Tufts University School of Medicine, Boston, MA, USA.
Department of Dermatology, Brigham and Women's Hospital, Boston, MA, USA.
Arch Dermatol Res. 2023 Aug;315(6):1813-1821. doi: 10.1007/s00403-023-02527-3. Epub 2023 Jan 27.
A recent mandate by the Centers for Medicare and Medicaid Services (CMS) required hospitals to publish prices online. This study examined the utility of CMS-mandated price estimators for dermatology procedures. Chargemasters and price-estimator tools from the five largest hospitals in each state (n = 250) were reviewed for accessibility. Price estimators were also searched for the presence of dermatologic procedures and their estimated prices. Of the 250 hospitals included, 89.6% of chargemasters and 92.8% of price estimators were accessible. Of the available chargemasters and price estimators, 98.7% and 63.8% contained pricing data on dermatologic procedures, respectively. The most common dermatology procedures listed were debridement of subcutaneous tissue (CPT 11042) with a median price of $1,135.50 (IQR $577-$3533.67; n = 80), followed by simple incision and drainage of skin abscess (CPT 10060) with a median price of $956.00 (IQR $465.50-$6506.00, n = 79), and single punch biopsy of skin (CPT 11104) with a median price of $506.06 (IQR $356.50-$922.08, n = 29). Although price estimator tools are widely available in patient-friendly and searchable formats, they are not optimized for shoppable dermatologic services. Adding more dermatologic procedures to patient-friendly price-estimator tools can help patients directly realize savings from price shopping.
美国医疗保险和医疗补助服务中心（CMS）最近发布的一项规定要求医院在网上公布价格。本研究旨在检验 CMS 规定的皮肤科手术价格估算器的实用性。我们查阅了每个州最大的五家医院的主收费表和价格估算器工具，以了解其获取难易程度。我们还在这些价格估算器中搜索皮肤科手术及其预估价格。在纳入的 250 家医院中，89.6%的主收费表和 92.8%的价格估算器可以获取。在可用的主收费表和价格估算器中，分别有 98.7%和 63.8%包含皮肤科手术的定价数据。列出的最常见的皮肤科手术是皮下组织清创术（CPT 11042），其中位数价格为 1135.50 美元（IQR 577-3533.67；n=80），其次是简单的皮肤脓肿切开引流术（CPT 10060），中位数价格为 956.00 美元（IQR 465.50-6506.00，n=79），以及单次皮肤打孔活检术（CPT 11104），中位数价格为 506.06 美元（IQR 356.50-922.08，n=29）。尽管价格估算器工具在患者友好且可搜索的格式中广泛可用，但它们并不针对可购物的皮肤科服务进行优化。在患者友好的价格估算器工具中添加更多的皮肤科手术可以帮助患者直接从价格比较中节省费用。
