2015 Comparative Price Report Variation in Medical and Hospital Prices by Country
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1 2015 Comparative Price Report Variation in Medical and Hospital Prices by Country
2 International Federation of Health Plans The International Federation of Health Plans is the leading global network of the health insurance industry, with 80 members in 25 countries. Founded in Australia in 1972 and now based in London, it seeks to unite the industry through events and educational programmes, and assist in the maintenance of high professional standards. 2
3 2015 Survey Overview This year s survey has been conducted in much the same way as the previous study, which includes pricing for several specialty prescription drugs, other prescription drugs and a selection of typical medical procedures. Prices for each country were submitted by participating federation member plans, and are drawn from public or commercial sectors as follows: Prices for the United States were derived from over 370 million medical claims and over 170 million pharmacy claims that reflect prices negotiated and paid to health care providers. Prices for Australia, New Zealand, Spain, South Africa, Switzerland and the UK are from the private sector, with data provided by one private health plan in each country. Comparisons across different countries are complicated by differences in sectors, fee schedules, and systems. In addition, a single plan s prices may not be representative of prices paid by other plans in that market. * * Figures, when compared to previous studies, are affected by strength of US dollar. 3
4 Drugs: Xarelto Xarelto is prescribed to prevent or treat blood clots. $292 $320 $289 $101 $102 $126 $48 South Africa Spain Switzerland United Kingdom United States Xarelto, 30 capsules, 20mg, 30 day supply 4
5 Drugs: Humira Humira is prescribed to treat rheumatoid arthritis. $2,996 $2,669 $2,515 $1,253 $1,362 $822 $552 South Africa Switzerland Spain United Kingdom United States Humira, 1 prefilled syringe carton, 2 syringes, 28 day supply 5
6 Drugs: Harvoni Harvoni is prescribed to treat hepatitis C. $32,114 $33,135 $31,640 $22,554 $16,861 $18,165 Switzerland Spain United Kingdom United States Harvoni, 28 tablets, 4-week supply 6
7 Drugs: Truvada Truvada is prescribed to treat HIV/AIDS. $1,349 $1,301 $1,290 $906 $689 $559 Spain United Kingdom Switzerland United States Truvada, 30 tablets, 30 day supply 7
8 Drugs: Tecfidera Tecfidera is prescribed to treat relapsing multiple sclerosis. $5,372 $5,089 $4,967 $1,399 $1,855 $663 United Kingdom Spain Switzerland United States Tecfidera, 60 capsules, 240 mg, 30 day supply 8
9 Drugs: Avastin Avastin is prescribed to treat certain types of cancer. $8,831 $3,930 $2,289 $470 $956 $1,534 $1,752 United Kingdom South Africa Spain Switzerland United States Avastin, 400 mg vial 9
10 Drugs: OxyContin OxyContin is prescribed to treat severe ongoing pain. $590 $275 $265 $264 $36 $84 $95 Spain South Africa Switzerland United States United Kingdom Oxycontin, 60 tablets, 20 mg, 30+ day supply 10
11 Diagnostics: Angiogram $3,113 $2,149 $1,089 $1,164 $191 $240 $270 $418 Switzerland Spain Australia New Zealand United States United Kingdom 11
12 Diagnostics: CT Scan Abdomen $2,364 $844 $860 $85 $233 $383 $483 $287 Spain South Africa Switzerland New Zealand United States United Kingdom 12
13 Diagnostics: MRI $3,031 $1,119 $788 $811 $130 $215 $455 $503 $448 Spain Australia South Africa Switzerland United Kingdom New Zealand United States 13
14 Diagnostics: Colonoscopy $3,391 $3,059 $1,301 $1,421 $372 $589 $604 $632 $547 Australia Spain Switzerland South Africa United States New Zealand United Kingdom 14
15 Diagnostics: Cardiac Catheterization $13,457 $2,596 $2,974 $3,196 $4,046 $5,061 $181 $487 $750 Switzerland Australia South Africa Spain New Zealand United Kingdom United States 15
16 Hospital Cost per Day $17,358 $4,781 $5,220 $424 $631 $765 $2,142 $1,494 Spain South Africa Australia New Zealand Switzerland United States 16
17 Total Hospital and Physician: Appendectomy $33,250 $15,930 $1,786 $2,003 $3,814 $6,040 $6,199 $8,009 $9,332 South Africa Spain Australia Switzerland New Zealand United Kingdom United States 17
18 Total Hospital and Physician: Normal Delivery $18,383 $10,808 $7,751 $8,011 $5,312 $1,271 $1,950 South Africa Spain Australia Switzerland United States 18
19 Total Hospital and Physician: C-Section $28,473 $16,106 $7,901 $9,965 $11,401 $2,192 $2,352 South Africa Spain Australia Switzerland United States 19
20 Total Hospital and Physician: Cataract Surgery $8,377 $1,186 $1,719 $2,114 $2,740 $3,037 $3,145 $3,530 $1,939 South Africa Spain Switzerland New Zealand Australia United Kingdom United States 20
21 Total Hospital and Physician: Knee Replacement $55,579 $28,184 $15,941 $16,508 $18,451 $20,132 $18,577 $6,687 $7,795 Spain South Africa Australia New Zealand United Kingdom Switzerland United States 21
22 Total Hospital and Physician: Hip Replacement $57,225 $29,067 $15,465 $16,335 $17,112 $19,484 $18,810 $6,757 $7,685 Spain South Africa New Zealand United Kingdom Switzerland Australia United States 22
23 Total Hospital and Physician: Bypass Surgery $161,148 $78,318 $50,859 $14,579 $18,501 $24,059 $28,888 $32,480 $34,224 Spain South Africa United Kingdom Australia New Zealand Switzerland United States 23
24 Total Hospital and Physician: Angioplasty $73,609 $31,620 $6,510 $7,264 $7,839 $10,066 $11,164 $13,677 $15,549 South Africa United Kingdom Spain Switzerland Australia New Zealand United States 24
25 Notes United States The price estimates were provided by the Health Care Cost Institute (HCCI) in collaboration with ifhp. The prices reported are the average allowed costs, which include both member cost sharing and health plan payment. The source of the data used for this study was limited to employer-sponsored insurance (ESI) claims held by HCCI. The values reported are estimates of 2014 prices based on 2014 claims. No trend assumptions were applied to the data. The dataset contains ESI incurred from 1/1/2014 to 12/31/2014, and paid through 6/30/2015. These data do not include claims without membership records or claims with membership without a valid funding type. No demographic or geographic exclusion criteria were applied for this study. Additionally, actuarial completion was not applied to the claims in the dataset. The preliminary average price estimates were compared to multiple data sources including the 2013 ifhp report, guroo.com (HCCI s price transparency initiative), and various other publicly available data to validate the findings. As a broad range of prices were available, the national 25th percentile (low), average, and 95th percentile were calculated to provide context on the extent of commercial price variation. 25
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