Evidence map›Paper›PMID 38733607›Full record

ArticleAmerican journal of clinical pathology2024

Tennessee hospital noncompliance with price transparency legislation for 8 common laboratory tests.

Stephanie A Hart, Ayesha Khan, Garrett S Booth, Joesph R Wiencek

Abstract read
In one paragraph

Article in American journal of clinical pathology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Price Transparency and Patient Empowerment.Health care analysis : HCA : journal of health philosophy and policy · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Stephanie A HartDepartment of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN, US.
Ayesha KhanDepartment of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN, US.
Garrett S BoothDepartment of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN, US.
Joesph R WiencekDepartment of Pathology, Microbiology and Immunology, Vanderbilt University School of Medicine, Nashville, TN, US.ORCID 0000-0001-9595-6299

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe goal of this study was to assess hospital compliance with federal price transparency mandates and barriers to pricing information in Tennessee.

methodsAll hospitals websites were queried for gross, cash, and BlueCross BlueShield of Tennessee prices for 8 high-frequency laboratory tests in 2 Centers for Medicare & Medicaid Services-mandated pricing sources: (1) a machine-readable file of all available services and (2) a consumer-friendly display of 300 shoppable services. Barriers, including click counts, data availability, and intrahospital price discrepancies, were noted.

resultsOf the 145 Tennessee hospitals assessed, 97.2% were noncompliant with the Centers for Medicare & Medicaid Services final rule. Subanalysis of available machine-readable files, price estimators, and shoppable services files demonstrated 49.6%, 95.1%, and 78.6% noncompliance, respectively. Barriers to pricing information included requiring protected health information (55.9%), missing at least 1 pricing source (7.6%), having no pricing sources available (6.2%), and involving more than 3 clicks to access the cash price in machine-readable files (54.1%) and price estimators (68.6%.) Average intrahospital discrepancy for basic metabolic panel cash prices across pricing sources was $101.30 (range, $0-1012.40).

conclusionsOur study showed high levels of noncompliance with price transparency laws, inconsistent and inaccessible pricing, and continued challenges facing patients in Tennessee.

Indexed as

Centers for Medicare and Medicaid Services, U.S.Guideline AdherenceHospitalsHumansLaboratories, HospitalTennesseeUnited StatesCMS final rulecompliancelaboratory testsprice transparency

Identifiers

PMID38733607
PMCPMC11532617

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.