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Home FAQ General What is a reasonable price?

What is a reasonable price?

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There are resources on the web to help you research the best price for common procedures and tests.  We have listed a few of these here and will have more tools in the future.

The Center for Medicare and Medicaid services (CMS) publishes Medicare rates for all medical services, tests and procedures.  These prices should be considered a "benchmark" for a reasonable price.  CMS sets these prices to reflect the regional cost of living and a reasonable profit.  Many private insurance companies use these prices as a baseline when they negotiate with doctors and hospitals to establish their prices.  Most insurance companies pay slightly more (20% to 30%) than the CMS prices.

 

 

CMS Prices:

http://www.cms.gov/apps/physician-fee-schedule/overview.aspx Physician Fee Schedule Lookup
http://www.cms.gov/PhysicianFeeSched/PFSRVF/list.asp    Physician fee schedule relative value files.

Resources for procedures:
http://www.ct-scan-info.com/index.html    CT Scan
http://www.comparecatscancost.com/    CT Scan

Cost of health care:
http://www.newchoicehealth.com/    Costs for common procedures
http://www.remakehealth.com/    CAT, MRI, PET scan comparison costs

 

 

Last Updated on Thursday, 18 November 2010 17:39