Navigation Links
Facility Costs, Not Professional Fees, Account for Widely Varying Prices, According to Change Healthcare's Q1 Healthcare Transparency Index
Date:8/5/2014

BRENTWOOD, Tenn., Aug. 5, 2014 /PRNewswire/ -- Change Healthcare's latest quarterly Healthcare Transparency Index (HCTI) revealed that the widest variation in costs for selected inpatient procedures and imaging services is found among the facilities where the procedure or service is performed – not among the professionals who performed them.

"We often hear that doctors' fees are to blame for escalating healthcare costs," said Doug Ghertner, president and CEO of Change Healthcare, the market leader in consumer engagement and cost transparency. "In truth, it's the facilities that exhibit the most significant variance in costs – often varying by hundreds or even thousands of percentage points."

The Q1 2014 HCTI identified knee and hip replacements to be the procedures that vary most based on facility, with prices ranging by 1,687 percent and 1,132 percent respectively. Other procedures showing substantial price discrepancies at the facility level included CT scans (469 percent), ultrasounds (350 percent) and vaginal deliveries (319 percent).

"Patients can save an enormous amount of money by asking their doctor, in advance, at which local hospital or surgery center he or she has privileges to perform a surgery or deliver a baby – and then shopping around," Ghertner said.  "As an example, for imaging services, an independent clinic or outpatient imaging facility often delivers the best value."  

The HCTI report is part of an ongoing effort by Change Healthcare to keep a pulse on the cost and cost variability of various medical and dental services, and to identify the greatest opportunities for savings for consumers and plan providers.

To uncover savings opportunities, Change Healthcare's HCTI includes a Transparency MatrixTM, which identifies services that are both high cost and highly variable in price. Examining data from the first quarter of 2014, eight services fell into the Matrix's Target quadrant, including four in-patient procedures and four imaging services. To best analyze what was driving the significant variability, the HCTI segmented facility-specific costs, such as room and board, labs and anesthesia, from those related to professional fees.

Here are the price ranges and variability for each procedure, broken down by facility and professional costs.In-Patient ProcedurePrice RangePrice VariabilityKnee replacement – facility

$1,803-$32,225

1,687%Knee replacement – professional

$1,864-$4,229

127%Hip replacement – facility

$2,613-$32,190

1,132%Hip replacement –professional

$1,669-$4,190

151%Vaginal delivery – facility

$2,549-$10,679

319%Vaginal delivery – professional

$2,179-$3,033

39%C-Section – facility

$5,300-$15,962

201%C-Section – professional

$2,097-$3,284

57%Here are the price ranges and variability for each type of imaging service, broken down by facility and professional costs. Imaging ServicePrice RangePrice VariabilityCT scans – facility

$410-$2,334

469%CT scans – professional

$71-$213

202%MRI – facility

$596-$2,529

324%MRI – professional

$85-$280

230%Ultrasounds  – facility

$124-$559

350%Ultrasounds  – professional

$34-$92

175%Mammograms – facility

$132-$347

163%Mammograms – professional

$38-$84

121%The HCTI report, available at http://www.changehealthcare.com/resources/publications/hcti, is a quarterly measure of the costs and cost variability of various medical and dental services that consumers purchase on a recurring basis over time. The source of the healthcare cost data is the aggregation of in-network medical and dental claims from credentialed providers across all Change Healthcare clients, which has geographic coverage that spans nationally and covers 7 million lives.

About Change Healthcare
Established in 2007, Change Healthcare is on a mission to transform the way Americans purchase and utilize healthcare services by driving sustainable engagement at the individual level.  With a national client base of health plans and employers covering lives in all 50 states, and 7 million users on its platform, Change Healthcare is the premier national provider of healthcare cost transparency and consumer engagement solutions that enable consumers to: better understand and utilize their healthcare benefits; make informed healthcare purchasing decisions based on quality, cost and convenience; and manage higher out-of-pocket responsibility and realize savings. This, in turn, helps plan sponsors: control their healthcare cost growth trend; successfully migrate to more cost-effective plan types; optimize existing wellness programs and on-site clinics; and improve member/employee satisfaction and retention. To learn more, visit www.changehealthcare.com.

Contact: Laura Alabed-Olsson
Senior Manager, Marketing and Communications
Change Healthcare Corporation
(615) 775-9441
lalabedolsson@changehealthcare.com


'/>"/>
SOURCE Change Healthcare
Copyright©2014 PR Newswire.
All rights reserved

Related medicine technology :

1. Delcath Systems, Inc. Secures $20 Million Credit Facility
2. BioSurplus Expands, Debuts New 8000 Square Foot Warehouse and Service Facility
3. Specialty Silicone Fabricators Inaugurates New State-of-the-Art Facility in Paso Robles
4. Forum Extended Care Services Announces Plans to Move to Larger, State-Of-the-art Facility
5. Daiichi Sankyo, Inc. Receives FDA Approval to Package Product at New Facility in Bethlehem, PA
6. Alexza Secures a $20 Million Committed Equity Financing Facility with Azimuth Opportunity, L.P.
7. TPI Provides Progress Update on Qionglai Facility (QLF) Construction
8. CMC Biologics Acquires XOMAs Bay Area Manufacturing Facility
9. Astellas to Close Urogenix, North Carolina-based Urology Research Facility
10. WuXi PharmaTech Receives GLP Certificate from SFDA for Suzhou Toxicology Facility
11. ImmusanT Relocates Offices to State-of-the-Art Innovation Facility
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/23/2016)... Ill. , June 23, 2016  In a startling report ... are failing their residents by lacking a comprehensive, proven plan to ... a definitive ranking of how states are tackling the worst ... to only four states – Kentucky , ... Vermont . Of the 28 failing states, three ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... Forecast to 2022" report to their offering. ... date financial data derived from varied research sources to present ... impact on the market during the next five years, including ... sub markets, regional and country level analysis. The report provides ...
(Date:6/23/2016)... 2016 Research and Markets has announced ... report to their offering. ... a favourable commercial environment for MedImmune to enter. The US ... will serve to drive considerable growth for effective anti-influenza medications. ... cap sales considerably, but development is still in its infancy. ...
Breaking Medicine Technology:
(Date:6/25/2016)... , ... June 25, 2016 , ... ... policy issues and applications at AcademyHealth’s Annual Research Meeting June 26-28, 2016, at ... on several important health care topics including advance care planning, healthcare costs and ...
(Date:6/25/2016)... ... June 25, 2016 , ... First Choice Emergency Room ... Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell Farm facility. ... of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive Medical Director of ...
(Date:6/25/2016)... ... 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s a ... the bar too high can result in disappointment, perhaps even self-loathing. However, those who ... , Research from PsychTests.com reveals that behind the tendency to set ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was out ... family verbally and physically. , “When something upset him, he couldn’t control his emotions,” remembers ... would throw rocks at my other children and say he was going to kill them. ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, CA ... the Road To Recovery® program to drive cancer patients to and from their cancer ... ensure the highest quality of life and ongoing independence. Getting to and from ...
Breaking Medicine News(10 mins):