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October 8, 2025Health Affairs

Inpatient Prices In Medicare Advantage Vary Modestly Across And Within Hospitals

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Authors

GMGrace MacklebyGBGeronimo BejaranoDMDavid J. Meyers

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Overview

Analysis reveals inpatient prices in Medicare Advantage are similar to traditional Medicare prices, indicating moderate variation across hospitals and insurers.

Key Points

  • Medicare Advantage prices averaged 97 percent of traditional Medicare prices, showing a minor difference.
  • Only 39 percent of hospitals had inpatient Medicare Advantage prices within 5 percent of traditional Medicare prices, highlighting variability.
  • Prices in Medicare Advantage showed less variation compared to commercial or Medicaid prices, indicating pricing stability.
  • The findings utilize national data, supporting broader implications for price consistency in Medicare schemes.

Cite This Study

Mackleby et al. (2025) studied this question.

synapsesocial.com/papers/68e6679587ecc93a24d174a9https://doi.org/10.1377/hlthaff.2025.00408
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