Luis Zuniga, DO, Kyle Scholten, DO, Jonathan Herskovitz, MD, PhD, Kevin Brittan, MD, Fedja Rochling, MBBCh, MBA University of Nebraska Medical Center, Omaha, NE
Introduction: In 2021, the Hospital Price Transparency Final Rule was passed, requiring hospitals to publish prices for all services, including tests and procedures, to increase price transparency for patients. Variation and transparency of standard gastroenterology tests and procedures have yet to be evaluated in the Upper Midwestern United States. This study investigated the cost variation of standard gastrointestinal procedures in the Upper Midwestern United States and among private and academic hospitals.
Methods: A cross-sectional study was performed by investigating chargemasters of academic and community-based hospitals. An academic hospital was defined as any hospital with a residency program recognized by the Accreditation Council for Graduate Medical Education. A community-based hospital was defined as any hospital that does not retain an Accreditation Council for Graduate Medical Education-recognized program, nor does the institution commonly maintain academic teams. Mean, standard deviation, and interquartile range were calculated from the collected data.
Results: The mean colonoscopy cost was $4617 with a standard deviation of $4518. The cost was available in 18/19 hospitals. The mean esophagogastroduodenoscopy cost was $3141 with a standard deviation of $1446. The cost was available in 18/19 hospitals. The mean liver biopsy cost was $6717 with a standard deviation of $4298. Liver biopsy was available in 7/19 hospitals. Four out of nineteen (21%) hospitals reported all procedures costs of interest.
Discussion: We found a large cost discrepancy across many gastroenterology procedures and tests in the upper Midwest. Moreover, only 21% of hospitals reported all tests and procedures of interest. No significant differences were identified between private and academic institutions.
Note: The table for this abstract can be viewed in the ePoster Gallery section of the ACG 2024 ePoster Site or in The American Journal of Gastroenterology's abstract supplement issue, both of which will be available starting October 27, 2024.
Disclosures:
Luis Zuniga indicated no relevant financial relationships.
Kyle Scholten indicated no relevant financial relationships.
Jonathan Herskovitz indicated no relevant financial relationships.
Kevin Brittan indicated no relevant financial relationships.
Fedja Rochling indicated no relevant financial relationships.
Luis Zuniga, DO, Kyle Scholten, DO, Jonathan Herskovitz, MD, PhD, Kevin Brittan, MD, Fedja Rochling, MBBCh, MBA. P1502 - Credit or Debit? Comparison of Upper Midwest Common Gastroenterology Procedures, ACG 2024 Annual Scientific Meeting Abstracts. Philadelphia, PA: American College of Gastroenterology.
