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Invited Commentary
November 2015

New Approaches to Controlling Health Care CostsBending the Cost Curve for Colonoscopy

Author Affiliations
  • 1Division of Gastroenterology and Hepatology, Oregon Health and Science University, Portland, Oregon
  • 2Yale University School of Medicine, New Haven, Connecticut

Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Intern Med. 2015;175(11):1789-1791. doi:10.1001/jamainternmed.2015.4594

Colonoscopy, a poster child for the opacity of medical costs, is performed more than 15 million times a year in the United States. The procedure is simultaneously invasive, effective, feared, costly, cost-effective, and well accepted. In some areas, however, charges can vary more than 10-fold for the same services, from approximately $500 to more than $8000.1,2

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