Woman faces bankruptcy after ambulance delivers her to out-of-network ER — when in-network hospital was 3 blocks away


St. Mary's Hospital in Madison, Wisconsin is about three blocks from nearby Meriter Hospital. For Megan Rothbauer, they are $50,000 apart.
In September, 2013, Rothbauer collapsed at work and went into cardiac arrest. Unconscious when paramedics arrived (she would remain in a coma for 10 days), the 30-year-old was delivered to the St. Mary's ER. Though Rothbauer has health insurance, the St. Mary's ER was out-of-network, while Meriter Hospital — just down the road from St. Mary's — was in-network. "I was in a coma. I couldn't very well wake up and say, 'Hey, take me to the next hospital,'" she told Madison's News 3. "It was the closest hospital to where I had my event, so naturally the ambulance took me there." The result, by Rothbauer's estimation, was $50,000 in uncovered medical bills that have left her on the brink of bankruptcy.
The two ERs' enormous billing discrepancy has to do with "balance billing," explained below in News 3's report on Rothbauer's ordeal. --Mike Barry
Subscribe to The Week
Escape your echo chamber. Get the facts behind the news, plus analysis from multiple perspectives.

Sign up for The Week's Free Newsletters
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.
From our morning news briefing to a weekly Good News Newsletter, get the best of The Week delivered directly to your inbox.

Continue reading for free
We hope you're enjoying The Week's refreshingly open-minded journalism.
Subscribed to The Week? Register your account with the same email as your subscription.