[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 876
Citations 0
Research Letter
November 11, 2019

Markups on Emergency Medicine and Anesthesiology Services in the United States From 2012 to 2016

Author Affiliations
  • 1Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland
  • 2McKinsey & Company, Washington, District of Columbia
JAMA Intern Med. Published online November 11, 2019. doi:10.1001/jamainternmed.2019.5141

Hospitals send surprise medical bills to patients who, often unknowingly, receive care from an out-of-network physician; these bills are typically several times the cost of care from an in-network physician and can be financially devastating.1,2 Prior research has shown that hospital charge master prices, specifically the “markups” greater than Medicare reimbursement rates in medical bills for out-of-network care,1 vary widely across hospitals and departments within hospitals. As of September 2019, the US Congress is considering several approaches to protect patients from surprise billing, including limiting the degree of markup.3 This cross-sectional study characterized markups from 2012 through 2016 and examined associations of markup with hospital characteristics by focusing on charges in 2 specialties common in surprise medical billing, emergency medicine and anesthesiology,1 using internal medicine as a reference.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words