BCBSA report: Hip, knee replacement billing can vary widely in the same market

The Blue Cross and Blue Shield Association recently released prices that its insurers are charged by healthcare providers, in a three-year report that covers the cost of knee and hip replacement surgeries.

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BCBSA officials said they looked at claims data within 64 different markets and found the average price is $31,124.

That’s not always the case, however.

In Dallas — the market with the greatest variance in the BCBSA’s report — the price could be as high as $61,585 and as low as $16,772.

The same is of course true between two different markets: A surgery that could cost about $16,000 in Montgomery, Ala., could spike to more than $55,000 in Fort Collins, Colo.

Officials with BCBSA said their report bolsters the common complaint that cost doesn’t necessarily reflect the quality of healthcare, adding that it’s fairly clear that if consumers shopped around more, cost-savings could be realized.

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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

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Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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