Medical Costs


The high cost of medical care is one of the biggest challenges facing American society – a challenge made more difficult by a complex and shifting financing system.  Journalists have a key role in informing the public about where and how money flows in health care, who benefits, and what practices yield the highest value.

Jump to: Key Resources | Additional Resources


Key Resources

Medicare provider charge data

(updated June 2015) Hospital-specific charges for the top 100 most frequently billed discharges at the 3,000 hospitals across the U.S. that receive Medicare payments.

Tracking doctors’ fees: An important angle to pursue when hospitals acquire physician groups

(May 2015) When a hospital or health system buys a physician’s group, doctors’ fees usually rise sharply.

Debunking myths designed to hinder price, quality transparency efforts

(May 2015) An expert shared the misinformation that health care providers use to block efforts to release pricing information.

Finding the story behind hospital mergers, consolidations

(March 2015) Dan Goldberg looks at five large health systems and the strategies they employ to diversify their revenue base while preparing to play in a post-ACA, value-based world.

How a secretive committee recommends how much physicians should be paid

(December 2014) Understand how the Relative Value Update Committee works.

Miami journalist reports on the challenges in getting price transparency data in South Florida, undated

(October 2014) Difficulties in getting data on price transparency.

Six things to remember in reporting on health care costs

(August 2014) Three reporters offer guidance for reporting on health care costs.

Additional Resources

Building transparency in health care costs

(August 2014) Journalists and developers build a public, nonproprietary database in which users can easily contribute and look up costs.

Health care industry reacting to overtesting, overtreatment

(May 2014) Four panelists discussed the waste of unnecessary tests and procedures at a Chicago AHCJ chapter event.

Delving into cost reports reveals financial health of hospitals, amount of charity care they provide

(December 2013) Oklahoma Watch published a two-part series on hospital financial data, and reporter Clifton Adcock explains how they obtained the data.

Beyond premiums: Five things to know about health care costs in the exchanges

(September 2013) The specifics behind exchange premiums

GAO report a rich source on range of insurance premiums

(July 2013) Examining data from the U.S. Government Accountability Office.

Geotagging CMS Medicare discharge data to highlight cost differences

(June 2013) Visualizing CMS data with an interactive map.

CMS unveils dataset on top hospital discharge payments

(June 2013) Visualizing CMS data with an interactive map.

How one reporter asks for – and often gets – meaningful medical pricing information

(April 2013) Specific tips and questions a reporter uses to get information on medical pricing.

Finding information on medical costs

(November 2012) Resources on costs, devices, drug manufacturers and medical tests.

Latest innovations in Medicare

(July 2012) Pilot projects under the Affordable Care Act that are intended to control medical costs.

Why insurers care about the medical-loss ratio

(July 2010) Understanding the significance of the medical-loss ratio.

AP takes on medical costs of overtreatment

(June 2010) A look a six-part series on overtreatment from The Associated Press.