The most critical distinction that BuildMyBod Health brings to the world of healthcare price transparency is completeness and user friendliness. It provides consumers and employees of self-funded plans with its robust database of price information on medically necessary procedures typically paid out of pocket before a deductible is met or services that are considered cosmetic. Prices include all surgeon, facility and ancillary fees associated with a procedure. Believe it or not, many trade organizations that provide pricing information don’t include facility, anesthesia or implant fees – fees that can account for over 50% of the cost of a procedure!
BuildMyBod Health offers 1) facilities a solution to the unique difficulties associated with posting prices and 2) consumers a comprehensible way to make informed decisions regarding ones’ healthcare. The Price TransCAREncy motto allows that to happen.
This year the Pricing Report includes data for medically necessary outpatient services (the cash rate or the negotiated rate between the healthcare provider and the insurance payor) and cosmetic services, in an effort to accommodate its growing database of procedure pricing information. Whether insurance covers a procedure or not, most consumers now pay a portion of their healthcare out of pocket since they must first meet a deductible.
Suzi Walton, Administrator of the Ohio Surgery Center, implemented the BuildMyBod Health Price Estimator into the OSC website, so that consumers have access to a breakdown of their out-of-pocket costs before undergoing a procedure. Based on the allowables that the Ohio Surgery Center has negotiated with their participating payors (insurance companies), the consumer is presented with a ballpark figure.
Procedures of interest mentioned in the 2019 Health Pricing Report include: