Healthcare Finance News September 17, 2023
Jeff Lagasse

Costs for procedures such as mammograms and colonoscopies are as much as 58% higher when performed in HOPD settings.

When common medical procedures are performed in a hospital outpatient department (HOPD) rather than a doctor’s office, costs are substantially higher, according to a national analysis of tens of millions of claims.

The analysis, released by the Blue Cross Blue Shield Association, shows the costs for prevalent procedures like mammograms or colonoscopies were consistently higher – as much as 58% more expensive – when performed in HOPD settings. These higher hospital prices mean higher costs to consumers.

To examine the cost disparities at different healthcare locations, BCBSA analyzed de-identified claims data for six common, everyday outpatient procedures, covering 133 million...

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