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Florida Bill Would Allow Patients To Know Healthcare Costs Up Front

Leon County Judge John Cooper on June 30, 2022, in a screen grab from The Florida Channel.
Alex Proimos via Flickr
The Florida Channel
Leon County Judge John Cooper on June 30, 2022, in a screen grab from The Florida Channel.
Leon County Judge John Cooper on June 30, 2022, in a screen grab from The Florida Channel.
Credit Alex Proimos via Flickr
The Florida Channel

FloridaGov. Rick Scott has made health-care cost transparency a priority this year, and a Northeast Florida lawmaker is sponsoring a version of Scott’s vision.

Sen. Rob Bradley (R-Fleming Island) has filed a bill would make average prices for common hospital procedures easily accessible to patients.

On Friday, James Riley anxiously waited for his wife to get out of surgery inside St. Vincent’s hospital in Jacksonville.

“They don't tell you what’s what up front. Like my wife, she’s having surgery, but I don't even know what the price is going to be —  you know, my co-payment —  I don't know yet,” he said.

Riley himself recently underwent surgery for cataracts.  He says he didn’t learn he had a $350 co-pay until he arrived to go under the knife. Had he known, he says he would’ve been more financially prepared.

It’s situations like Riley's that Sen. Rob Bradley (R-Fleming Island) sayshis bill aims to avoid.

“People purchase health care, but they often don't know what they’re paying for it, and they have really no way to compare prices between different providers,” Bradley says. “So it really isn't a true market-based system.”

Under his bill, the state would create a claims database, a website using hospital pricing data, to inform patients about the average cost of common procedures.

It would also mandate hospitals give patients an itemized list of estimated costs upon request. If a hospital fails to do so, they’d be fined.

Florida Hospital Association President Bruce Rueben says he supports all of that in principle, but he’s vehemently opposed to a provision in Bradley’s bill penalizing a provider with at least a $2,500 fine if a procedure’s cost far exceeds the average price listed in the state database.

“There isn't anything about the government getting involved in setting rates that would be helpful or productive,” he says.

Rueben says the hospital association is more supportive of the House version of Bradley’s bill, filed by Rep. Chris Sprowls (R-Palm Harbor). If passed, Sprowls’s bill would have the same transparency requirements, but wouldn’t levy penalties against providers if their prices exceed posted averages.

Bradley wouldn't say whether he’d be willing to nix his penalty provision to match the House version.

Photo used under Creative Commons license. 

Copyright 2020 WJCT News 89.9. To see more, visit WJCT News 89.9.

Ryan Benk is a reporter for WJCT in Jacksonville. He came from Tallahassee, where he worked as a news researcher and reporter for NPR affiliate WFSU. Originally from Miami, Florida, he graduated with a bachelor of arts in English literature from Florida State University. During his time in Tallahassee, Ryan also worked as a policy and research analyst for legislative-research firm LobbyTools before returning to public radio at WJCT.
Ryan Benk is originally from Miami, Florida and came to Tallahassee to attend Florida State University. He worked on Miami Dade College’s Arts and Literature Magazine- Miamibiance Magazine and has published poetry and a short film called “ The Writer.” He’s currently working as the Newsroom’s Researcher while finishing his Creative Writing Bachelor’s Degree at Florida State University. When he’s not tracking down news, Ryan likes watching films, writing fiction and poetry, and exploring Florida.