Talk:chargemaster

chargemaster, created entry

Created entry for chargemaster, with quotes from three (3) sources to start. -- Cirt (talk) 21:23, 5 March 2013 (UTC)

• How very, very strange. SemperBlotto (talk) 22:15, 5 March 2013 (UTC)
  • How so? -- Cirt (talk) 01:12, 6 March 2013 (UTC)
    • In civilized countries, hospitals are free. SemperBlotto (talk) 22:30, 8 March 2013 (UTC)
      • In France they're not. Oh wait you said civilized, never mind. Mglovesfun (talk) 22:34, 8 March 2013 (UTC)
        • Yes, well, the United States healthcare system is certainly very far from ideal. -- Cirt (talk) 23:07, 8 March 2013 (UTC)
• I'm not sure that the definition is NPOV (or whatever we call it around here) JulieKahan (talk) 18:16, 6 March 2013 (UTC)

Thanks for your input, but the definition is based on multiple reliable secondary sources including academic authoritative sources like health economists. -- Cirt (talk) 22:05, 6 March 2013 (UTC)

I don't know if the prices that hospitals charge are reasonable or not, nor how we would calculate that, but less us suppose that a given hospital in fact charged reasonable prices to patients or their insurers. Would their list of charges be a "chargemaster?"Nedarim (talk) 08:38, 8 March 2013 (UTC)

Heheh, well, you'd have to find such an instance of usage, first. All reliable academic secondary sources and scholarly analysis by health economists that I've come across in my research, suggests otherwise. -- Cirt (talk) 18:24, 8 March 2013 (UTC)

Is "often with highly inflated prices at several times that of actual costs to the hospital." part of the definition or just incidental information? Mglovesfun (talk) 18:49, 8 March 2013 (UTC)

Part of the definition. -- Cirt (talk) 22:24, 8 March 2013 (UTC)

I have removed "with highly inflated prices at several times that of actual costs to the hospital", as I do not see quotations that support this particular differentia of the definition. Please indicate which of the quotations that you provided you think support this particular differentia. --Dan Polansky (talk) 11:14, 9 March 2013 (UTC)

Take the following quotation: "Hospitals readily admit that chargemaster prices are inflated." I am far from sure that this sentence implies that containing inflated prices is part of the definition of "chargemaster". If it did, "chargemaster prices are inflated" would be a tautology with no empirical content, just like "bachelors are unmarried". But even if we admit that "with highly inflated prices" is part of the definition of "chargemaster", I gravely doubt that "at several times that of actual costs to the hospital" is part of the definition, and that this is supported by quotations. --Dan Polansky (talk) 11:25, 9 March 2013 (UTC)

Please, do not remove this part of the definition. It is integral to the definition. I have provided many more quotes with citations at Citations:chargemaster. -- Cirt (talk) 22:05, 9 March 2013 (UTC)

As far as I can see, not a single of these quotations supports the differentia. Please single out one of these quotations so we can discuss how that quotations supports the definition. --Dan Polansky (talk) 22:35, 9 March 2013 (UTC)

I strongly suggest you read this entire cited article, linked above, and then get back to me here about what you think the definition should be, okay? -- Cirt (talk) 04:46, 10 March 2013 (UTC)

This quotation fails to attest having inflated prices as being part of the definition of "chargemaster", IMHO. You don't even learn from this quotation that the prices on the chargemaster are inflated, let alone learn that they are so at several times the cost to the hospital. But even if you did learn that, that would not automatically make it part of definition. Rather obviously, not every fact about a thing is part of the definition of the thing. For instance, from the quotation, you learn that every hospital has a chargemaster, yet you do not make this a part of definition. You also learn that "the officials treat it [the chargemaster] as if it were an eccentric uncle living in the attic", but that is also not in the definition you've created. Anyway, I have sent the disputed part of the definition to RFD. --Dan Polansky (talk) 08:14, 10 March 2013 (UTC)

Request: Please, Dan Polansky (talk • contribs), I ask of you to read this article:

I think that will give you some clarity about the term chargemaster. Thank you for your time, -- Cirt (talk) 18:24, 10 March 2013 (UTC)

Grammar

I think this is wrong: "highly inflated prices at several times that of actual costs to the hospital." What does "that" refer to? The "prices" and "costs" are both plural. Equinox ◑ 11:35, 10 March 2013 (UTC)

Think I've fixed it. Equinox ◑ 14:44, 10 March 2013 (UTC)

Thank you. -- Cirt (talk) 18:19, 10 March 2013 (UTC)

Example sentence

The current sentence is not very useful; removing "chargemaster-derived" would hardly change the meaning at all. Something like "The chargemaster listed a price of $100 for a bottle of aspirin" would still get your point across. JulieKahan (talk) 14:28, 10 March 2013 (UTC)

Thank you, I've incorporated your suggestion to improve the example sentence, it's a bit better now. And the chargemaster typically will not charge for an entire bottle of aspirin, but a single pill can often cost as much as an entire bottle would. -- Cirt (talk) 18:22, 10 March 2013 (UTC)

The following discussion has been moved from Wiktionary:Requests for deletion.

This discussion is no longer live and is left here as an archive. Please do not modify this conversation, but feel free to discuss its conclusions.

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chargemaster

I am requesting deletion of this part of the definition: ", with highly inflated prices at several times that of actual costs to the hospital."

Quotations allegged to support the definition including this part of it are at Citations:chargemaster. One quotation has been singled out by the creator of the entry at Talk:chargemaster, upon my request.

At the very least, "at several times that of actual costs to the hospital" should be dropped from the definition, IMHO.

The complete definition:

• "a comprehensive listing of items billable to a hospital patient or a patient's health insurance provider, with highly inflated prices at several times that of actual costs to the hospital."

--Dan Polansky (talk) 08:04, 10 March 2013 (UTC)

Request: Please, Dan Polansky (talk • contribs), I ask of you to read this article:

I think that will give you some clarity about the term chargemaster. Thank you for your time, -- Cirt (talk) 18:18, 10 March 2013 (UTC) Note: Please note that it is integral to the definition of chargemaster that the chargemaster prices are extremely inflated and exorbitant. Please see the following cites for this fact:

This should be included as part of the definition. It is integral to the definition itself.

Thank you for your time, -- Cirt (talk) 18:30, 10 March 2013 (UTC)

I don't think these quotations support the questioned part of the definition. It may well may be true that chargemaster prices are highly inflated, but that does not automatically make that a part of definition. The volume of quotations that you have provided does not help, IMHO. If a quotation does not attest the questioned part of the definition, it should not have been listed. You have listed "The higher the chargemaster markup over cost, the greater the potential for profit", as if that was telling us anything new that we did not know about any pricelist, highly inflated or not. I rest my point, and say delete the questioned part. --Dan Polansky (talk) 19:28, 10 March 2013 (UTC)

Delete, exactly as nominator suggests, as much as I despise the US system for ripping off uninsured private-pay patients. DCDuring TALK 20:19, 10 March 2013 (UTC)

Delete the disputed part of the definition. Whether the prices in the chargemasters are "highly inflated" is encyclopedic or journalistic information that doesn't belong in a dictionary. We should just define what a chargemaster is and leave the value judgments- however well-founded or well-supported- to other venues. Besides, it's possible for a chargemaster to not have high prices and still be a chargemaster, though that may not normally be the case. Chuck Entz (talk) 22:27, 10 March 2013 (UTC)

DONE: Trimmed the definition to that suggested by Dan Polansky (talk • contribs), above, please see DIFF. Hopefully this is now satisfactory to Dan Polansky (talk • contribs). Thank you, -- Cirt (talk) 23:40, 10 March 2013 (UTC)

The current definition, "a comprehensive listing by a hospital of prices of items billable to a hospital patient or a patient's health insurance provider", is incorrect according to my own understanding (which is based solely on reading that Time article) and the cites above. AFAICT the chargemaster is a master list of prices kept by the hospital, and has nothing to do with any one patient. The definition should be changed to "a comprehensive list maintained by a hospital of prices of goods and services it will bill to its patients and their respective health insurers" or something else.​—msh210℠ (talk) 06:36, 11 March 2013 (UTC)

Done. Please see DIFF, implemented the suggestion by Msh210 (talk • contribs) for the definition, above. -- Cirt (talk) 15:43, 11 March 2013 (UTC)

From what I have understood from the linked articles, chargemaster contains prices billable to uninsured patients, whereas the prices charged to health insurance providers are dramatically lower than those contained in the chargemaster. As far as definition is concerned, it remains to be clarified whether things called "chargemaster" were always so, and are necessarily so. If each and every chargemaster in a hospital is intended only for uninsured patients, this could possibly be in the definition. Whatever the case, the original complaint of this RFD has been solved: the disputed part of the definition has been deleted. --Dan Polansky (talk) 19:28, 11 March 2013 (UTC)

Thank you. -- Cirt (talk) 20:30, 11 March 2013 (UTC)

Yeah, striking, detagging.​—msh210℠ (talk) 05:16, 12 March 2013 (UTC)

@Dan: the chargemaster has the prices that everyone is charged. Larger customers like HMOs have the clout to negotiate those prices down, so they end up paying a much lower amount. Uninsured patients have no clout, so they can't get the hospitals to budge on the price. The result is that the uninsured patients pay full retail, while the HMOs pay at a heavy discount- but everyone starts at the same price. In other words, the chargemaster is the standard list price for everything the hospital provides, before all the discounts, etc. are applied. Chuck Entz (talk) 06:32, 12 March 2013 (UTC)

Thank you, Chuck Entz (talk • contribs), that's a pretty good background description. -- Cirt (talk) 13:47, 12 March 2013 (UTC)