My Unexpected Visit to the Emergency Room in the US
I suddenly felt a pain in my lower back while on a business trip. It felt strange. As expected, the moment I got up to get off the plane, I felt a sharp pain in my lower back every time I took a step, and I couldn’t walk at all. As I cried in pain, the flight attendant put me in a wheelchair, and the airline gave me a ticket for the fastest flight back home.
A few hours after telling my husband, “I’ll be back soon,” I was lying in bed at home, unable to move. In the US, you have to make an appointment in advance to see a doctor, and these appointments are often scheduled weeks or even months in advance. Furthermore, because it is a country with privatized medical services, you have to check in advance where your health insurance will be accepted (‘in network’), and then make an appointment with an ‘in network’ doctor in order for your insurance to cover it.
So in the US, if you suddenly get sick and want to see a doctor right away, you have to go to the emergency room.
This was my first time in my life going to the emergency room. Fearing that I would be hit with a huge hospital bill if I called an ambulance, my husband barely managed to get me into the car and took me to a nearby emergency room. After listening to my symptoms, the medical team suggested that I get a CT scan.
The CT scan results showed that I had a herniated disc, but it wasn’t a ruptured disc. However, the surrounding muscles seemed to be in severe spasms, so they told me to take some medicine, put on a patch, and rest for a few days.
But I felt relieved after learning the cause. They say you don’t know until you experience it yourself, and after going to the emergency room once, I finally realized how important it is to have an emergency room close to your home and running smoothly.
While waiting for the scan results, I was lying in what looked like an emergency room, and the staff came in to calculate the $100 (130,000 won) emergency room visit fee according to my health insurance policy. Yes, even if you are sick, you have to pay. This is literally the cost of entering the emergency room. It is not the cost of treatment.
I calculated it right away while lying down, and with the lump sum discount, I ended up paying $80 (110,000 won). I started to worry, ‘How much of a large bill will I end up getting at my house later?’
It had been quite some time since I had been to the emergency room, but strangely enough, the bill hadn’t arrived, so I logged into the insurance company’s website and it said, “Payment Complete.” Thinking, “Huh? Is that all I paid back then, the $80?” I clicked on the details and the words, “What the heck?!!!” came out of my mouth.
Total medical expenses: $22,000 (30 million won)
Medical Insurance Discount: $19,000 (26 million won)
Health insurance company contribution: $2,900 (3.9 million won)
Patient pays: $100 (130,000 won)
Looking at the details, the emergency room fee was originally 130,000 won, but 10 million won.
If I didn’t have health insurance, I would have ended up having to go to the emergency room for a CT scan and receive a bill of 30 million won.
Tips for living in the US:
If you received treatment without medical insurance, do not accept the bill right away, but negotiate with the hospital. If your income is low, the hospital’s social worker will help you, and even if your income is not low, there is plenty of room for negotiation. As you can see above, the discount amount agreed upon between the medical insurance company and the hospital is $19,000.
If you are traveling to the United States, it is recommended that you purchase travel insurance.
The day I saw the details of the emergency room costs was probably one of the top three days I was thankful I had a job.
As of 2023, the average family health insurance premium for American workers is $23,968 per year, or 32 million won in Korean currency (Source: KFF) It is an
