HIT Consultant December 5, 2025
What You Should Know:
– New analysis of Texas hospital price data reveals a transparency paradox: discounted cash prices for common services are often significantly lower than the rates hospitals negotiated with commercial insurers, according to a new research study from Trilliant Health.
– For diagnostic colonoscopies, the median cash price was 32% below the median negotiated rate. This disconnect means that employees on high-deductible health plans (HDHPs) and the employers who sponsor them are likely subsidizing unnecessary healthcare costs.
The Market Paradox: When Being Insured Costs More
The federal Hospital Price Transparency rule, effective since 2021, mandated that hospitals publish both their discounted cash prices and the rates negotiated with insurance companies. The intention was to increase price...
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