Healthcare Price Transparency

The Healthcare Pricing Problem in America

Same procedure. Same insurance. Wildly different prices — across 20 cities.

These are real, negotiated prices from federally mandated hospital price transparency files at 120+ hospitals nationwide. The cheapest hospital in one city can be 3–5x less than the most expensive in another. And it's 100% legal.

Brain MRI
CPT 70553 Nationwide
Blue Cross Blue Shield
Medical City Dallas, TX
$958
NewYork-Presbyterian, NYC
$3,200
Price Multiplier
3.3x
Cheapest in U.S. Most Expensive
Brain MRI
CPT 70553 Nationwide
Cigna Insurance
NYC Bellevue Hospital
$2,600
UCSF Medical Center, SF
$5,850
Price Multiplier
2.3x
Cheapest in U.S. Most Expensive
Hip or Knee Replacement
MS-DRG 470 Nationwide
Aetna Insurance
Baylor St. Lukes, Houston
$8,968
NewYork-Presbyterian, NYC
$38,500
Price Multiplier
4.3x
Cheapest in U.S. Most Expensive
Colonoscopy (Diagnostic)
CPT 45378 Nationwide
Blue Cross Blue Shield
HCA Houston Medical Ctr
$980
Mass General, Boston
$3,400
Price Multiplier
3.5x
Cheapest in U.S. Most Expensive
Brain MRI (Cash / Self-Pay)
CPT 70553 Nationwide
No Insurance
NYC Bellevue Hospital
$4,900
NewYork-Presbyterian, NYC
$9,600
Price Multiplier
2.0x
Cheapest (same city!) Most Expensive
CT Abdomen & Pelvis
CPT 74177 Nationwide
Cigna Insurance
Medical City Dallas, TX
$1,250
UCLA Medical Center, LA
$4,800
Price Multiplier
3.8x
Cheapest in U.S. Most Expensive
Brain MRI
CPT 70553 Nationwide
UnitedHealthcare
Baylor St. Lukes, Houston
$2,710
NewYork-Presbyterian, NYC
$4,100
Price Difference
+$1,390
Cheapest in U.S. Most Expensive
Hip or Knee Replacement
MS-DRG 470 Nationwide
Cigna Insurance
HCA Houston Medical Ctr
$28,500
Mass General, Boston
$52,000
Price Difference
+$23,500
Cheapest in U.S. Most Expensive
Brain MRI
CPT 70553 California
Kaiser Permanente
Kaiser Permanente LA
$1,156
UCLA Medical Center
$1,512
Price Difference
+$356
Kaiser Network Academic Hospital
Brain MRI — Aetna Nationwide
CPT 70553 20 Cities
Same insurer. Same procedure. 20 different prices.
NYC Bellevue (cheapest)
$2,100
UCLA Medical Ctr (priciest)
$5,142
Price Multiplier
2.4x
Cheapest Aetna Rate Most Expensive

How is this legal?

The Price Transparency Rule

In January 2021, the Centers for Medicare & Medicaid Services (CMS) mandated that all hospitals publish their negotiated rates with insurance companies. This data was supposed to help patients shop for care.

What it revealed instead: Healthcare pricing has no rhyme or reason. Hospitals in the same city charge wildly different prices for the same procedure, often with no quality difference.

Negotiated Rates ≠ Transparency

Each insurance company negotiates different rates at each hospital. There's no standard pricing. A procedure that costs $890 at one hospital might cost $2,250 at another—for the same insured patient.

These prices are "real" in the sense that someone, somewhere, is paying them. But most patients have no way to access this information before care.

You Can't Actually Shop — Until Now

The data exists, but it's buried in JSON files on hospital websites. No patient goes to the hospital with a spreadsheet. And the price differences aren't just across town — they're across the country.

A Brain MRI that costs $958 in Dallas costs $3,200 in NYC with the same insurance. For major procedures like joint replacements, the savings from traveling to another city can be tens of thousands of dollars.

What you can do

Use this data

Every price on CompMD comes directly from federally mandated hospital pricing files. Armed with this data, you can choose a lower-cost hospital before scheduling — or ask your current hospital to match a competitor's rate.

The difference can be hundreds or thousands of dollars. Knowing the price is the first step to not overpaying.

Use CompMD

CompMD translates hospital price files into human-readable comparisons. Search for your procedure, your city, and your insurance. See what different hospitals actually charge.

Make an informed decision. Because the healthcare system won't.

Demand accountability

Share these numbers. Tweet them. Tell your friends. The pricing disparity only exists because it's invisible.

Transparency alone won't fix healthcare, but it's the first step. And someone needs to know: the price you're paying for your procedure is likely not based on quality. It's based on which network your hospital happens to be in.

Compare your procedure. Know your costs.

CompMD makes hospital pricing transparent so you can make informed decisions about your care.

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