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How much is something going to cost? Always a fair question and almost always one that can be answered before you purchase anything. But when you are talking about medical procedures, particularly things like hip and knee replacements, you may not be able to find out.

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NPR, reporting on a study by Health Affairs, shows that the vast majority if orthopedic surgeons have no idea how much the implant they are using ends up costing the patient. Only 21% of them were able to accurately estimate the cost of the implants (accurate being within 20% of the actual cost).

That is really an astounding finding. Patients are consumers of medical services and should expect and demand transparency in pricing. Of course you can’t predict the final cost of any procedure because complications occur, but the base cost of the procedure should be transparent.

One problem? As NPR report, the costs of implants are often negotiated by the hospitals. Thus the same implant can be wildly different prices depending upon where the procedure is performed.

Bottom line: patients need to demand transparency in pricing.