Fierce Health Payer July 7, 2021
Dave Muoio

Hospitals “routinely” charge uninsured and cash-paying patients rates higher than those negotiated by payers, according to a recent Wall Street Journal report reviewing hospitals’ newly available price transparency data.

Among a sample of 1,550 hospitals, 21% billed these patients at the highest rates for the majority of the healthcare services included in the WSJ’s analysis.

For 11% of the hospital sample, the cash rates for every reviewed service were higher than insurers’ rates or were tied for the highest rate.

Further, a review of 1,166 hospitals that shared Medicare Advantage plan rates suggested that uninsured patients’ fees were 3.6 times higher than the average paid by these plans.

The WSJ noted that these types of practices were common among the...

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Topics: Health System / Hospital, Healthcare System, Insurance, Patient / Consumer, Pricing / Spending, Provider
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