Fascinating article from The New York Times on hospital pricing. Hospitals and Insurers Didn’t Want You to See These Prices. Here’s Why. This year, the federal government ordered hospitals to begin publishing a prized secret: a complete list of the prices they negotiate with private insurers. The insurers’ trade association had called the rule unconstitutional and said it would “undermine competitive negotiations.” Four hospital associations jointly sued the government to block it, and appealed when they lost. They lost again, and seven months later, many hospitals are simply ignoring the requirement and posting nothing. But data from the hospitals that have complied hints at why the powerful industries wanted this information to remain hidden. It shows hospitals are charging patients wildly different amounts for the same basic services: procedures as simple as an X-ray or a pregnancy test. And it provides numerous examples of major health insurers — some of the world’s largest companies, with billions in annual profits — negotiating surprisingly unfavorable rates for their customers. In many cases, insured patients are getting prices that are higher than they would if they pretended to have no coverage at all. To me, that was the surprising part, not that differing insurance plans negotiate differing rates with hospitals, but that sometimes it's cheaper if you have NO insurance at all!