RevCycle Intelligence April 5, 2023
By Jacqueline LaPointe

A new study found cash prices and commercially negotiated rates were both consistently discounted from hospital chargemaster rates, with self-pay being the cheapest option.

While neither patients nor payers typically pay what hospitals charge for services, a new Health Affairs study finds that those hospital chargemaster rates still matter.

Researchers at Johns Hopkins University analyzed hospital prices reported under CMS’ price transparency rule by 2,379 hospitals as of September 9, 2022. They found that a given hospital’s cash prices and commercial negotiated rates both reflected a predetermined and consistent percentage discount from hospital chargemaster prices.

On average, cash prices and commercial negotiated rates were 64 percent and 58 percent of the corresponding chargemaster prices for the same services at the...

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Topics: Health System / Hospital, Insurance, Payer, Provider, RCM (Revenue Cycle Mgmt), Survey / Study, Technology, Trends
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