Working in the World of Giants

Working in the World of Giants

Working in the World of Giants

Not all things are measured equally, one pound will always equal one pound, but that one pound of medical waste coming from a small Doctor’s practice could potentially cost that practice twice as much as what it costs large quantity producers for the same service. Calculated cost discounts are often based on volume thus giving the larger generators the biggest discounts and leaving the smaller volume generators with higher costs.

For a very long time, only a handful of large national companies have dominated the medical waste industries, enjoying excessive profits and overcharges at the expense of mostly their small accounts. This happens more and more simply due to contracts rolling over and charges automatically increasing.  By the time the business under contract may realize the price increase, the contract is past the time allotted to cancel. In most instances this increase goes undetected because the contract auto renews. The customer is never told of an increase and now they are paying more.

An example of how a small producer of medical waste being taken advantage of happened in Newberry, Florida a few years ago. The fire Chief, David Rodriguez entered into a contract with Steri-Cycle in 2009 to collect the biohazardous waste at the firehouse for $82.00 a month. Over the course of six years the cost per pick up had skyrocketed to $417.52. When the new fire chief took over his position he was concerned at the high cost and tried to negotiate with Steri-Cycle to no avail. Steri-Cycle simply stopped responding. Florida Attorney General Pam Bondi used the state’s False Claims Act to negotiate a $3.5 million settlement for local governments and agencies statewide. Newberry’s cut: $7,232.58.


When entering into and while under a contract, it is imperative to ask your provider for an itemized bill. Be on the look out for any rate changes during the term of the contract and before a contract can rollover ask to see the rate of the new contract.  It is also imperative to make sure that you are not paying for any unnecessary fees that might have been added to the contract.  Don’t be taken advantage of, do your due diligence.