Navigation Links
Price for hip replacement highly variable, hard to obtain
Date:2/11/2013

A "secret shopper" study conducted by researchers with University of Iowa Health Care and Iowa City VA Medical Center reveals the difficulty consumers face when attempting to obtain prices for a common surgical procedure.

The study found that 40 percent of top-ranked and 36 percent of non-top-ranked hospitals were unable to provide a price estimate for a total hip replacement procedure. Moreover, among the hospitals that could provide an estimate, the cost quoted for the procedure ranged from $11,100 to $125,798 a more than ten-fold difference.

While data on hospital quality is now widely available from public and private sector sources, the UI study suggests that pricing data is much harder to obtain. The study suggests that calls for greater transparency in pricing have not had a big effect.

"There have been many initiatives to increase pricing transparency, including state and federal laws, and still many hospitals are unable to provide price information for a common procedure," says Jaime Rosenthal, lead author on the study, which was published online Feb. 7 in JAMA Internal Medicine, a JAMA Network publication. "Also, the variation in pricing was striking, as we tried to give each hospital identical information in terms of what the procedure would require."

Rosenthal and her colleagues Xin Lu and Peter Cram, M.D., randomly selected two hospitals from each state and the District of Columbia that performed total hip replacements as well as the 20 top-ranked orthopedic hospitals according to US News and World Report. Calling on behalf of a hypothetical patient, Rosenthal requested the lowest "complete" price (hospital plus physician fees) for an elective total hip replacement. The fictitious patient, a 62-year old grandmother, did not have health insurance but was able to pay for the procedure out-of-pocket. When a hospital could provide the hospital fee only, the researchers contacted a hospital-affiliated orthopedic surgery practice to obtain a physician fee. Each hospital was contacted up to five times in an attempt to get pricing information.

The study found that nine top-ranked hospitals (45 percent) and 10 non-top-ranked hospitals (10 percent) were able to provide a complete bundled price. Complete price estimates were obtained from an additional three top-ranked hospitals (15 percent) and 54 non-top-ranked hospitals (53 percent) by contacting the hospitals and physicians separately. At top-ranked hospitals the complete price ranged from $12,500 to $105,000 and at non-top-ranked hospitals prices ranged from $11,100 to $125,798.

The study did not find any specific hospital characteristics that were associated with a lower or higher price estimate, but Cram notes that only a small sampling of hospitals was included in the study.

"A big finding was the absolutely huge variation in price estimates," says Cram, UI associate professor of internal medicine and director of the Division of General Internal Medicine. "We believe that our results highlight the reality that hospitals have a very hard time knowing their own prices."

"The range in prices suggests that a savvy customer may find that he or she can comparison shop and find significant savings," adds Rosenthal. "Our study suggests that it is important for consumers to ask for information about the cost of medical care and procedures and to be persistent."

For policy makers and hospitals, Rosenthal says, the study suggests there is a long way to go on to improving pricing transparency efforts.


'/>"/>
Contact: Jennifer Brown
jennifer-l-brown@uiowa.edu
319-356-7124
University of Iowa Health Care
Source:Eurekalert

Related medicine news :

1. W2 & 1099 Application: Halfpricesoft.com Customized EzW2 For New Employers
2. Small Business Users can Now Get EzCheckPrinting Software at $0 from Halfpricesoft.com
3. Study finds incentive price for reducing HIV risk in Mexico
4. Ultra Clean Filters Now Providing Sundance Spa Filters at Incredibly Low Prices
5. Contemporary Heaven Now Offers Custom Photo Frames at Competitive Prices
6. Is COBRA Right for You and Worth the $15,000 Annual Price Tag?
7. PriceSwag.com Announces Arrival of Latest Home Improvement Inventory from American Standard, Delta, Glacier Bay, and Hampton Bay
8. PriceSwag.com Announces Arrival of Golf Inventory from Adidas, Bionic, Callaway, Ecco, FootJoy, and Nike
9. Unlimited W2 and 1099 Filing, EzW2 From Halfpricesoft.com Updated For Tax Preparers
10. Easy-to-use Check Writer from Halfpricesoft.com Saves Small Businesses Time and Money in Year 2013
11. Print W2 and 1099-MISC Forms Instantly With New EzW2 Software From Halfpricesoft.com
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2017)... ... ... Republicans in the United States Senate on Thursday released their version of bill ... significantly from the American Health Care Act, which the House passed in May, so ... have to take up the Senate version as-is, if it passes. , The following ...
(Date:6/25/2017)... ... ... a heatwave currently bearing down on Northern California pushing temperatures to the maximum, many people ... easy with laser hair removal. , The process of summer waxing and constantly shaving ... you want to do is get out, dive in and cool off. There is a ...
(Date:6/24/2017)... PA (PRWEB) , ... June 24, 2017 , ... ... held in Erie, PA at the Sheraton Erie Bayfront and Erie Convention Center ... evidence based medicine experience, exhibits, a student quiz bowl, award and scholarship presentations, ...
(Date:6/24/2017)... ... June 24, 2017 , ... Doorknobs are for convenience, deadbolts ... as getting a guard dog or having an alarm system installed. But unless there ... forced entry. Yair Frenkel, owner of TX Premier Locksmith in Killeen, TX says: “In ...
(Date:6/23/2017)... Long Beach, CA (PRWEB) , ... June 23, 2017 , ... ... (ANRF) has earned its ninth consecutive four-star rating from premier online charity evaluator, Charity ... ANRF in the top 1% of all charities reviewed by Charity Navigator and earns ...
Breaking Medicine News(10 mins):
(Date:6/19/2017)... , June 19, 2017  Researchers from DRUGSCAN ® ... they will host a live, complimentary webinar titled, "Untangling ... benchtop to the real world" on Wednesday June 28, ... This webinar will feature interviews with recreational ... into the manipulation techniques abusers use to prepare opioid ...
(Date:6/16/2017)...  Exactly 50 years ago today, the Monterey Pop Festival ... as the San Francisco "Summer of Love."  To celebrate the ... innovations in strategic market research portals that it will begin ... of Northern Light,s "Summer of Love (For Our Customers)."  ... ...
(Date:6/14/2017)... , June 14, 2017 The Bio ... City of Fremont and the ... the bio-pharma industry in California ... enabling executive networking, and fostering workforce development. The primary ... and growth of start-ups, as well as small and ...
Breaking Medicine Technology: