How much for that CT scan? It could be $4,000 or $134 at the same hospital — depending on your health plan.
Imagine you and your neighbor both need brain CT scans — common imaging procedures that use special X-ray equipment. You both have commercial health insurance and go to the same hospital for the procedure. But the price for your scan is 10 times higher than your neighbor’s.
Looking at radiology services such as CT scans, MRIs, mammograms and ultrasounds, the researchers found that on average, the highest negotiated price was nearly quadruple the lowest negotiated price for the same service at the same hospital. When a single insurance company manages multiple health plans that contract with the same hospital, there can also be wide price gaps for services within the same hospital-insurance company pair, the study found.
The new research underscores broader concerns about the rising cost of healthcare. Employers’ average healthcare costs are expected to increase 6.5% next year, to more than $13,800 per employee, according to Aon AON . For Affordable Care Act marketplace plans, insurers proposed a median premium increase of 10% for 2023, according to a July analysis of preliminary rate filings by the Kaiser Family Foundation.
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