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Home/Legal & Regulatory and Reimbursement/Registry Reports Hospital Charges
Legal & Regulatory and Reimbursement

Registry Reports Hospital Charges

November 14, 2017 1 min read Premium comments

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Registry Reports Hospital Charges
Courtesy of The Maryland Health Care Commission
Secondary

To help consumers compare costs among hospitals and bring more transparency to hospital pricing practices, the Maryland Health Care Commission has authored a website that will let Maryland consumers compare hospital rates for a variety of procedures.

According to Andrea K. McDaniels, reporter for The Baltimore Sun, a knee replacement at Medstar Harbor Hospital will cost a patient $37,225 on average, while the same procedure at the University of Maryland Shore Medical System at Easton will cost $22,687.

The new website—wearthecost.org should help consumers compare costs among hospitals and bring more transparency to hospital pricing practices. The website compiles the information all in one place and in a consumer-friendly way. Commission members hope the website will arm users with more information to help them make more informed decisions when choosing a hospital.

McDaniels reports that, at present the analysis incorporates data from 2014 and 2015 and includes comparisons of four procedures—hysterectomy, vaginal delivery, hip replacement and knee replacement—and will expand to include others over time.

“We have felt for a long time that what we needed to do is get some clarity in this area of what things cost,” said Commission Chairman Robert E. Moffit, M.D.

McDaniels reported that some hospital officials, including those who worked with the commission, say the new website is too limited in scope. As Johns Hopkins Hospital spokeswoman Kim Hoppe said in a statement, “We fully support any efforts aimed at providing transparent information to help patients make informed decisions. We believe that the current site does not yet achieve that goal. We will continue to work with [the commission] to better understand the data and methodologies they employed, as well as advocate for the inclusion of additional information that would assist patients in making the right choice for health care services.”

React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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