NPR

For Her Head Cold, Insurer Coughed Up $25,865

A New York woman worried that her sore throat might be strep, so she went to the doctor to have it checked out. Then came the bill — with a price tag similar to a small SUV.
When Alexa Kasdan's sore throat lingered for more than a week, she went to her doctor. The doctor sent her throat swab and blood draw to an out-of-network lab for sophisticated DNA tests, resulting in a $28,395.50 bill.

Alexa Kasdan had a cold and a sore throat.

The 40-year-old public policy consultant from Brooklyn, N.Y., didn't want her upcoming vacation trip ruined by strep throat. So after it had lingered for more than a week, she decided to get it checked out.

Kasdan visited her primary care physician, Roya Fathollahi, at Manhattan Specialty Care just off Park Avenue South and not far from tony Gramercy Park.

The visit was quick. Kasdan got her throat swabbed, gave a tube of blood and was sent out the door with a prescription for antibiotics.

She soon felt better, and the trip went off without a hitch.

Then the bill came.

Patient: Alexa Kasdan, 40, a public policy consultant in New York City, insured by Blue Cross and Blue Shield of Minnesota through her partner's employer.

$28,395.50 for an out-of-network throat swab. Her insurer

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