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Comment by nojito | Hacker News Reader

People are getting way too excited about this.

The real costs we are missing is the prices insurers pay for procedures by billing code and provider.

If you would have opened it, you would have seen that the spreadsheet has exactly what you're asking for... reimbursement rates by DRG/CPT code and insurer. You're right that in many cases the rates paid by different insurers vary significantly.

No it doesn't. That's the charges hospitals charge for patients under those plans

What I am asking for is completely different.

I want to know what insurers pay out by procedure code by provider. There's a reason why insurers lobbied against providing this information under this law.

I thought the latest executive order requires them to publish the negotiated prices. Is that not the case? In the end I think they should have to publish the actually paid prices at the end of the year.

The spreadsheet provided at the link includes exactly that information.

Nope it's only what hospitals charge to different insurers.

That's different from what insurers pay out by procedure to providers.

Common misconception.

You have made this comment twice and I'm not sure I understand from it what you are looking for that is different from the information provided.

The only thing I can think of is you are looking for the split of the negotiated amount paid by the insurer vs the patient. This of course can vary based upon the particular level of coverage the patient has with the insurer.

Yes but it’s a first step.

…in the wrong direction. Rather than validating the concept of paying for individual operations, the humane thing to do would be to smash the system entirely.

Actually if you want fair pricing for a unified system you need radical reconsideration of pricing and transparency. Even if you are alluding to single payer...you don't want them to practice over the top pricing that is inefficient to our government :p

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