Bargain Shopping For Surgery
by digby
This CNN Report is illuminating:
COHEN: Here in Concord, New Hampshire, like any place, when you go shopping, you can do price comparison whether you’re looking for a car or a pair of shoes. But what I think people here or anywhere else fail to realize is that you can also go comparison shopping for health care services and save yourself thousands of dollars. So come on, let’s go bargain shopping for a colonoscopy.
Our first stop is the Southern New Hampshire Medical Center. They charge nearly $5,000 for a colonoscopy. Let’s see if we can get a better deal. Come on.
Here at the Concord Ambulatory Surgery Center, a colonoscopy would only cost me about $2,800. Now remember, the most expensive place to get a colonoscopy would set me back nearly $5,000. So coming here, I save more than $2,000. See, it pays to bargain shop.
I’m so excited about how well I did with the colonoscopies, that now I’m going to bargain shopping for a hernia surgery.
Here at St. Joseph’s Hospital, they charge $13,400 to repair a hernia. That is so expensive I’m not even getting out of the car. I’m going to try to find something cheaper.
At Elliott Hospital, they only charge about $4,500 to do a hernia repair. It’s the exact same procedure. Why does it cost $9,000 less here? I’m going to call these high-priced hospitals and ask them, why do you charge so much?
Hi, this is Elizabeth Cohen calling from CNN.
(voice-over): The hospitals wouldn’t comment.
(on camera): So I found someone who can explain these crazy health care prices to us. Her name is Heather Staples and she analyzes prices of health care for large employers in New Hampshire.
I go shopping for a gallon of milk and there’s a huge price difference. I’m going to see it right there on the shelf. But with medical services, people don’t know. There’s no price tag.
HEATHER STAPLES, ANALYSES PRICES OF HEALTH CARE: That’s correct. And it’s even difficult for consumers to call a facility and ask for the price of services.
COHEN: So it’s actually, the reason for these discrepancies is some ways is pretty simple, which is that when you go buy a colonoscopy, there’s no price tag on it.
STAPLES: That’s correct.
COHEN: Give me another example of a procedure where there’s wild differences all in the same city.
STAPLES: Sure. Knee scope. At Dartmouth South, it’s about $5,300. In the same region at St. Joseph’s Hospital, it’s about $10,500.
COHEN: So we all bargain shop for cars and things like that. Does it pay to bargain shop for medical services?
STAPLES: Oh, it absolutely does. I mean, we’re talking about a $5,000 difference. It absolutely makes a lot of sense to do it. (END VIDEOTAPE)
Now, the first thing you might ask is where people who can’t afford insurance are supposed to get the money for this even at the “bargain prices,” but that didn’t come up. And any of you who belong to HMOs or PPOs or even who have doctors who are contracted with particular hospitals (most of you) know very well that you don’t have a lot of choice about where you get your hernia operation. You go where your doctor and insurance company tell you to go.
So basically we have a news report that is telling either independently wealthy people who don’t need insurance or those with cadillac plans, like Wolf and Candy, that they can bargain hunt for their surgical procedures. How useful. Either way, it’s a completely ridiculous story that does nothing more than advance the GOP’s talking points that it’s the public’s fault that costs are too high so they need to be more “responsible.” I’m sure the Republicans are very pleased.
Costs are too high. But the problem is not going to be solved by forcing people to second guess their doctors and telling their insurance companies that they are paying too much on their behalf. This is a problem of scale that can only be dealt with through comprehensive reform. Otherwise, what you end up with are scenes like this, from Sicko:
(VO) This is Rick.
Rick:I was gripping a piece of wood and I grabbed it here and it hit a knot…
(VO) He sawed off the tops of two of his fingers.
Rick:…and it was that quick.
(VO) His first thought?
Rick:I don’t have insurance. Am I gonna have to pay cash for this? $ 2,000, $3,000 or more?
Does that mean we’re not gonna get a car?
(VO) Rick also doesn’t have health coverage. So the hospital gave him a choice. Reattach the middle finger for $60.000. Or do the ring finger for 12.000.
Rick: It’s an awful feeling to just try to put a value on your body.
(VO) Being a hopeless romantic, Rick chose the ring finger. For the bargain price of 12 grand.
Maybe they could have put the finger in the freezer while he comparison shopped around the country for a better deal.
.