Many hospitals don't discount from their list price for self pay. Medicare pays ~10% of list price. So, for example, if there is an insurance rate set at "130% medicare" (common to have a coefficient between 1 and 2),…
Generally, every hospital reported price is different. Many of the prices reported are "all in" service packages, but several also wouldn't include these ancillary charges. Forthcoming price transparency legislation…
Exactly. Small payers are actually pretty hungry for this data. Generally, big payers are more privy to market rates (by paying for datasets, owning clearinghouses, etc).
Yeah, actually I can attest that a lot of our hospital clients have no idea what the hospital next door is charging / getting paid by insurance. So, a lot of price setting is guessing. It's often not cost-based. And…
Thanks for the feedback! We'll be improving our filter/sort here in the coming days and we'll take this feedback into our plan.
Yeah that's a generally interesting one because Kaiser's pricing is inflated assuming that all their patient's also have Kaiser insurance. But appendectomies do range quite a bit.
Many hospitals don't discount from their list price for self pay. Medicare pays ~10% of list price. So, for example, if there is an insurance rate set at "130% medicare" (common to have a coefficient between 1 and 2),…
Generally, every hospital reported price is different. Many of the prices reported are "all in" service packages, but several also wouldn't include these ancillary charges. Forthcoming price transparency legislation…
Exactly. Small payers are actually pretty hungry for this data. Generally, big payers are more privy to market rates (by paying for datasets, owning clearinghouses, etc).
Yeah, actually I can attest that a lot of our hospital clients have no idea what the hospital next door is charging / getting paid by insurance. So, a lot of price setting is guessing. It's often not cost-based. And…
Thanks for the feedback! We'll be improving our filter/sort here in the coming days and we'll take this feedback into our plan.
Yeah that's a generally interesting one because Kaiser's pricing is inflated assuming that all their patient's also have Kaiser insurance. But appendectomies do range quite a bit.