HACKER Q&A
📣 brundolf

Glassdoor for Medical Bills?


I had an idea earlier after receiving an unreasonable medical bill.

As most here probably know, medical bills in the U.S. - in addition to being high - are almost never advertised, often erroneous, often inflated via agreements with insurers, and can often be talked down as soon as the recipient points out issues with them.

What if there were a website where people could report their invoices from different providers, tagging them by state, by insurance provider, by insurance plan, itemizing the charges for each piece of care, and including both the base charge and the amount covered by insurance, and then the site could a) aggregate this data to help people understand how their costs compare to others for similar treatments, and b) raise general awareness of the prices. If prices won't be transparent up-front, we can make them transparent after the fact for the next person. Beyond just helping individuals, if this got big enough it could conceivably push down prices as providers are forced to compete.

A journalist at Vox did something similar (for a one-off investigation) at one point: https://www.vox.com/2018/2/27/16936638/er-bills-emergency-room-hospital-fees-health-care-costs

But of course what I'm talking about would be an ongoing, ever-growing, self-reported dataset.

Does this exist? Could it exist? Anybody want to collaborate on it?


  👤 applecrazy Accepted Answer ✓
I've had this exact idea. I made it as a hackathon project but haven't worked on it ever since. One of the things I wanted to do was to use publicly-available treatment cost data (I think states like California require reporting of this) and aggregate it by type of treatment to allow users to comparison-shop between medical providers in their area.

The issue I was facing (and the reason I stopped working on this project) was the lack of standard, openly-available medical codes, since most hospitals mark treatments with CPT codes, which are proprietary and require a license to use in software. If anyone has any solutions to translate these codes to human-readable names without licensing the entire set of codes from the American Medical Association, I'd be open to hearing those ideas.


👤 codegeek
Funny I have thought of doing exactly the same. Would love to brainstorm ideas. Sick and tired of medical billing crap.

👤 schemescape
My employer used to provide access to a service (it might have been Castlight Health) that would show typical prices for providers/facilities, so you could at least attempt to shop around. I don’t think it is open to individuals, unfortunately.

👤 giantg2
Many insurance providers actually have a portal where you can search for a procedure and they will list the providers and their prices.

👤 greenyoda
What do you envision as the business model for this site? Pay to subscribe? Ad-supported? Free, supported by donations?