Savannah Thompson walked into the emergency department at John Muir Medical Center in Walnut Creek just after midnight June 14, fearing she had ingested fentanyl — a synthetic opiate responsible for a North America-wide epidemic of fatal overdoses — in what she had been told was cocaine, according to a new lawsuit accusing John Muir Health of fraud.
The fee charged to Thompson, a Contra Costa County resident, was almost 100 times Medicare’s reimbursement rate of $62 for the test, the suit claims, adding that as a rule of thumb for medical billing, charging up to just under 1 1/2 times Medicare’s reimbursement amount is “considered reasonable.” John Muir Health received more than $6,000 from Thompson’s outside insurance provider, and wants her to pay an additional $7,100, the suit claims. The laboratory-services portion of the total bill amounted to nearly $10,000, the suit alleges.
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