How much do Sovaldi, Mavyret and Harvoni cost? $84 per patient, $25,757 per patient or $94,500 per patient?

Jeanne Pinder October 26, 2019

How much do Sovaldi, Mavyret and Harvoni cost? $84 per patient, $25,757 per patient or $94,500 per patient?

“Several states have made alliances with pharma companies to eradicate hepatitis C infections,” Mark Terry writes over at BioSpace. “One of the more recent was between AbbVie and the state of Washington. Another is with Louisiana and Gilead Sciences’ subsidiary Asegua Therapeutics. However, partly because the bidding for these contracts remain confidential, critics are questioning […]

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How much does a brain MRI cost, or the triple whammy: Co-insurance, high deductible and a sick kid

Jeanne Pinder October 22, 2019

How much does a brain MRI cost, or the triple whammy: Co-insurance, high deductible and a sick kid

The community member’s report was enough to make you cry. The biggest problem that leaped out at us: A 50 percent co-insurance stipulation in her insurance plan. For an MRI of the brain with and without dye, CPT code 70553, at Virtua Voorhees, these were the prices: CHARGED: 9973.43 INSURED: 2460.0 PAID: 2460.0 Her comment: […]

View Post brain MRI Children's Hospital of Philadelphia co-insurance MRI Virtua Voorhees

Costs of Methotrexate, TB test and Humira for rheumatoid arthritis: New year, new insurance

Jeanne Pinder

Costs of Methotrexate, TB test and Humira for rheumatoid arthritis: New year, new insurance

She sent in several blood tests with substantial charges from the Mayo Clinic health system, with insurance via an employer. One was a basic metabolic panel, for which she was charged $138, and asked to pay $105 after the insurer’s writedown. She had a TB test too, for $104. She commented: “on top of this […]

View Post Humira Methotrexate rheumatoid arthritis TB test

New York State makes policy changes in response to our Medical Price Roulette reporting

Jeanne Pinder October 10, 2019

New York State makes policy changes in response to our Medical Price Roulette reporting

The New York State superintendent of financial services, Linda A. Lacewell, announced that the state Department of Financial Services (DFS) has proposed an amendment to a regulation on New York’s Out of Network Law to protect New Yorkers further from surprise medical bills. In a statement in a press release, Lacewell said she was taking […]

View Post Department of Financial Services Medical Price Roulette surprise bills

Who gets paid what: The ABC’s of health care pricing

Jeanne Pinder October 7, 2019

Who gets paid what: The ABC’s of health care pricing

Pricing is byzantine in the U.S. health care system. For any given procedure or item at any given hospital or clinic, there may be a dozen prices or more. Why? We have what’s called a third-party payer system — many bills are paid not by the patient (the recipient of the service or medication) but […]

View Post co-insurance contracted rate Jaime King member rate negotiated rate

We’re live with our CBS News partnership

Jeanne Pinder September 23, 2019

We’re live with our CBS News partnership

We’ve launched a new partnership with CBS News, bringing transparency to the health care marketplace by telling people what stuff costs, under the name “Medical Price Roulette.” Here’s the first story from Anna Werner, national consumer investigative correspondent at CBS This Morning. She interviewed Frank Esposito, who faced close to $700,000 in medical costs after […]

View Post Anna Werner CBS Kim Godwin Medical Price Roulette

Young adults take ‘risky’ actions to save on health care costs: Forbes

Jeanne Pinder

Young adults take ‘risky’ actions to save on health care costs: Forbes

“Much of the news about health care costs focuses on the assets required to cover health care costs in retirement,” Janet Berry-Johnson writes at Forbes. “HealthView Services 2018 Retirement Healthcare Costs Data Report estimates that a 65-year-old couple in good health will need $363,946 to pay for health-care costs for the remainder of their lives, […]

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How much does student health insurance cost? From $0 to $5,592

Graison Dangor September 6, 2019

How much does student health insurance cost? From $0 to $5,592

The cost for Stanford University’s student insurance policy rose this year to $5,592. (Image by Victor Gane licensed under Creative Commons.) Student health insurance costs anywhere from $0 to north of $5,000 a year. Which end of the range you get has a lot to do with what your kid’s school requires for coverage. […]

View Post Aetna Student Health Boston University Cigna George Washington University Penn State

Some things I have observed by using our shitshow of a healthcare system (US): Reddit

Jeanne Pinder September 2, 2019

Some things I have observed by using our shitshow of a healthcare system (US): Reddit

This interesting piece of writing comes to us courtesy of Reddit, which calls itself “the front page of the internet.” She posted it on the subreddit channel r/self.povertyfinance. I saw it and reached out to her to ask if we could re-post on our blog because we are interested in her perspective. She agreed. She […]

View Post collections financial aid medical debt payment plan Reddit

Umpteen rounds with Aliera Healthcare: How to argue a bill with a sharing ministry

Jeanne Pinder August 29, 2019

Umpteen rounds with Aliera Healthcare: How to argue a bill with a sharing ministry

A Facebook friend commented on one of our posts that Aliera Healthcare, one of the healthcare sharing ministries, had denied a claim, saying that while the doctor was in-network, the billing entity was not. It seemed wacky, so I asked for more detail. Here is his story. We’re not using his name because that’s not […]

View Post Aliera healthcare sharing ministry Liberty Health Share

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