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International Federation of
Health Plans
2011 Comparative Price Report
Medical and Hospital Fees by Country
The International Federation of Health Plans was founded in 1968 by a group of health plan industry leaders. It is now the leading global network of the industry, with one hundred member companies in 30 countries. Federation member plans meet regularly to share information about health care financing and health care delivery in their home countries. Scanning and Imaging Fees
Angiogram ($US)
Scanning and Imaging Fees
CT Scan: Abdomen ($US)
Scanning and Imaging Fees
CT Scan: Head ($US)
Scanning and Imaging Fees
CT Scan: Pelvis ($US)
Scanning and Imaging Fees
MRI ($US)
Hospital Charges
Cost Per Hospital Day ($US)
Hospital Charges
Cost Per Hospital Stay ($US)
Total Hospital and Physician Costs
Normal Delivery ($US)
Total Hospital and Physician Costs
C-Section ($US)
Total Facility and Physician Costs
Cataract Surgery ($US)
Total Facility and Physician Costs
Appendectomy ($US)
Total Hospital and Physician Costs
Hip Replacement ($US)
Total Hospital and Physician Costs
Coronary Artery Bypass ($US)
Total Facility and Physician Costs
Angioplasty ($US)
Physician Fees
Routine Office Visit ($US)
Physician Fees
Normal Delivery ($US)
Physician Fees
C- Section ($US)
Physician Fees
Cataract ($US)
Physician Fees
Appendectomy ($US)
Physician Fees
Hip Replacement ($US)
Drug Prices
Nexium ($US)
Drug Prices
Plavix ($US)
Drug Prices
Health Spending as % of GDP
Source: OECD Health Spending 2009 (2008 for Australia) Submission Overview
• Source and Notes for Prices by Country • Survey Data Constraints and Limitations Argentina
Australia
Hong Kong
Hospitals contribution Fund of Australia Switzerland
Thailand
Administrators & Consultants Limited Netherlands
United Kingdom
Association Internationale de la Mutualite New Zealand
Nationaal Verbond van Socialistiche Mutualiteiten Union Nationale des Mutualities Libres (MLOZ) Canassurance Hospital Service Association Saudi Arabia
South Africa
Chartered Accountant (SA) Medical Aid Fund Blue Cross & Blue Shield Association Dominican Republic
Zimbabwe
The Medical Aid Society of Central Africa Sources and Notes For Prices by Country
Argentina
Prices represent a weighted average of prices across three systems: a public system (50%), a social security system (38%) and a private system (12%). Australia
Prices represent fees paid by a private health plan. Primary care, diagnostics and drugs are not covered by private health insurance. Prices represent private sector fees paid by a private health plan. Newborn care is included in normal delivery and c-section prices. There are two methodology changes from the 2010 survey. In that survey, the angioplasty price represented the cost for the stent; the cost per hospital day only included the cost for the room. The 2011 prices presented include the full costs for these procedures. This has increased the cost from those presented last year. Prices represent public sector fees for the province of Nova Scotia; the 2010 survey prices were drawn from the province of New Brunswick. Pricing varies across provinces. The price shown for Nexium reflects the price for the substitute Losec. Lipitor price reflects the generic equivalent. Cataract surgery facility and physician price reflects fees for day surgery. Sources and Notes For Prices by Country
Prices are submitted by a private health plan, and represent a blend of public and private sector prices. Drug prices reflect prices paid by patients in pharmacies outside of hospitals. Prices represent fees paid by one private sector health plan. Cataract facility and physician price is for an inpatient setting. Newborn care is not included in normal delivery and C-section pricing. Prices represent private fees paid by one private sector health plan. Lipitor price is for generic substitute. Prices represent fees paid by one private sector health plan. Switzerland
Prices represent public sector fees. Public sector inpatient fees in 2010 did not include costs paid by the cantons; in this year’s survey this has been corrected so that prices include these payments. Cataract surgery facility and physician price is for an outpatient setting. Source and Notes For Prices by Country
United States
U.S. costs are based on commercial claims data from Thompson Reuters MarketScan Research Databases. The claims data was compiled by Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan. Any opinions or conclusions expressed herein regarding the data are not those of Deloitte Consulting LLP. Because a broad range of prices were available, the national 25 percentile (low), average, and 95 percentile are presented. Cataract surgery price reflects outpatient procedures. Angioplasty price reflects a blend of inpatient (67%) and outpatient (33%) prices, based on relative utilization in each setting. Appendectomy price reflects a blend of inpatient (61%) and outpatient (39%) prices, based on relative utilization in each setting. Normal delivery and C-section pricing includes prenatal and post-natal care. Cost per day and cost per admission were calculated by pooling all admissions and calculating percentiles and averages. Survey Data Constraints and Limitations
• Due to data availability, public, private, mixed and/or blended fee schedules were used. Mixture of fee schedule types complicate comparisons • There are different scan and imaging fee structures across countries e.g., all scans may be a single price across many scan and/or imaging procedures, while other countries have different prices depending on the • Drug prices may vary because of differing pricing systems. Some prices include taxes, dispensing fees, etc while others do not. • Single plan’s data might not be representative of the overall prices and fees. • Some fees are snapshots in time (e.g., as of a specific date), while other fees represents of a certain time period (e.g. charges based on claims

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