August 26, 2022

Dear Colleagues,

Happy Friday!

Earlier this week, Kaiser Health News released its "Bill of the Month."  The latest bill chronicles the story of a 35-year-old patient who had a mammogram confirming a lump that needed further investigation.

The patient used the price estimator tool on HCA-owned Grand Strand Health's website to query a cash estimate:

Seeing that the cash estimate was only $1,400 and knowing that she had commercial insurance, the patient opted to use her insurance.  

Then, the bill came...

Even with insurance, the patient's out-of-pocket was $5,169.67, significantly higher than the cash estimate of $1,400.

When confronted with this disparity, the hospital said there was a "glitch" in their price estimator, and the cash price is actually between $8,000 and $11,500:

With increased price transparency enforcement on the horizon (CMS awarded a $2.5MM audit contract last month), please take price transparency seriously.

HPS is the most trusted and accurate company in providing price transparency services to hospitals.  If you have any concerns about being 100% compliant, let HPS help you.  Schedule a free consultation on my calendar:

Best Regards,

Rick Louie, Managing Director

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