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--:-- Sean Rameswaram: Welcome to Today, Explained. I'm Sean Rameswaram.
--:-- Noel King: And I'm Noel King.
--:-- Sean Rameswaram: Today, we're talking about the cost of going to the emergency room. Specifically, the cost of a Band-Aid.
--:-- Noel King: That's right. Vox's Sarah Kliff has been reporting on this issue, and she's here to explain it to us.
--:-- Sarah Kliff: Thanks for having me on the show.
--:-- Sean Rameswaram: So, Sarah, let's start with the basics. What's a facility fee, and why are they so expensive?
--:-- Sarah Kliff: A facility fee is a charge that hospitals add to your bill when you go to the emergency room. It's supposed to cover the cost of running the hospital, but it's often used to make up for the fact that hospitals don't get paid enough for the care they provide.
--:-- Noel King: And how much can these fees add up to?
--:-- Sarah Kliff: Well, in the case of the woman we're talking about today, she was charged $5,700 for a Band-Aid and an ice pack.
--:-- Sean Rameswaram: That's insane. And it's not just an outlier. We've heard from other people who have been charged similarly high fees for relatively minor procedures.
--:-- Sarah Kliff: Yes, and that's because facility fees are often based on the hospital's costs, rather than the actual cost of the care provided.
--:-- Noel King: So, what's being done to address this issue?
--:-- Sarah Kliff: Well, there's a new bill that's been introduced in Congress that would outlaw surprise emergency billing. It's a bipartisan effort, and it's a big step forward.
--:-- Sean Rameswaram: That's great to hear. But what about the facility fees themselves? Can't hospitals just be more transparent about how much they're charging?
--:-- Sarah Kliff: That's a great question. Hospitals say that they can't disclose their fees because it would deter people from coming to the emergency room. But I think that's a weak excuse. People have a right to know how much they're going to be charged.
--:-- Noel King: And what about the idea of posting fees for specific procedures? Like, if you have a cut on your ear, you'd know how much it's going to cost?
--:-- Sarah Kliff: That's a great idea. And it's not just about transparency. It's also about fairness. If hospitals are going to charge people thousands of dollars for a Band-Aid, they should at least be honest about it.
--:-- Sean Rameswaram: Okay, let's talk to an expert about this. Ryan Stanton is an emergency physician and spokesman for the American College of Emergency Physicians. Dr. Stanton, thanks for joining us.
--:-- Ryan Stanton: Thanks for having me.
--:-- Sean Rameswaram: So, Dr. Stanton, can you explain why facility fees are so high?
--:-- Ryan Stanton: Well, hospitals have to pay for a lot of things when you come to the emergency room. We have to pay for the room, the supplies, the lights, the water, the nurses, the inspections, the rules. It's a lot of overhead.
--:-- Noel King: But can't hospitals just be more efficient with their costs?
--:-- Ryan Stanton: It's not that simple. Emergency medicine is expensive because we're designed for unstable, sick, and dying patients. We have to be ready for anything.
--:-- Sarah Kliff: But that doesn't explain why facility fees vary so much from hospital to hospital.
--:-- Ryan Stanton: I agree that it's a problem. But I think it's a symptom of a larger issue. The health care system is controlled by big business, and they're more interested in making a profit than in providing care.
--:-- Noel King: That's a pretty harsh assessment. But don't you think that hospitals have a responsibility to be transparent about their fees?
--:-- Ryan Stanton: Absolutely. And I think that's something that we need to work on as a system. We need to make sure that patients know how much they're going to be charged, and that hospitals are being fair and transparent in their billing practices.
--:-- Sean Rameswaram: Okay, thanks for your time, Dr. Stanton.
--:-- Ryan Stanton: Thanks for having me.
--:-- Noel King: And thanks to Sarah Kliff for joining us today.
--:-- Sarah Kliff: Thanks for having me.
--:-- Sean Rameswaram: If you or someone you know has a story about a surprise medical bill, you can share it with us at erbills.vox.com.
--:-- Noel King: And that's it for today's show. Thanks for listening.
--:-- Sean Rameswaram: [Theme music starts playing]
--:-- Noel King: [Theme music continues to play]
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