This is my story of how @BLK_Hospital, Karol Bagh cheated us through what I believe are serious billing malpractices.…

This is my story of how @BLK_Hospital, Karol Bagh cheated us through what I believe are serious billing malpractices. My brother was admitted for just 3 days. No surgery. Mainly medication + investigations. Final gross bill: ₹1,70,809. Admission date to Discharge: 11th August 26 to 13th August 26 Here’s what happened 🧵👇

Big private hospitals know that when a loved one is admitted, families are stressed, scared and focused only on treatment. That’s exactly when billing becomes impossible to scrutinise. After discharge, when I went through every line of this bill, several charges simply did not make sense. Also tagging all respective authorities who should open their eyes to see how these big hospital chain loot public money @MoHFW_INDIA @MCD_Delhi @nmc_india Let me show you.

1. ₹3,150 RMO Fees — but which doctor? BLK-Max charged: ₹1,050/day × 3 = ₹3,150 But the bill does not identify the RMO. No doctor's name. No separate RMO progress note given to us. No explanation of what additional service was provided. Our IFFCO-Tokio insurance also refused reimbursement of this charge. BLK-Max needs to answer: Who was the RMO? When did they examine the patient? Where are the notes? And why is this separately charged over a room costing ₹13,770 + GST/day?

2. ₹1,100 for “Medical Evaluation for TPA” This one surprised me even more. We ourselves filled the insurance/TPA forms, made the required declarations and submitted the information. We are not aware of any separate ₹1,100 medical evaluation being conducted for us. Where is the evaluation report? I can confirm this as we ( me and my brother filled it ) and filled all declaration about health and submitted it without any medical evaluation. Charging ₹1,100 under a medical-sounding head should come with documentary proof.

3. ₹794 for an already-opened sanitizer bottle 🤯 We found ourselves billed ₹794 for a sanitizer bottle that was already opened/used in the room, while its normal value appeared to be around ₹250 ( see the MRP in photo) 👇 This is exactly the kind of hospital billing practice that makes patients feel exploited. If this is a legitimate charge, BLK-Max should explain: Why ₹794? Was it issued specifically to the patient? Why was an already-opened bottle billed? Btw the bottle mrp is ₹250 and they charged more than 3 times the MRP.

4. Diet charges were another shock. We were billed separately for: ▸ Dietician: ₹700 ▸ Patient diet: ₹1,000/day for 2 days ▸ Additional food/diet-related billing Total diet-related charges were around ₹5,370. But no one informed us beforehand about a separate dietician charge. No special diet was prescribed to us. No major dietary restriction was communicated. My brother was allowed home-cooked food from Day 1, which we brought ourselves. Whenever we ordered anything separately from the hospital kitchen, we paid for it. Then what exactly are all these additional diet charges for?

5. MRI ₹31,600 + X-Ray ₹1,250 — but no scans given BLK-Max charged: ▸ MRI Brain: ₹31,600 ▸ X-Ray: ₹1,250 We received written reports. But when we asked for the actual MRI/X-ray images, the hospital staff refused to provide the films. No digital image copies were shared either. If a patient pays ₹31,600 for an MRI, why should accessing the actual diagnostic images become a struggle?

6. Then came something even more concerning. My brother had no known heart condition before or during admission. Yet we were repeatedly asked to get a Holter monitoring test — reportedly multiple times in a single day because we were told the doctor had ordered it. We asked for the doctor's written order. We were not shown one. So we declined. From the approximate information available to us, this could have added several thousand rupees more to the bill. My question is simple: If a test is medically necessary, why is showing the doctor's order such a problem?

7. Ward Nursing charged separately: ₹850/day ₹850 × 3 = ₹2,550 This was charged on top of ₹13,770/day Single Room rent. Our insurance also declined this amount. I want BLK-Max to explain whether routine ward nursing is separately chargeable under its tariff and under its cashless agreement with IFFCO-Tokio. If nursing is already bundled into the agreed room/boarding tariff, why is the patient being charged again?

8. ₹550/day for “Care, Hygiene & Infection Control” That is another ₹1,650. What exactly are we paying ₹13,770/day room rent for if basic room hygiene, cleaning and infection-control practices are being billed separately? Hospitals are already required to maintain hygiene and infection-control standards. If this ₹550 includes cleaning, sanitisation, disinfectants or housekeeping, BLK-Max should disclose the exact breakup and explain why those costs sit outside the room tariff.

And look at how many different heads appear around one hospital room: Room Rent Ward Nursing RMO Care/Hygiene Miscellaneous items Medical Consumables Dietician Patient Diet Admission charges Consultant visits TPA Evaluation Every line may have a billing code. But a billing code alone doesn't prove that every charge is fair, non-overlapping or separately recoverable from the patient.

This is bigger than one bill. When someone in your family is hospitalised, you are thinking about their health not auditing 100 billing codes. And even after paying for medical insurance, families can end up fighting both the insurer and the hospital over charges nobody properly explained. That system needs far more transparency.

I am asking BLK-Max Hospital to provide: ✅ Doctor/RMO names + visit records ✅ Supporting report for ₹1,100 TPA evaluation ✅ Explanation for sanitizer billing ✅ Complete diet-charge breakup ✅ MRI/X-ray digital scans ✅ Doctor orders for disputed investigations ✅ Ward-nursing tariff clarification ✅ ₹550/day hygiene-charge breakup ✅ Confirmation of what is included in Single Room rent If every charge is genuine, producing the supporting records should be easy.

I’m sharing this because I suspect thousands of families simply pay such bills without questioning them. For me, this experience exposed what appears to be a deeply questionable and consumer-unfriendly billing system at a major private hospital. Patients deserve treatment without having to become forensic auditors after discharge.

Hello Everyone Update: 15 August 14:40 Higher authorities from @BLK_Hospital has reached out. They have promised a fast resolution for this issue on priority. I would like to advise all of you to hold your response and give them a chance to resolve this. 🙏 Thanks again all of you for your continued support ❤️