Most hospitals send a summary bill (for example pharmacy: $5,000) hoping you’ll panic and just pay it. These are usually full of errors or huge markups. Before you pay anything, call the billing department and ask for an itemized bill with CPT codes. This will not only force a human to review it, but it also gives you the ability to spot BS. I tried this last year and the bill dropped by about 30% literally just because I asked, so don’t let them rip you off.


Here in Canada, I recently took a big stumble while snowboarding, and my ankle hurt a lot. I went to the emergency room at the nearest hospital, got X-rays, and they confirmed I had broken my left inner malleolus. They referred me to the specialist clinic, and sent me home with a boot and crutches.
Next Monday, the specialist clinic tell me to show up the next morning (so on Tuesday). I waited pretty much the whole morning for the specialist to see me, he confirmed he needed to operate and put 2 screws in my ankle. The surgery happened later that evening.
Got a follow up 2 weeks later to remove the cast / surgery bandages, more X-rays and they put me back in the boot until the next follow-up a month later, after which I’ll probably start physiotherapy.
All of this cost me about 4$ in EV charging while I was at the ER, and maybe 20$ in medication (painkillers and Tylenol)? And I don’t think it could’ve been any faster. People love to shit on our healthcare system here, but in my experience it’s been amazing.
Same.
But in terms of quality of care, I have no complaints. The opposite. The nurses and doctors I interacted with were wonderful, and I made a point of telling them that. My surgeon in particular fought like hell for a result that would fully restore function in my hand. I was conscious for the surgery, so I got to sit in on the whole process.