Forbes January 13, 2025
Renee Hsia

Imagine this: you need shoulder surgery to repair a torn rotator cuff. If you choose to go through insurance, the “list price” is $27,000. But when you request to pay in cash, you’re offered a nearly $22,000 discount, so you only end up paying about $5,700. This happened to my brother a few months ago in Austin, Texas. While it was an enormous relief for him, it raises several deeply troubling questions: 1) Why are there so many vastly different “prices” for medical care for the same medical procedure? 2) How often does this happen, and could you be eligible for such a discount? 3) Why does it seem like having health insurance sometimes isn’t actually saving us any money?

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