2015 comparative price report - wordpress.com · 10/7/2017 · 2015 comparative price report...

2015 Comparative Price ReportVariation in Medical and Hospital Prices by Country

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.

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2015 Survey Overview

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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, asingle 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.

Average Price USA 25th Percentile USA 95th Percentile$USD

Drugs: XareltoXarelto is prescribed to prevent or treat blood clots.

4

$48

$101 $102

$126

$292

$289

$320

South Africa Spain Switzerland United Kingdom United States

Xarelto, 30 capsules, 20mg, 30 day supply


Drugs: HumiraHumira is prescribed to treat rheumatoid arthritis.

5

$552

$822

$1,253 $1,362

$2,669

$2,515

$2,996

South Africa Switzerland Spain United Kingdom United States

Humira, 1 prefilled syringe carton, 2 syringes, 28 day supply


Drugs: HarvoniHarvoni is prescribed to treat hepatitis C.

6

$16,861 $18,165

$22,554

$32,114

$31,640

$33,135

Switzerland Spain United Kingdom United States

Harvoni, 28 tablets, 4-week supply


Drugs: TruvadaTruvada is prescribed to treat HIV/AIDS.

7

$559

$689

$906

$1,301

$1,290

$1,349

Spain United Kingdom Switzerland United States

Truvada, 30 tablets, 30 day supply


Drugs: TecfideraTecfidera is prescribed to treat relapsing multiple sclerosis.

8

$663

$1,399

$1,855

$5,089

$4,967

$5,372

United Kingdom Spain Switzerland United States

Tecfidera, 60 capsules, 240 mg, 30 day supply


Drugs: AvastinAvastin is prescribed to treat certain types of cancer.

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$470 $956

$1,534 $1,752

$3,930

$2,289

$8,831

United Kingdom South Africa Spain Switzerland United States

Avastin, 400 mg vial


Drugs: OxyContinOxyContin is prescribed to treat severe ongoing pain.

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Oxycontin, 60 tablets, 20 mg, 30+ day supply

$36

$84 $95

$265

$590

$264

$275

Spain South Africa Switzerland United States United Kingdom


Diagnostics: Angiogram

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$191 $240 $270

$1,089 $1,164

$2,149

$418

$3,113

Switzerland Spain Australia New Zealand United States United Kingdom


Diagnostics: CT Scan Abdomen

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$85 $233

$383 $483

$844 $860

$287

$2,364

Spain South Africa Switzerland New Zealand United States United Kingdom


Diagnostics: MRI

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$130 $215

$455 $503

$788 $811

$1,119

$448

$3,031

Spain Australia South Africa Switzerland United Kingdom New Zealand United States


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Diagnostics: Colonoscopy

$372 $589 $604 $632

$1,301 $1,421

$3,059

$547

$3,391

Australia Spain Switzerland South Africa United States New Zealand United Kingdom


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Diagnostics: Cardiac Catheterization

$181 $487

$2,596 $2,974 $3,196 $4,046

$5,061

$750

$13,457

Switzerland Australia South Africa Spain New Zealand United Kingdom United States


Hospital Cost per Day

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$424 $631 $765

$2,142

$4,781 $5,220

$1,494

$17,358

Spain South Africa Australia New Zealand Switzerland United States


Total Hospital and Physician: Appendectomy

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$1,786 $2,003 $3,814

$6,040 $6,199 $8,009

$15,930

$9,332

$33,250

South Africa Spain Australia Switzerland New Zealand United Kingdom United States


Total Hospital and Physician: Normal Delivery

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$1,271 $1,950

$5,312

$7,751

$10,808

$8,011

$18,383

South Africa Spain Australia Switzerland United States


Total Hospital and Physician: C-Section

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$2,192 $2,352

$7,901

$9,965

$16,106

$11,401

$28,473

South Africa Spain Australia Switzerland United States


Total Hospital and Physician: Cataract Surgery

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$1,186 $1,719

$2,114 $2,740

$3,037 $3,145 $3,530

$1,939

$8,377

South Africa Spain Switzerland New Zealand Australia United Kingdom United States


Total Hospital and Physician: Knee Replacement

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$6,687 $7,795

$15,941 $16,508 $18,451 $20,132

$28,184

$18,577

$55,579

Spain South Africa Australia New Zealand United Kingdom Switzerland United States


Total Hospital and Physician: Hip Replacement

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$6,757 $7,685

$15,465 $16,335 $17,112 $19,484

$29,067

$18,810

$57,225

Spain South Africa New Zealand United Kingdom Switzerland Australia United States


Total Hospital and Physician: Bypass Surgery

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$14,579 $18,501 $24,059 $28,888 $32,480 $34,224

$78,318

$50,859

$161,148

Spain South Africa United Kingdom Australia New Zealand Switzerland United States


Total Hospital and Physician: Angioplasty

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$6,510 $7,264 $7,839 $10,066 $11,164 $13,677

$31,620

$15,549

$73,609

South Africa United Kingdom Spain Switzerland Australia New Zealand United States

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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.

2015 comparative price report - wordpress.com · 10/7/2017 · 2015 comparative price report...

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