Price Consistency Could Save Health Care System $36 Billion

Reducing price variation in health care for the 108 million Americans with employer-sponsored coverage could save the nation as much as $36 billion per year. A recent Thomson Reuters white paper this week further confirms many other reports showing wide variation in price for the same medical procedure in different markets. Price disparity in medical imaging is the subject of the cover story in this month’s Radiology Business Journal. The latest white paper from the research arm of Thomson Reuters found that in some circumstances prices for medical services could be three times higher at a hospital setting compared to an outpatient facility. Prices can be widely different among hospitals in the same city as well. An insurer in Detroit might pay around $900 for an MRI of the spine at one hospital and $1,500 at another hospital across town, the report found. Based on several studies looking at price variation, the Thomson Reuters report found that if the prices for a given procedure were lowered to the median price in that market, around 3.5% of health care costs could be saved.

Around the web

The patient, who was being cared for in the ICU, was not accompanied or monitored by nursing staff during his exam, despite being sedated.

The nuclear imaging isotope shortage of molybdenum-99 may be over now that the sidelined reactor is restarting. ASNC's president says PET and new SPECT technologies helped cardiac imaging labs better weather the storm.

CMS has more than doubled the CCTA payment rate from $175 to $357.13. The move, expected to have a significant impact on the utilization of cardiac CT, received immediate praise from imaging specialists.