{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:03:16Z","timestamp":1777662196529,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2023,2,9]],"date-time":"2023-02-09T00:00:00Z","timestamp":1675900800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>American hospitals are required to provide price transparency data (known as a chargemaster) for medical services, which is intended to allow consumers to accurately estimate the cost of medical services. Our purpose was to identify hospital compliance in publishing chargemaster documents and to assess the price information published for common upper-extremity services and procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We performed a cross-sectional analysis of publicly available chargemaster data from 122 hospitals, which included the top-20-ranked Honor Roll hospitals from US News and World Report and 2 top-ranked hospitals from each state. Chargemaster files were accessed for each hospital, and price information was recorded for 10 common upper-extremity procedures including radiographs, injections, and surgeries. Mean procedural prices were compared between academic and nonacademic hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Chargemaster files were able to be accessed for 107 (88%) of 122 institutions. Price estimates for imaging studies were more frequently reported (73%) than those of procedures (23%-41%). With 50 hospitals reporting a price estimate, carpal tunnel injection was the most frequently reported procedure, whereas trigger finger release was the least frequently reported (41% and 23%, respectively). Wide price ranges were noted, with mean charges for a total shoulder arthroplasty listed as US $51\u2009723 (range, US $247-US $364\u2009024). Mean prices between academic and nonacademic hospital systems were similar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>While most (88%) of the included hospitals have been compliant with publishing their price transparency files, price estimates for common upper-extremity procedures and imaging studies are inconsistently reported and, when present, demonstrate high levels of price variability between and within hospital systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447221150522","type":"journal-article","created":{"date-parts":[[2023,2,10]],"date-time":"2023-02-10T00:36:43Z","timestamp":1675989403000},"page":"1125-1131","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Publicly Disclosed Pricing for Common Upper-Extremity Procedures: An Analysis of Hospital Chargemasters"],"prefix":"10.1177","volume":"19","author":[{"given":"Yagiz","family":"Ozdag","sequence":"first","affiliation":[{"name":"Geisinger Commonwealth School of Medicine, Danville, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel S.","family":"Hayes","sequence":"additional","affiliation":[{"name":"Geisinger Commonwealth School of Medicine, Danville, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benchaa","family":"Boualam","sequence":"additional","affiliation":[{"name":"Geisinger Commonwealth School of Medicine, Danville, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6319-5018","authenticated-orcid":false,"given":"Brian K.","family":"Foster","sequence":"additional","affiliation":[{"name":"Geisinger Commonwealth School of Medicine, Danville, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel C.","family":"Klena","sequence":"additional","affiliation":[{"name":"Geisinger Commonwealth School of Medicine, Danville, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3551-3266","authenticated-orcid":false,"given":"Louis C.","family":"Grandizio","sequence":"additional","affiliation":[{"name":"Geisinger Commonwealth School of Medicine, Danville, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,2,9]]},"reference":[{"key":"bibr1-15589447221150522","unstructured":"Centers for Medicare & Medicaid Services. National Health Expenditure Projections 2021-2030. https:\/\/www.cms.gov\/files\/document\/nhe-projections-forecast-summary.pdf. Accessed May 17, 2022."},{"key":"bibr2-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1001\/virtualmentor.2014.16.02.pfor1-1402"},{"key":"bibr3-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsurg.2018.02.015"},{"key":"bibr4-15589447221150522","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-21-00767"},{"key":"bibr5-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001194"},{"key":"bibr6-15589447221150522","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-20-01428"},{"key":"bibr7-15589447221150522","unstructured":"Centers for Medicare & Medicaid Services. https:\/\/www.cms.gov\/healthplan-price-transparency\/plans-and-issuers. Accessed September 1, 2022."},{"key":"bibr8-15589447221150522","unstructured":"Health and Human Services Department. Medicare and Medicaid programs: CY 2020 hospital outpatient PPS policy changes and payment rates and ambulatory surgical center payment system policy changes and payment rates. Price transparency requirements for hospitals to make standard charges public. Federal Register. https:\/\/www.federalregister.gov\/documents\/2019\/11\/27\/2019-24931\/medicare-and-medicaid-programs-cy-2020-hospital-outpatient-pps-policy-changes-and-payment-rates-and. Updated 2019. Accessed September 2, 2022."},{"key":"bibr9-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.26.3.780"},{"key":"bibr10-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1177\/000313481808401017"},{"key":"bibr11-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.W4.396"},{"key":"bibr12-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2019.01.009"},{"key":"bibr13-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000001616"},{"key":"bibr14-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2019.02.049"},{"key":"bibr15-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1729168"},{"key":"bibr16-15589447221150522","first-page":"e100","volume":"23","author":"Richman BD","year":"2017","journal-title":"Am J Manag Care"},{"key":"bibr17-15589447221150522","unstructured":"Centers for Medicare & Medicaid Services. Medicare provider utilization and payment data\u2014inpatient. https:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Statistics-Trends-and-Reports\/Medicare-Provider-Charge-Data\/Inpatient. Accessed April 7, 2022."},{"key":"bibr18-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.460"},{"key":"bibr19-15589447221150522","doi-asserted-by":"publisher","DOI":"10.2196\/14436"},{"key":"bibr20-15589447221150522","doi-asserted-by":"publisher","DOI":"10.37765\/ajmc.2021.88690"},{"key":"bibr21-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.37390"},{"key":"bibr22-15589447221150522","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.21.27008"},{"key":"bibr23-15589447221150522","unstructured":"Kongstvedt PR. Essentials of Managed Healthcare. 6th ed. Burlington, MA: Jones & Bartlett Learning; 2012:113-115."},{"key":"bibr24-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1177\/01945998211047146"},{"key":"bibr25-15589447221150522","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2020.11.019"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447221150522","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447221150522","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447221150522","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:28:39Z","timestamp":1777447719000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447221150522"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,9]]},"references-count":25,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1177\/15589447221150522"],"URL":"https:\/\/doi.org\/10.1177\/15589447221150522","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,9]]}}}