mrnickel001

3 ms·

1. 1.▲
   by mrnickel001 6y ago

   Many hospitals don't discount from their list price for self pay. Medicare pays ~10% of list price. So, for example, if there is an insurance rate set at "130% medicare" (common to have a coefficient between 1 and 2), then ye
2. 2.▲
   by mrnickel001 6y ago

   Generally, every hospital reported price is different. Many of the prices reported are "all in" service packages, but several also wouldn't include these ancillary charges. Forthcoming price transparency legislation puts more
3. 3.▲
   by mrnickel001 6y ago

   Exactly. Small payers are actually pretty hungry for this data. Generally, big payers are more privy to market rates (by paying for datasets, owning clearinghouses, etc).
4. 4.▲
   by mrnickel001 6y ago

   Yeah, actually I can attest that a lot of our hospital clients have no idea what the hospital next door is charging / getting paid by insurance. So, a lot of price setting is guessing. It's often not cost-based. And often, negotia
5. 5.▲
   by mrnickel001 6y ago

   Thanks for the feedback! We'll be improving our filter/sort here in the coming days and we'll take this feedback into our plan.
6. 6.▲
   by mrnickel001 6y ago

   Yeah that's a generally interesting one because Kaiser's pricing is inflated assuming that all their patient's also have Kaiser insurance. But appendectomies do range quite a bit.
7. 7.▲
   by mrnickel001 6y ago

   Hey man! This is a great comment. I work with Turquoise. We're actually building some stuff where patients can collectively bargain outside their insurance. But for now, it's most useful to people with insurance that see that one