Los Angeles Times

Medical prices vary widely

- By Samantha Masunaga samantha.masunaga @latimes.com

A mammogram can cost anywhere from $86 to $954 in the L.A. metropolit­an area, a study finds.

The price of routine medical procedures can vary wildly from state to state, and even within metropolit­an areas, according to a new study.

In the Los Angeles metropolit­an area, which includes Orange and Riverside counties, the price paid for a mammogram can range from $86 to $954.

That means that on average, women in the L.A. area pay about $237 for a mammogram, making L.A. the 19th most expensive city of the 30 surveyed by Castlight Health Inc., a San Francisco-based healthcare informatio­n company.

The second annual study looked at the price of common health screenings, including routine primary care exams and cholestero­l tests, and this year added the price of four women’s health procedures.

According to the study, L.A. is the sixth most expensive city for OB-GYN follow-up visits: The cost ranged from $64 to $121 with an average of $85.

The city also ranks 28th for the average cost of preventive gynecologi­cal exams for women ages 18 to 39. L.A.’s average cost of $121 was almost half that of San Francisco, which was the priciest in the nation for a preventive gynecologi­cal exam and an HPV test.

Los Angeles ranks 10th for the most expensive HPV test price, with a price range of $32 to $417.

“Despite mandated insurance coverage for certain services, it’s possible women might forgo basic preventive care due to cost considerat­ions,” Kristin Torres Mowat, a Castlight Health vice president, said in a statement. “Overall, the data demonstrat­es that medical prices continue to reflect larger systemic problems in the U.S. healthcare system.”

The primary source for this study was medical claims data, in addition to provider informatio­n and rate sheets that listed the negotiated price between a provider and insurer. Prices are defined as the employee cost-sharing plus the amount paid by the employer.

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