How much does a hip replacement cost, $95,459 or $77,967? Or, why does the insurance company pay more than the bill?

Filed Under: Costs, Health plans, Patients

How much does a hip replacement cost, $95,459 or $77,967? Or, why does the insurance company pay more than the bill?

How much does a hip replacement cost, $95,459.83 or $77,967? Or $63,604? A friend had a hip replacement recently, and she sent over her bill. What’s interesting to us is, among other things, the Hospital for Special Surgery bill and the Cigna bill don’t add up. Cigna reports that it was billed $95,459.83; HSS reports […]

Greed, commerce, Underpaid Docs: N.Y. Times readers on medical tourism

The poster child for medical tourism in Libby Rosenthal’s excellent New York Times piece on people traveling out of the U.S. for medical care is a man who needed a hip replacement that his insurance wouldn’t cover. He had a choice: pay $65,000 for surgery in the U.S, or $13,660 in Belgium, from soup to […]

Finding consumer prices from hospitals is hard, study finds

  It’s hard for patients to find prices for medical procedures in advance, even for common things, a new study finds. Our readers won’t be surprised, but this was a  thorough investigation by a trio of respected scholars, published in the Journal of the American Medical Association. The study catalogs the  scholars’ attempts to find […]