HomeHomeland SecurityEducation Healthcare EnergyAbout USFFSupport USFFContact Us
 

We Believe...
That restoring a true free market for health care in the United States will produce the best health care system in the world.  Restoring that free market requires the financial re-empowerment of the American middle class. Every American should have access to affordable health insurance, regardless of their health status or income level. Individual Americans - not employers - should choose and own their health insurance plan. Every American should be free to choose their health care provider, hospital, and treatments. Americans should pay cash for their everyday health care needs, and insure only against medical costs in excess of their ability to pay cash. No patient who pays cash for health care or prescription drugs should be charged more than an insurance compnay would pay for the same service or drug. Every American should be able to fully enforce the terms of their health insurance contract in state court, including the ability to seek economic, non-economic, and punitive damages for breach of contract as allowed under their respective state laws. 

US Freedom Foundation Needs Your Financial Support to Restore and Improve our Health Care System Nationwide. Please Help Through Your Donation!

The 2003 USFF Fair Health Care Pricing Initiative

The U.S. Health Care Services Retail Price Guide Project
July 31, 2003 
Retail Price Guide News Conference
Remarks by USFF President John Stone 
The Uninsured, Self-pay patients and Health Care Pricing

In December, at the U.S. News and World Report Health Care Issues Briefing at the National Press Club, CMS Director Tom Scully said three competing forces create our health care market – hospitals, insurers, caregivers.

What happened to the patient?

As long as the final end-user of any product or service has no control over what they buy and how much they pay, there is no free market.

Nowhere is that more evident than with the estimated 85+ million Americans today who try to access health care without an insurance umbrella. They are the 75 million Americans who go uninsured at some point during a calendar year, and the 10 million and growing number of patients who participate in consumer-driven health care through flexible spending accounts, medical savings accounts, and health reimbursement arrangements.

When these families try to pay cash for their health care services, they are being charged between three-and seven times the going rate, while the largest managed care companies pay for the same service frequently at below cost. Those who can least afford to pay are being gouged, primarily on hospital and pharmaceutical prices, but also in a small but growing number of caregiver offices. And they’re being gouged to pay for the discounts for the largest corporations in America.

The American media is only beginning to grasp the magnitude of this problem. A Wall Street Journal article by Lucette Lagnado graphically demonstrates the devastating effect on these type prices on uninsured Americans. Similar articles in the Christian Science Monitor and other publications reveal the same across the country.

Consumer-driven health care is America’s best and brightest hope for restoring a free health care market. But we have a message today for Chairmen Thomas and Tauzin, Senators Frist and Grassley, and the President.

Unless this problem of pricing is corrected, consumer-driven health care will fail. We already have insurers telling physicians to charge MSA patients the full inflated retail price until the patient’s savings are exhausted, and only then revert to the standard rate, when the insurer starts paying the bill.

There is no free market in America today.  Consumers have no idea of health care costs, and are prevented from learning by our corporate system.  They know a reasonable price for nearly every other product or service in our economy, from oil changes to television sets, but on health care they face a mammoth information blackout.  

Employer sponsored health care advocates constantly bash “irresponsible” consumers who unnecessarily access expensive health care procedures, while creating a system that bars all choices and information for consumers.

Amazing – a retail industry consuming 17% of our gross domestic product, and consumers have no idea of prices.

What is a fair price? The “usual and customary” amount received for the service. That’s what the majority of patients agree to pay when being admitted to the hospital, and that’s all they should pay.

So what is the “usual and customary” amount?

We’ve spent six months investigating the answer, to produce today’s price guide.
The figures contained in the Guide were obtained from:
1. Patient receipts for both cash and insurance-reimbursed purchases
2. Phone surveys of Washington-Baltimore area providers and pharmacies
3. Online price quotes from U.S. and Canadian pharmacies
4. Physician records and interviews nationwide
5. Reimbursement information supplied by unions
6. Federal and State records on reimbursements and costs
7. Hospital input nationwide
8. Insurer records nationwide

We will protect the confidentiality of all parties who voluntarily participated in the project.

There are reasons it hasn’t been done before. 

1. For low-deductible insured patients, it doesn’t matter – that’s been the bulk of the market.

2. Health care pricing is terribly complicated, each treatment situation is different, and trying to apply averages to specific treatment programs is difficult.

3. Some consumers will try to re-price their bills without full knowledge of their treatments, and wrongfully accuse honest providers of overcharging.

4. Most consumers won’t understand the terminology.

5. Publication of health care prices will undermine quality.

These were all good reasons in the past – but times have changed.

100 Million Americans currently pay all or part of their own health costs.
75 million uninsured per year
10 million consumer-driven health plans
15 million hi-deductible policy holders

These Americans are being gouged on a regular basis, and they don’t have to take it as long as they have the knowledge to fight back. They currently have no access to even the most basic, broad information on pricing, which makes fighting back difficult if not impossible.

We offer the Guide as just that – a Guide, not to establish set prices.

What the Guide reflects is generally slightly higher than the lower managed care reimbursement averages, as insurers pay different discount rates. But they should reflect the usual overall range received for a particular service or treatment.

• Retail Price Example Sheet
• Straight Talk for Patients

If the price guide indicates your service should be $60, and it’s $85, you might not have a gripe. But if it’s $300, consumers will know to question it.

If the guide indicates a hospital bill of $3000, and you’re being asked to pay $5000, ask for an explanation, but don’t hit the ceiling. If the charge is $25,000, you know you have a problem. 

Thank you, and now to the guide itself and your questions.

###



Straight Talk for Patients on Health Care Pricing:
Using the U.S. Health Care Services Retail Price Guide
 
Health care pricing determination is the most convoluted, bureaucratic process in our national economy. For this reason, other organizations and government agencies have avoided any attempt to produce a basic retail health care price guide. The fear that consumers will look up one particular fee, discover their charge to be higher, and unjustifiably complain without understanding the entire bill, has resulted in consumers being left in the dark for decades.   
 
In the past, this situation didn’t affect many people.   Most Americans receive health care benefits through insurers, and only have to pay the co-insurance as their part of the bill, which in most cases was the same low set fee regardless of the cost of a procedure or service. 
 
But this neglect of consumer access to pricing information has now created a health care market situation that demands access to at least broad, general rate information, and U.S. Freedom Foundation committed to producing this guide for public access.   Up to 75 million Americans are uninsured at some point during a given calendar year. An additional 10 million Americans are now paying cash for most everyday health services due to higher deductible insurance policies – and this group is growing rapidly as more families choose consumer-driven health insurance plans to escape shoddy HMO’s.  
 
Both groups lack access to a negotiated rate from an insurer, and are frequently charged three-to-seven times the rates paid by insurers. Those who must pay these bills are losing homes to foreclosure, having their wages garnished, and are forced into bankruptcy through this price-gouging scheme.
 
If they are charged $14,000 for an appendectomy, how do they know if that’s a fair price?
When they were admitted to the hospital, they agreed to pay the “reasonable and customary” charges, with no idea of what their final bill would be.   If a major car repair was performed under these rules, every consumer activist in the country would be screaming, and trial attorneys would be falling over each to take the case to court. Yet this is precisely what is happening in American health care today, and the injured consumer has had no place to turn for basic pricing information to determine whether their bill is out-of-line. 
 
According to the Wall Street Journal, a major managed care insurer would only pay about $2500 for that appendectomy in New York City.   Medicaid would pay around $5000. So what is the “usual and customary” charge? 
 
According to the U.S. Health Care Services Retail Price Guide, the national average price received for an appendectomy is around $772 a day. The average patient stays in the hospital 3.3 days. So a total average bill – at the “usual and customary” charge – comes to $2550.
 
Now here’s where caution is advised before calling for an attorney. Fair prices are higher in New York City and other major metropolitan areas than in rural and suburban markets. Prices are generally higher in the Northeast than the South or Midwest.   The initial listings in the Price Guide are for NATIONAL AVERAGE prices only. If you have an appendectomy in Manhattan, expect to pay more. If you have an appendectomy in Tupelo, Mississippi, expect to pay less.   If your bill comes to $2500 anywhere, you’re likely being treated fairly. If it’s $4,000, ask for an explanation of charges before hitting the roof.
 
But if the bill is $14,000, and you had no medical problems other than the appendectomy, demand a massive reduction. If you don’t receive one, seek arbitration or an attorney.
 
All hospitalization charges in the Price Guide are listed as per-day charges, to make it easier to determine the “usual and customary” fee regardless of the length of your stay. However, be aware that while your total bill will be less if your time in the hospital is shorter than normal for your procedure, the per day charges will likely be higher, as the most expensive portion of treatment is usually undertaken up front, such as emergency room admittance, operating room fees, and intensive care following surgery.  
 
Another major caution – there are a small number of caregivers and hospitals who accept nothing other than cash payments. They do not participate in insurance plans, Medicare, or Medicaid. Their prices are the same for everyone, so whatever they charge IS their usual and customary fee. It may be more or less than the Price Guide – they can charge whatever they like and it is still fair pricing, as all of their patients are billed the same.   It is therefore imperative that you, the consumer, ask about their rates before seeking treatment.   The caregiver or hospital may be worth every penny of their charges – but you need to know what those charges are before you’re in front of the cash register after receiving treatment.   
 
We hope this Price Guide will be useful to patients, caregivers, researchers, government entities, consumer activists, and legal counsels. 
###
 
U.S. Health Care Services Retail Price Guide
July 31, 2003
U.S. Health Care Services Retail Price Guide
U. S. Freedom Foundation Health Care Pricing Research Project, January – July, 2003: Prices reported by caregivers, institutions, patients; major managed care reimbursement rates; federal and state public access health care statistics and records; retail rate quotes by all providers.  
 
National Average Prices*
*Pricing varies significantly by region and city
 
Hospital Service                               Usual and Customary Daily Charge

HEART FAILURE & SHOCK
$1,029
APPENDECTOMY W COMPLICATED PRINCIPAL DIAGNOSIS
$772
VAGINAL DELIVERY OF INFANT W COMPLICATED DIAGNOSIS
$942
SIMPLE PNEUMONIA & PLEURISY AGE >17 W CC
$925
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
$905
MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF LOWER EXTREMITY
$2,177
OTHER PERMANENT CARDIAC PACEMAKER IMPLANT
$3,739
SPECIFIC CEREBROVASCULAR DISORDERS EXCEPT TIA
$1,073
PSYCHOSES
$601
REHABILITATION
$691
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W CC
$902
NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W CC
$905
CHEST PAIN
$1,157
G.I. HEMORRHAGE W CC
$152
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC
$1,057
KIDNEY & URINARY TRACT INFECTIONS AGE >17 W CC
$853
SEPTICEMIA AGE >17
$1,193
CIRCULATORY DISORDERS W AMI & MAJOR COMP, DISCHARGED ALIVE
$1,343
RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W CC
$1,090
ATHEROSCLEROSIS W CC
$1,096
TRANSIENT ISCHEMIC ATTACK & PRECEREBRAL OCCLUSIONS
$1,019
CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH & COMPLEX DIAG
$1,734
MAJOR SMALL & LARGE BOWEL PROCEDURES W CC
$1,737
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W CC
$1,405
RENAL FAILURE
$1,210
OTHER VASCULAR PROCEDURES W CC
$1,956
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT
$2,079
SYNCOPE & COLLAPSE W CC
$1,014
RED BLOOD CELL DISORDERS AGE >17
$990
DIABETES AGE >35
$886
MEDICAL BACK PROBLEMS
$757
CELLULITIS AGE >17 W CC
$764
EXTRACRANIAL VASCULAR PROCEDURES
$2,456
ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE >17 W/O CC
$859
CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O COMPLEX DIAG
$1,911
CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC
$899
OTHER CIRCULATORY SYSTEM DIAGNOSES W CC
$1,251
PERIPHERAL VASCULAR DISORDERS W CC
$910
G.I. OBSTRUCTION W CC
$917
CORONARY BYPASS W CARDIAC CATH
$3,038
CIRCULATORY DISORDERS W AMI W/O MAJOR COMP, DISCHARGED ALIVE
$1,400
OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W CC
$1,128
DEGENERATIVE NERVOUS SYSTEM DISORDERS
$768
ANGINA PECTORIS
$936
RESPIRATORY NEOPLASMS
$1,113
ORGANIC DISTURBANCES & MENTAL RETARDATION
$682
EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
$1,816
DISORDERS OF PANCREAS EXCEPT MALIGNANCY
$1,159
CORONARY BYPASS W/O CARDIAC CATH
$3,128
PULMONARY EDEMA & RESPIRATORY FAILURE
$1,155
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC
$1,636
SEIZURE & HEADACHE AGE >17 W CC
$1,147
BRONCHITIS & ASTHMA AGE >17 W CC
$808
MAJOR CARDIOVASCULAR PROCEDURES W CC
$2,907
SYNCOPE & COLLAPSE W/O CC
$997
BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W/O CC
$1,893
OTHER KIDNEY & URINARY TRACT DIAGNOSES AGE >17 W CC
$1,068
PATHOLOGICAL FRACTURES & MUSCULOSKELETAL & CONN TISS MALIGNANCY
$851
NUTRITIONAL & MISC METABOLIC DISORDERS AGE >17 W/O CC
$699
SIMPLE PNEUMONIA & PLEURISY AGE >17 W/O CC
$733
TRACHEOSTOMY EXCEPT FOR FACE,MOUTH & NECK DIAGNOSES
$2,715
FRACTURES OF HIP & PELVIS
$719
AMPUTATION FOR CIRC SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE
$1,285
CIRCULATORY DISORDERS W AMI, EXPIRED
$1,926
OTHER RESP SYSTEM O.R. PROCEDURES W CC
$1,564
MAJOR CHEST PROCEDURES
$1,953
O.R. PROCEDURE FOR INFECTIOUS & PARASITIC DISEASES
$1,668
HYPERTENSION
$850
CARDIAC VALVE & OTHER MAJOR CARDIOTHORACIC PROC W CARDIAC CATH
$4,326
DYSEQUILIBRIUM
$853
TRANSURETHRAL PROSTATECTOMY W CC
$1,309
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
$1,569
CRANIOTOMY AGE >17 EXCEPT FOR TRAUMA
$2,351
PULMONARY EMBOLISM
$1,089
G.I. HEMORRHAGE W/O CC
$843
BACK & NECK PROCEDURES EXCEPT SPINAL FUSION W CC
$1,734
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE >17 W/O CC
$1,300
LYMPHOMA & NON-ACUTE LEUKEMIA W CC
$1,401
CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS
$1,561
DISORDERS OF THE BILIARY TRACT W CC
$1,150
CARDIAC VALVE & OTHER MAJOR CARDIOTHORACIC PROC W/O CARDIAC CATH
$3,999
CELLULITIS AGE >17 W/O CC
$583
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC
$1,484
POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W CC
$1,207
DIGESTIVE MALIGNANCY W CC
$1,153
LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC
$1,953
OTHER KIDNEY & URINARY TRACT O.R. PROCEDURES
$1,889
KIDNEY & URINARY TRACT INFECTIONS AGE >17 W/O CC
$688
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS
$1,167
TRANSURETHRAL PROSTATECTOMY W/O CC
$1,286
STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W CC
$2,059
BRONCHITIS & ASTHMA AGE >17 W/O CC
$733
CRANIAL & PERIPHERAL NERVE DISORDERS W CC
$953
PERIPHERAL VASCULAR DISORDERS W/O CC
$884
SEIZURE & HEADACHE AGE >17 W/O CC
$951
SPINAL FUSION EXCEPT CERVICAL W CC
$2,818
G.I. OBSTRUCTION W/O CC
$689
SIGNS & SYMPTOMS W CC
$837
CIRRHOSIS & ALCOHOLIC HEPATITIS
$1,232
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
$1,587
SPINAL FUSION EXCEPT CERVICAL W/O CC
$3,039
NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS
$1,331
COMPLICATIONS OF TREATMENT W CC
$1,231
TRANSURETHRAL PROCEDURES W CC
$1,393
SKIN GRAFT &/OR DEBRID FOR SKN ULCER OR CELLULITIS W CC
$1,026
DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC
$1,167
OTHER VASCULAR PROCEDURES W/O CC
$2,308
POSTOPERATIVE & POST-TRAUMATIC INFECTIONS
$992
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE >17 W CC
$1,507
OTHER DISORDERS OF NERVOUS SYSTEM W CC
$1,127
RESPIRATORY SIGNS & SYMPTOMS W CC
$1,098
PLEURAL EFFUSION W CC
$1,076
OTHER RESPIRATORY SYSTEM DIAGNOSES W CC
$1,014
KIDNEY,URETER & MAJOR BLADDER PROCEDURES FOR NEOPLASM
$1,865
FX, SPRN, STRN & DISL OF FOREARM, HAND, FOOT AGE 0-17
$782
LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR AGE >17 W/O CC
$1,551
ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION
$821
UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC
$1,498
SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE
$810
PERITONEAL ADHESIOLYSIS W CC
$1,516
SKIN ULCERS
$764
MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC
$1,267
URINARY STONES W CC, &/OR ESW LITHOTRIPSY
$1,204
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC
$1,584
NERVOUS SYSTEM NEOPLASMS W CC
$1,086
COAGULATION DISORDERS
$1,610
DEPRESSIVE NEUROSES
$613
ENDOCRINE DISORDERS W CC
$994
RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC
$1,290
TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W CC
$789
WND DEBRID & SKN GRFT EXCEPT HAND,FOR MUSCSKELET & CONN TISS DIS
$194
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W CC
$1,420
TOTAL MASTECTOMY FOR MALIGNANCY W/O CC
$1,791
TOTAL MASTECTOMY FOR MALIGNANCY W CC
$1,630
OTHER O.R. PROCEDURES FOR INJURIES W CC
$1,793
FEVER OF UNKNOWN ORIGIN AGE >17 W CC
$1,020
VAGINA, CERVIX & VULVA PROCEDURES
$1,550
PRM CARD PACEM IMPL W AMI,HRT FAIL OR SHK,OR AICD LEAD OR GNRTR PROC
$2,531
COMPLICATED PEPTIC ULCER
$1,129
BONE DISEASES & SPECIFIC ARTHROPATHIES W CC
$802
INTERSTITIAL LUNG DISEASE W CC
$1,021
PERIPH & CRANIAL NERVE & OTHER NERV SYST PROC W CC
$1,639
HIV W MAJOR RELATED CONDITION
$1,630
MAJOR SHOULDER/ELBOW PROC, OR OTHER UPPER EXTREMITY PROC W CC
$1,603
MAJOR JOINT & LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITY
$2,512
OTHER DIGESTIVE SYSTEM DIAGNOSES AGE >17 W/O CC
$911
AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE
$1,021
TENDONITIS, MYOSITIS & BURSITIS
$834
PNEUMOTHORAX W CC
$964
MAJOR MALE PELVIC PROCEDURES W/O CC
$1,788
INFLAMMATORY BOWEL DISEASE
$959
LOCAL EXCISION & REMOVAL OF INT FIX DEVICES EXCEPT HIP & FEMUR
$1,601
SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC, W/O CC
$1,852
TRAUMATIC STUPOR & COMA, COMA <1 HR AGE >17 W CC
$1,247
BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY
$3,192
HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL AGE >17 W/O CC
$1,349
KIDNEY,URETER & MAJOR BLADDER PROC FOR NON-NEOPL W CC
$1,791
CONNECTIVE TISSUE DISORDERS W CC
$1,163
NONTRAUMATIC STUPOR & COMA
$997
NONSPECIFIC CEREBROVASCULAR DISORDERS W CC
$1,052
INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W CC
$1,390
FX, SPRN, STRN & DISL OF UPARM,LOWLEG EX FOOT AGE >17 W/O CC
$584
OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC
$1,638
RECTAL RESECTION W CC
$1,584
DISORDERS OF THE BILIARY TRACT W/O CC
$1,072
MAJOR MALE PELVIC PROCEDURES W CC
$1,711
AMPUTATION FOR MUSCULOSKELETAL SYSTEM & CONN TISSUE DISORDERS
$1,216
THYROID PROCEDURES
$2,160
PANCREAS, LIVER & SHUNT PROCEDURES W CC
$2,329
UNCOMPLICATED PEPTIC ULCER W CC
$1,005
MAJOR CARDIOVASCULAR PROCEDURES W/O CC
$2,904
VIRAL ILLNESS AGE >17
$888
OTHER SKIN, SUBCUT TISS & BREAST PROC W CC
$1,235
ATHEROSCLEROSIS W/O CC
$1,125
O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES
$1,028
KIDNEY & URINARY TRACT SIGNS & SYMPTOMS AGE >17 W CC
$884
RESPIRATORY SIGNS & SYMPTOMS W/O CC
$1,130
UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS
$1,117
OTITIS MEDIA & URI AGE >17 W CC
$859
CRANIAL & PERIPHERAL NERVE DISORDERS W/O CC
$992
OSTEOMYELITIS
$897
KIDNEY TRANSPLANT
$2,923
ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE AGE >17
$2,086
TRANSURETHRAL PROCEDURES W/O CC
$1,546
RESPIRATORY INFECTIONS & INFLAMMATIONS AGE >17 W/O CC
$859
DEEP VEIN THROMBOPHLEBITIS
$667
ANAL & STOMAL PROCEDURES W CC
$1,237
CARDIAC PACEMAKER DEVICE REPLACEMENT
$2,851
TRAUMA TO THE SKIN, SUBCUT TISS & BREAST AGE >17 W/O CC
$693
EPISTAXIS
$868
OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC
$1,157
POISONING & TOXIC EFFECTS OF DRUGS AGE >17 W/O CC
$930
UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC
$1,624
CARDIAC CONGENITAL & VALVULAR DISORDERS AGE >17 W CC
$1,141
URINARY STONES W/O CC
$944
MINOR BLADDER PROCEDURES W CC
$1,567
SIGNS & SYMPTOMS W/O CC
$703
OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES
$1,314
STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES AGE >17 W/O CC
$1,802
INGUINAL & FEMORAL HERNIA PROCEDURES AGE >17 W/O CC
$1,385
 

Family/General practice office visit, new patient                                      $87
Family/General practice office visit, established patient                              50
Longer physician office visit, established patient                                        56
Flu shot                                                                                                 8
Remove impacted ear wax                                                                     65
Wart, mole, skin lesion removal                                                              16
Biopsy of skin lesion                                                                               87
Chest X-ray                                                                                          12
Foot X-ray                                                                                            25
Hip X-ray                                                                                              25
3D Heart Image                                                                                   342
Mammogram                                                                                        44
Mammogram, both breasts                                                                    66
PSA Assay                                                                                            29
Urinalysis                                                                                               5
Potassium Assay                                                                                     4
Iron Assay                                                                                            10
Allergy Skin test                                                                                     5
Upper GI endoscopy, biopsy                                                                  213
Diagnostic colonoscopy                                                                         308
Cardiovascular stress test                                                                     130
IV infusion, 1 hour                                                                                 50
Chemotherapy infusion                                                                           70
Initial Hospital Exam                                                                             131
Emergency room exam                                                                          72
Critical Care, 1st hour                                                                           242
Contract Surgery Fee                                                                           802
Eye exam, new patient                                                                           95
Eye exam, established patient                                                                 68
Psychological therapy, office visit, 45 min                                               123
Psychological therapy, hospital visit, 30 min                                             72
Psychological therapy, group session                                                       35
CT Brain/Head w/o dye                                                                          62
Chiropractic manipulation                                                                       40
 
 
Prescription Drug Average Prices
Drug               U.S. Retail       U.S. Managed Care Rate     Canadian Internet Retail            
Lipitor               $118.66                            71.93                                    56.66
Celebrex             100.99                            82.00                                    21.60
Fosamax             230.00                          114.00                                    50.00                     
Prozac                124.00                            28.50                                    43.33  
Prilosec               148.91                            92.04                                    54.00  
Aciphex               131.99                            72.60                                    75.00                     
Accupril                36.33                            21.07                                    24.66
Norvasc              128.00                            64.00                                    57.00
Pepcid                  72.00                            22.00                                    40.00         
Prevacid              135.00                            73.00                                    68.00
Pravachol            131.00                            79.90                                    65.33
Plavix                  114.00                            69.50                                    71.07
Vioxx                    95.00                            51.30                                    37.50
Zestril                   34.70                            19.00                                    28.80
Zocor                  129.70                            70.00                                    70.00
Zoloft                    83.00                            44.82                                    48.00

-end-

Health Care Price Guide Pricing Examples
Pricing Examples
U.S. Health Care Services Retail Price Guide Examples
Appendectomy, 3 day hospital stay 
Typical Hospital Charge                            $12,500
Usual Managed Care Payment                     $2500
Usual Medicare Payment                             $2217
Price Guide National Average Payment         $2550

Heart Failure and Shock, 5 day stay
Typical Hospital Charge                             $24,875
Usual Medicare Payment                              $4475
Usual Managed Care Payment                      $4975
Price Guide National Average Payment          $5145
Existing Patient Family Practice Visit
Typical Retail                                              $100
Usual Medicare Payment                                $48
Usual Managed Care Payment                        $44
Price Guide National Average Payment            $50
### 
 
    Site Mailing List 
    Restoring the Economic Freedoms of the American Middle Class
    U.S. Freedom Foundation
    Steering Committee:
    *Health Insurance Safety Nets Coalition*National Right to Read Foundation*Right March.Com*State Guard Association of the United States*
    P.O. Box 262, Markham, Virginia 22643
    Fax: (202) 609-8940
    Email
    :
     director@freedomfoundation.us   
    Site Powered By
        start.Siteowner.net
        Online web site design