this post was submitted on 16 Jul 2025
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I spent half that time in Critical Care (much of that on a ventilator, a small amount sedated), and most of the rest in a specialist neuro-rehab unit. I would have died otherwise.

Fortunately it cost me nothing - Thank Bevan for the NHS - but if I were in the US I imagine I would be financially crippled!

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[–] booly@sh.itjust.works 46 points 2 days ago (6 children)

The average cost of a hospital stay in a U.S. hospital is about $3,000 per day, but it varies significantly by location. So long stays like yours might cost between $250,000 and $500,000.

If your insurance covers it (and about 92% of Americans have health insurance), you'd be looking at your annual out of pocket max, which the law caps at $18,000 for family plans or $9,000 for individual plans, but which most people on employer sponsored plans (around 60% of Americans) have out of pocket maxes around $4,000 to $5,000. Source

So for most Americans, your hospital stay would've probably cost the individual patient about $5,000. Insurance would've paid another $350,000.

But for some Americans, they'd be looking at a $360,000 bill and then would just file bankruptcy, start over with close to a net worth of zero, at least for non-exempt assets (people generally get to keep their homes, cars, and retirement accounts in bankruptcy so it won't actually be starting from zero if you're well into a middle age in the middle class).

Or worse, the hospital would realize they're not getting paid, and then would find a reason to kick you out as soon as you're stabilized. They have to keep you alive even when you can't pay, but don't have to treat you beyond that for free.

[–] whotookkarl@lemmy.dbzer0.com 8 points 1 day ago

Agree 100% except one thing to be a little picky, the insurance doesn't pay the full 350k like ever, that's the list price they have negotiated prices with the hospital that differ, and if your ask the hospital bursar/collections you can get a cash price that's usual less as well.

[–] slate@sh.itjust.works 9 points 1 day ago (1 children)

And if you do have insurance and get a bill over a few thousand, there are pretty good odds insurance will deny paying for it and drag you through many levels of confusing and auto-denied appeals over the course of 6+ months! Even if your procedure is clearly covered in your summary plan description or required by law.

And this is why Brian Thompson got what was coming to him.

[–] andrewta@lemmy.world 6 points 2 days ago

Excellent answer

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[–] fluxion@lemmy.world 12 points 1 day ago (1 children)

All the screwed. And now as of this month medical debt will be part of your credit reports, so good luck on getting a home loan or job

[–] Technoworcester@feddit.uk 8 points 1 day ago (5 children)

Why on earth would debt effect getting a job? My employer doesn't know my credit rating.

Mortgage and loans I understand but not the job bit.

[–] fluxion@lemmy.world 12 points 1 day ago (1 children)

Credit history is often included in US background checks

[–] Technoworcester@feddit.uk 2 points 1 day ago

That's bonkers. My employer has No reason to know my credit rating and unless I'm working in some kind of 'protected' industry not sure why I would require a background check.

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[–] DarkFuture@lemmy.world 16 points 1 day ago

If you spent 4 months in a U.S. hospital and didn't die, you would spend the rest of your life wishing you did.

[–] DeathByBigSad@sh.itjust.works 7 points 1 day ago (1 children)

Depends.

My dad went in the hospital for like probably 3 months, and afiak, their small bussiness is still running. They have insurance.

For everyone else who don't have insurance and don't have any assets, just refuse to pay the bills, like what are they gonna do? Confiscate your organs? (Inb4 they pass the "USA Repossess Organs Act")

[–] thermal_shock@lemmy.world 4 points 1 day ago* (last edited 1 day ago)

Don't give them ideas, they're already trying to control women and negate body autonomy.

[–] LordWiggle@lemmy.world 3 points 1 day ago

I'm not from the US, but I've heard someone from there explain the system.

When you go to hospital, and get a bill of $250.000 your insurance company will cover let say $50.000. You will get a bill for $1.200 and the rest will be declared by the hospital to their insurance company as damages.

It's super weird, I still don't get it but apparently this is how it works in most cases, or as I'm told.

[–] HubertManne@piefed.social 104 points 2 days ago (3 children)

You would have lost your job and likely be on medicaid and disability and it would be very unclear if you have or lost your house and possessions but keeping hold of them moving forward would be almost impossible unless you could find a new job which is also highly unlikely.

[–] Frozengyro@lemmy.world 36 points 2 days ago (1 children)

Also, at some point you couldn't afford care anymore. So you would have stopped treatment and died.

[–] HubertManne@piefed.social 27 points 2 days ago

maybe. the us is odd in that if you literally cannot walk out on your own they usually keep you while the bills rack up.

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[–] RBWells@lemmy.world 10 points 1 day ago (1 children)

More likely you just would not have been kept in hospital four months here. Somehow we have the combination of highest cost and also cost-cutting schemes.

To answer your question - $18,000 I guess, if I got lucky and the insurance worked correctly. That's the alleged max out of pocket for the insurance I pay for at work.

[–] CalipherJones@lemmy.world 15 points 1 day ago* (last edited 1 day ago)

According to https://nchstats.com/average-cost-of-hospital-stays-in-us/ the average cost for inpatient care in the United States is 3,025 dollars.

4 months of 30 days multiplied by 3,025 is equal to 363,000 dollars without insurance.

That is an entirely believable number to me.

[–] Steve@startrek.website 72 points 2 days ago (1 children)

Your first stop would be a bankruptcy lawyer.

[–] Tollana1234567@lemmy.today 16 points 2 days ago

if you can afford one lol.

[–] anachrohack@lemmy.world 31 points 2 days ago (1 children)

You probably would have been sent home much earlier

[–] Goldholz@lemmy.blahaj.zone 13 points 2 days ago (1 children)
[–] P00ptart@lemmy.world 11 points 2 days ago (1 children)
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[–] LilB0kChoy@midwest.social 58 points 2 days ago (7 children)

This is too hard to answer because of the number of variables at play like, do you have insurance, does your condition/issue qualify you for Medicare, does your job offer disability leave, are you FMLA eligible, do you meet requirements for SSA disability etc.

Anecdotally, in 2017 I spent two non-consecutive months in the hospital. The first visit I came in through the ER, ended up in the ICU intubated and worked my way through each section as I got better.

My second stay I skipped the ICU but had a transplant halfway through. I also was on dialysis for the ~6 months in between.

Dialysis was billed at $7k a visit, roughly $500k in total. The transplant surgery alone was ~$750k. The hospital stays came to about $5k a day on average for roughly $300k in total.

So straight billed amount I was somewhere in the $1.5-$1.7 million range.

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[–] stringere@sh.itjust.works 8 points 1 day ago

According to https://nchstats.com/average-cost-of-hospital-stays-in-us/#google_vignette the average is $3.025 per night. 4 months = 120 days = $363,000 = €313.307,21

[–] selkiesidhe@sh.itjust.works 28 points 2 days ago* (last edited 2 days ago) (4 children)

That is bankruptcy, pure and simple. There's no way you'd financially recover from a four month stint in the hospital.

People have literally unalived themselves here over hospital bills like that.

Thank God you weren't in a shit hole country, like the US.

[–] gilgameth@lemmy.world 45 points 2 days ago

This is not YouTube, don't make it so. You can -and in my opinion, should- say suicide, kill, etc.

[–] Goldholz@lemmy.blahaj.zone 36 points 2 days ago (7 children)

Dont say unalived. Say "suicideded" or killed themselfs. Stop censoring yourself

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[–] Geodad@lemmy.world 38 points 2 days ago (1 children)

That depends.

Are you wealthy? If yes, you're fine. If no, you're fucked.

Are you a veteran? Same answers.

Are you poor? You probably died in the waiting room.

[–] papalonian@lemmy.world 14 points 2 days ago (3 children)

Are you a veteran? Same answers.

Ha. Hahaha. Yeah. No. Not necessarily.

Source: knew way too many vets with awful, untreated ailments from my time in US healthcare.

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[–] ExploitedAmerican@lemmy.world 21 points 2 days ago (2 children)

Unless you got a couple of million bucks in your bank account…. Super fucked

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[–] AnarchistArtificer@lemmy.world 12 points 2 days ago

I don't know the answer to your question, but I will say that I'm glad you're still here with us, friend

[–] jordanlund@lemmy.world 31 points 2 days ago* (last edited 2 days ago) (4 children)

Honestly, it would depend on what kind of insurance you have in the US. Each employer has a different set of plans.

No insurance? Absolutely screwed. With insurance?

End of 2018 I had a heart attack and open heart surgery with really good insurance.

Emergency Room - $150
8 days in the hospital + open heart surgery from the head of the cardiac department - $100
Drugs and all the oxygen I could carry - $100

Roll forward to January 2019... my company has been bought by a giant company. Health insurance changes. I lose my existing hospital and all my doctors and have to start over in a new system.

7 days in the hospital draining fluid from congestive heart failure - $6,500 - the annual out of pocket maximum for that insurance.

Good news though, hitting the out of pocket maximum on Jan 15 meant all my other medical care the rest of the year was covered at 100%.

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[–] thesohoriots@lemmy.world 32 points 2 days ago (1 children)

Haven’t seen anyone mention maximums. Sometimes insurance plans will straight up stop covering you after a certain price. Like, for the rest of your life. Imagine running up a cancer treatment bill in your teenage years and being cut off until you either die or somehow live long enough to get a job with different insurance.

[–] CalipherJones@lemmy.world 4 points 1 day ago

Holy fucking shit just burn the whole industry to the ground at this point.

[–] Objection@lemmy.ml 25 points 2 days ago

How marketable would you say your illness was?

Your options would be: begging strangers on the internet for money and going viral, being rich enough to pay out the ass for really good insurance when you were healthy, declaring bankruptcy, and playing Luigi's Mansion.

[–] LadyButterfly@reddthat.com 12 points 2 days ago (1 children)

I'm British just reading this thread and shaking my head. Can't fathom these stories.

[–] TBi@lemmy.world 9 points 1 day ago

And hope that the tories don’t get into power again and kill the NHS.

[–] BigTrout75@lemmy.world 16 points 2 days ago (3 children)

Hmmm. Probably like $500,000. It would be cheaper, but good affordable rates are only available to insurance companies. But with a GoFundMe plan you might save up to a $50,000. Best bet is to get on the evening news with you in total shambles. The good news is you can haggle hospitals here, no joke. Not acceptable anywhere else in the US unless you're buying something hot.

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[–] ArmoredThirteen@lemmy.zip 16 points 2 days ago (3 children)

My hospital stay billed insurance like $300k for a 5 day stay. It was not critical care but it was specialized. Insurance covered all but like a thousand, I also have a $5k out of pocket max that goes into effect in some situations.

So if my hospital stay was 4 months and I didn't get a bulk discount we're looking at like $7mil USD but with insurance I'd instantly hit my out of pocket max and only be out $5k. Because there are lots of ways insurance can fine print you from actually hitting out of pocket though I don't know

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[–] archonet@lemy.lol 24 points 2 days ago (4 children)

I spent six weeks in the hospital in the US, and my bill (before insurance) was over $400k.

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