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Show HN: We structured and compared hospital chargemaster prices

171 点作者 aguynamedben超过 11 年前

17 条评论

GauntletWizard超过 11 年前
This is the kind of data that is needed for true transparency, and true medical reform. Prices will be gouged so long as you can't compare; Realistically, this still has a long way to go (Because I'm certain that a lot of these differences are in part due to one procedure being billed as many different codes under the current US regulatory mess), but it's a good step up from what we've had available in the past.
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tryitnow超过 11 年前
This is a fascinating data problem. I noticed a lot of the price distributions are non-normally distributed (specifically with a strong positive skew for the least consistently priced procedures). You guys should have fun with this.<p>Who will be the primary users of this information? It seems that insurers already are aware of chargemaster prices and ignore them since they&#x27;re going to be bargained away.<p>Employers seem not to care to dig into how much their insurers are paying (employers just care what premium they&#x27;ll have to pay).<p>Finally, it seems like consumers can&#x27;t really use this data since they&#x27;re pretty much locked into their plans anyways and will go wherever is most convenient.<p>Now given changing consumer behavior, I could see consumers maybe using this so they have to pay less of a deductible, I could also see insurers working with consumers to steer them to the best prices - saving both the insurer and the consumer money. However, this will require overcoming consumer attachments to preferred providers (a challenge for older adults, not so much so for younger ones who often don&#x27;t have a relationship with a doctor). It can be how surprising how quickly people can overcome sentimental attachments when their money is on the line though, so who knows.
atldev超过 11 年前
Background on the chargemaster story that broke in Time Magazine. (So glad it was covered by The Daily Show or I would have missed it): <a href="http://healthland.time.com/2013/02/20/bitter-pill-inside-times-cover-story-on-medical-bills/" rel="nofollow">http:&#x2F;&#x2F;healthland.time.com&#x2F;2013&#x2F;02&#x2F;20&#x2F;bitter-pill-inside-tim...</a>
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aantix超过 11 年前
Love this!<p>If there&#x27;s some unstructured data that you&#x27;re having trouble taming, contact me. I have a ton of experience with Mechanhcal Turk and can give you some advice on how best to structure your HITs to extract the data that you need.<p>jim.jones1@gmail.com
chime超过 11 年前
One suggestion: The dropdown for &quot;Find a Hospital&quot; needs to show the location too. I tried searching for &quot;St. Anthony&#x27;s&quot; near my town and multiples ones from all over the country showed up. I put in my zip code but it did not filter the results. I have no idea how to look for St. Anthony&#x27;s near 33708 or not. I don&#x27;t know if it is St. Anthony&#x27;s Medical Center or Health Center or Hospital. But there&#x27;s only one St. Anthony&#x27;s here in St. Petersburg, FL.
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babby超过 11 年前
Some tweaks to the design would help!<p>At the top of the page, the search boxes are mis-aligned to the text above them. Fix that. They could also take up more horizontal space, or simply be aligned better.<p>Add an extra ~3-10px of horizontal padding to table cells (td&#x27;s) Table headings should be text-align: center except for the longest field (hospital). Also, vertical-align: middle on table headings.<p>Link color on the tables could also be darker.<p>Add left-margin&#x2F;padding on the (?) question mark icon at the top right of fields.<p>Font size on the search drop downs could be bigger.<p>May want to try the font &quot;Open Sans&quot;, too, on the tables.<p>Add a hover effect for all links and buttons. It&#x27;s kind of nuts that you could overlook that.<p>Add a focus effect for all inputs. Also make input font color brighter, and on focus, make font color darker.<p>On the &quot;worst hospitals&quot; table, the percentages could use a + sign before them like &quot;+97%&quot;.
pc86超过 11 年前
It looks like the sorting is off. It&#x27;s saying that Cedars-Sinai is the worst priced hospital for the linked procedures, but at &quot;only&quot; a 99% marked over the average $1,300 even though there are many in the $3-5.2k range.
HarryHirsch超过 11 年前
This is all great, but cost isn&#x27;t the only metric, there is also such things as readmission rate &amp;c. Two weeks ago or three a fellow, a physician, made the front page of HN who listed prominently listed <i>prices</i> for his hospital, but you had to go digging for readmission rates.<p>That guy was on a mission, and his mission wasn&#x27;t to improve public health. If his mission was that he would have listed the other important metrics. He knows all about them, he is a physician, after all. This sort of dishonesty I cannot stand.
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hkiely超过 11 年前
No one pays chargemaster prices. The reason hospitals set the prices so high is because they are the starting point for negotiations with networks and insurance companies. Even consumers without insurance typically don&#x27;t pay chargemaster prices as hospitals normally have cash pay discounts. As payers begin to contract with ACO&#x27;s, I think we&#x27;ll likely see a shift to a more standard shape bell curve if reform is working.
donquichotte超过 11 年前
Great idea! There seems to be a minor flaw in the data though, the Healdsburg District Hospital appears do be doing many procedures for 1$. <a href="http://pricemed.org/hospitals/healdsburg-district-hospital" rel="nofollow">http:&#x2F;&#x2F;pricemed.org&#x2F;hospitals&#x2F;healdsburg-district-hospital</a>
jmcgough超过 11 年前
Really cool!<p>One thing - the google map always sets California as the state, even when I look at hospitals in other states.
patmcguire超过 11 年前
Isn&#x27;t the chargemaster price mostly unrelated to anything? <a href="http://runningahospital.blogspot.com/2013/05/useless-noise-from-cms.html" rel="nofollow">http:&#x2F;&#x2F;runningahospital.blogspot.com&#x2F;2013&#x2F;05&#x2F;useless-noise-f...</a>
davemel37超过 11 年前
I&#x27;m confused... This is assuming a procedure in facility A by Doctor B is a commodity and is no different than the same procedure in Facility C by Doctor D. Am I missing something?
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ljoshua超过 11 年前
I love it, thanks for sharing. Where did you get the original data from? (I thought chargemasters were relatively guarded secrets?)
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NKCSS超过 11 年前
Very cool. I wished this would be done for hospitals in .NL as well.
bezdekt超过 11 年前
Very cool. Does anyone pay the chargemaster price though?
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bdcravens超过 11 年前
Lung transplant: 0 results
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