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How to Save on Healthcare Costs
Save thousands with just a few changes
Hey — it’s Lee from Refresh.me.
Americans spend an average of $14,750 on healthcare each year. 😅

Source: CMS.gov
Even with insurance, bills can grow to thousands of dollars.
But what most people don’t know is this: Healthcare costs are often negotiable.
And there are numerous tools out there to reduce your out-of-pocket spending.
In today’s issue:
How to save on healthcare costs
Renting out a room (WWYD)
ChatGPT predicts the next big side hustles
🔍 Deep Dive: How to Save on Healthcare Costs
1️⃣ Use Prescription Discount Tools
Prescription prices can vary by 80% or more between pharmacies.
Here’s how it works on the back-end:
Prescription drugs are produced by a manufacturer.
The manufacturer sells them to a distributor.
Pharmacies buy from distributors. They negotiate the purchase price.
This impacts the price you pay, whether you’re using insurance or not.

What does this mean? You could buy the same prescription at two different pharmacies and pay wildly different prices. A $150 prescription at Walgreens could be $30 at CVS.

Always use a service like GoodRx, SingleCare, or RxSaver.
They’ll show you the price of prescriptions across multiple pharmacies and provide coupons that can dramatically reduce prescription costs.
2️⃣ Always Request an Itemized Bill
Up to 80% of medical bills have errors. It’s common to see duplicate charges, charges for services you didn’t receive, and incorrect quantities.
And those errors can amount to a lot. One Equifax study found that hospital bills that totaled more than $10,000 contained an average error of $1,300.
Requesting an itemized bill is the best way to catch these errors. An itemized bill shows each individual charge, line by line.
Here’s what to look for:
Any service you don’t recognize
Medications you didn’t take
Supplies you didn’t receive
Multiple charges for the same procedure
Generic items charged at name-brand prices
Charges for services insurance should’ve covered
Services billed at the wrong rate (i.e. private room when you had a shared room)
3️⃣ Negotiate Your Medical Bills
Medical bills are almost always negotiable, especially if you’re uninsured or facing bills you can’t afford. Hospitals would rather receive some payment than none.
When to negotiate:
Large unexpected bills
After insurance denial
Facing financial hardship
Before bills go to collections
Negotiation strategies to try:
Ask for cash discounts. Many providers offer 10-30% discounts for immediate payment in full.
Request financial assistance. You might qualify for significant discounts based on income.
Challenge the bill amount. Research the fair market rate for your procedure on FAIR Health. Use that number as leverage to negotiate a discount on your bill.

Average cost for a tooth extraction in Saint Petersburg, FL. via FAIR Health
4️⃣ Shop Around for Procedures
The same procedure can cost 10x more at one facility than another, even in the same city with the same insurance.
You should shop around for the following procedures:
Imaging (MRI, CT scans, X-rays)
Lab work
Physical therapy
Routine procedures (ie. mammogram, colonoscopy, etc.)
Questions to ask:
Can you give me an estimate of the total cost for this procedure with my insurance?
What is the self-pay rate for this procedure? (sometimes cheaper than the insurance rate)
What is included in this price? (avoid surprise fees)
Put It Into Practice
Here’s this week’s to-do list:
Download the GoodRx app.
If you have any outstanding medical bills, call and negotiate them.
If you have any planned medical procedures coming up, call at least three facilities to compare total costs before scheduling.

💵 Budget Breakdown: Renting Out a Room
Would you rent out a room in your house or apartment to make extra money? Chi Yan says it’s a great option to get ahead on your finances.
Pros? It can earn you quite a bit. Like $1,000 per month for each room you rent out.
Cons? You’d have strangers living in your home. And you lose a little bit of privacy because of that.
Would you rent out a room in your house to make money? |

🔗 Quick Links
🚗 Auto industry is a warning sign for the US economy.
🛒 Hack to save on groceries.
💸 ChatGPT predicts the next big side hustles.
P.S. — Are you on X? If so, follow me on X/Twitter to catch my daily thoughts on personal finance and engage directly with me.
Every generation’s money trauma becomes their financial playbook:
Boomers: Post-war boom → “Work hard, save everything”
Millennials: 2008 crash → “The system is broken”
Gen Z: Everything unaffordable → “Why play by these rules?”
— Lee Schmidt (@leeschmidt123)
3:02 PM • Aug 8, 2025
What'd you think of this issue? |
