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How to Cut Your Health Care Costs

Study shows patients could save big if they shop for health services

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Americans will go out of their way — literally — to spend more money than necessary on health care.

A new study of 50,000 patients found that, when traveling to receive a routine diagnostic scan, they bypassed an average of six facilities where they could have paid less for the same procedure.

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Instead, patients tended to go where their physician suggested, often increasing the odds that they would pay more for a scan.

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The study spotlights how valuable it can be to comparison shop for health care services, but also how rarely people do so.

Focusing on a single, straightforward procedure — a lower-limb magnetic resonance imaging (MRI) scan — researchers found that people paid an average of $306 out of pocket, in addition to their insurer’s contribution, for a scan. But if they’d gone to the cheapest nearby MRI facility, they could have saved themselves an average of $84.

Patients of doctors in hospital-owned practices were more likely to get a scan in a hospital, where average prices were more than double those of scans done elsewhere.

 

The study shows doctors’ strong influence on their patients’ health care choices, says coauthor Zack Cooper, a Yale health economist. (Very few patients in the study used a price-disclosure tool.) “In many instances there are tremendous savings available if you shop around,” he says. “It’s OK to ask your doctor if you can get high-quality care at a lower price than the original location where you were referred.”

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