The lawsuit also takes aim at the lack of transparency in Centura Health's pricing, which attorneys allege is not accessible to the patient. (Photo: Shutterstock)
Though the consumer-driven health care movement is not progressing as much as employers and health care providers would like, there is still some progress being made. Case in point: a Colorado man is taking a stand against surprise billing practices.
The man, Franklin Walter, is accusing Centura Health of not providing out-of-pocket cost estimates prior to non-emergency procedures, and is asking for $5 million on behalf of all patients similarly affected since 2017. Following his own knee replacement procedure in April 2019, Walter received a bill for $1,216, a cost he believes should have been disclosed as part of the contract he signed with the health care system when he agreed to treatment.
Under the terms of the contract, patients agree to pay "all known and unknown costs," and in exchange, the health care system is required to provide an estimate of patient out-of-pocket costs. Centura's failure to do so, Walter's attorneys argue, was a breach of contract.
"If you schedule an appointment for any type of prescheduled surgery, the hospital should know the cost beforehand," attorney Tim Blood told the Durango Herald.
The lawsuit also takes aim at the lack of transparency in Centura Health's pricing, which attorneys allege is not accessible to the patient, and the information that is available is confusing or difficult to find.
According to the Durango Herald, such class-action lawsuits generally do not play out in the plaintiff's favor, though as the number of lawsuits increases, the sentiment among the courts could change.
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Emily Payne
Emily Payne is director, content analytics for ALM's Business & Finance Markets and former managing editor for BenefitsPRO. A Wisconsin native, she has spent the past decade writing and editing for various athletic and fitness publications. She holds an English degree and Business certificate from the University of Wisconsin.
