Original Summary

US hospitals must publish a machine-readable file of their prices, including the rate they&#x27;ve negotiated with each insurer. The files are huge (one is 36GB), in four formats and often messy, so almost nobody reads them.<p>I built a crawler that finds each hospital&#x27;s official file and pulls out 29 common services. Across 482 hospitals: a moderate ER visit is listed at a median $1,285 while insurers pay $288; a metabolic panel is listed at $207 while insurers pay $11.46.<p>To keep it honest: only per-service fee-schedule dollar rates count (no case rates or percentages, which cover a whole visit), each figure needs at least 3 insurers, and every value is checked against Medicare reference rates. Surgery is excluded because insurer surgery rates cover the whole operation while the list price is one line item. Each hospital page links its source file. Feedback on the methodology is very welcome.

  • 情报分类：商业与市场研究
  • 分类依据：内容涉及商业、投资或市场动态
  • 信息来源：Hacker News 新项目
  • 发布时间：2026/10/2 03:42:09