Kelsey-Seybold is a massive scam, do not go to their clinic.

I work in health care, and can tell you that I have never seen a place try to bill $676 for a 99204 (CPT code 99204: New patient office or other outpatient visit, 45-59 minutes) for family medicine. Truly absurd and heinous. They do this to all UHC patients because UHC owns the clinic and they know patients have no recourse to be billed an honest amount. The Medicare fee schedule is $185 as of 2024, and private insurers such as BCBS and Aetna are paying 356.

I had a friend sneak in as self-pay patient, and self-pays are only being charged at around $200 total – less than with the contracted discount UHC gives itself to look like it's doing anything (entirely illusory, no money is being transferred), and when I asked if I could switch to self-pay and pay less, they said "no, the system makes that impossible", despite every billing system in existence having a method for retracting erroneous billing situations. Any attempts to get past their billing front-line were met with hang-ups or, in one hilarious reply, a lady (won't name names, she's just an innocent grunt) being coached by a supervisor to provide literally a noreply@ email that "management totally checks", despite every billing email with noreply@ saying that no one checks it – which I'm sure they have similar-level grunts combing through in case of billing questions in hopes of catching otherwise-lost money, but highly doubt "management" does, and I don't appreciate their continuous lies.

to summarize: Kelsey-Seybold charges more than any clinic I've ever worked at, both as a base amount post-inflation and as a multiplier of insurer fee schedules, then tries to stick you with the balance bill after insurance """discounts""" whatever the clinic felt like billing on top of the actual fee schedule.

I'm sure their doctors and nurses are lovely, and it's a shame the parasites leeching off their good work have to make such a bad name for their group.

submitted by /u/Kwahn
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