[{"data":1,"prerenderedAt":340},["ShallowReactive",2],{"project-6221602":3},{"id":4,"name":5,"line":6,"line_source":7,"title":8,"url":9,"domain":10,"maker":11,"posted_at":12,"year":13,"points":14,"comments":15,"rank_in_year":16,"shown_in_year":17,"top":18,"tier":19,"category":20,"subcategory":21,"format":22,"keywords":23,"reception":28,"sentiment":29,"stance_mix":30,"scored_comments":34,"aspects":35,"strip":45,"post_text":46,"what":47,"said":71,"maker_in_thread":169,"shape":178,"grid":182,"attempts":302,"same_week":303,"maker_shows":200,"maker_hidden":332,"reader_version":333,"card":334},"6221602","PriceMed","We structured and compared hospital chargemaster prices","title","Show HN: We structured and compared hospital chargemaster prices","http:\u002F\u002Fpricemed.org\u002Fprocedures\u002Ftransfusion-of-blood-or-blood-products","pricemed.org","aguynamedben",1376614972,2013,171,47,94,1739,6,"notable","data","healthcare price comparison","web_app",[24,25,26,27],"chargemaster prices","hospital prices","medical price transparency","procedure costs","roasted",-0.357,{"positive":31,"neutral":18,"mixed":32,"critical":33},3,1,12,22,{"idea":36,"execution":38,"design":41,"docs":42,"performance":43,"pricing":44},{"positive":31,"critical":37},5,{"positive":39,"critical":40},0,4,{"positive":39,"critical":32},{"positive":39,"critical":39},{"positive":39,"critical":32},{"positive":39,"critical":32},[37,39,39,39,39,37,39,37,32,31,32,32,39,39,32,32,32,32,31,31,31,31,32,31,39,32,39,39,39,39,39,39,39,39,39,39,39,39,32,32],null,{"problem":48,"audience":60,"pricing":46,"motivation":46,"time_to_build":46,"stack":68,"openness":69,"stage":70,"team_size":69},{"value":49,"source":50,"evidence":51},"Hospital chargemaster prices are hard to compare across hospitals","inferred",[52,56],{"id":53,"by":54,"text":55},"6222126","GauntletWizard","This is the kind of data that is needed for true transparency, and true medical reform. Prices will be gouged so long as you can't compare; Realistically, this still has a long…",{"id":57,"by":58,"text":59},"6221720","aantix","Love this! If there's some unstructured data that you're having trouble taming, contact me. I have a ton of experience with Mechanhcal Turk and can give you some advice on how…",{"value":61,"source":50,"evidence":62},"Patients and people interested in medical price transparency",[63,64],{"id":53,"by":54,"text":55},{"id":65,"by":66,"text":67},"6222045","tryitnow","This is a fascinating data problem. I noticed a lot of the price distributions are non-normally distributed (specifically with a strong positive skew for the least consistently…",[],"unknown","launched",{"praise":72,"objections":83,"requests":125,"questions":149,"alternatives":161},[73],{"value":74,"source":75,"evidence":76},"Useful step toward medical price transparency","commenter",[77,78,79],{"id":53,"by":54,"text":55},{"id":57,"by":58,"text":59},{"id":80,"by":81,"text":82},"6223001","NKCSS","Very cool. I wished this would be done for hospitals in .NL as well.",[84,99,110],{"value":85,"source":75,"evidence":86},"Chargemaster prices are not what people actually pay",[87,91,95],{"id":88,"by":89,"text":90},"6222314","hkiely","No one pays chargemaster prices. The reason hospitals set the prices so high is because they are the starting point for negotiations with networks and insurance companies. Even…",{"id":92,"by":93,"text":94},"6221649","bezdekt","Very cool. Does anyone pay the chargemaster price though?",{"id":96,"by":97,"text":98},"6221694","ars","No, no one pays that. And I don't think the chargemaster price is even correlated with the final price, so it's not even useful as a relative measure. I wish it was a real price…",{"value":100,"source":75,"evidence":101},"Prices alone lack quality metrics like readmission rates and user reviews",[102,106],{"id":103,"by":104,"text":105},"6221768","HarryHirsch","This is all great, but cost isn't the only metric, there is also such things as readmission rate &c. Two weeks ago or three a fellow, a physician, made the front page of HN who…",{"id":107,"by":108,"text":109},"6223891","wffurr","For many procedures, that's true so long as they're competently executed, which we should expect so long as the doctor is licensed to practice. To really make buying decisions…",{"value":111,"source":75,"evidence":112},"Sorting and data errors such as a $1 price and a 0-result lung transplant",[113,117,121],{"id":114,"by":115,"text":116},"6223369","pc86","It looks like the sorting is off. It's saying that Cedars-Sinai is the worst priced hospital for the linked procedures, but at \"only\" a 99% marked over the average $1,300 even…",{"id":118,"by":119,"text":120},"6223069","donquichotte","Great idea! There seems to be a minor flaw in the data though, the Healdsburg District Hospital appears do be doing many procedures for 1$.…",{"id":122,"by":123,"text":124},"6221829","bdcravens","Lung transplant: 0 results",[126,133,144],{"value":127,"source":75,"evidence":128},"Fix the hospital search to show location and filter by zip code",[129],{"id":130,"by":131,"text":132},"6222580","chime","One suggestion: The dropdown for \"Find a Hospital\" needs to show the location too. I tried searching for \"St. Anthony's\" near my town and multiples ones from all over the country…",{"value":134,"source":75,"evidence":135},"Design and UI polish on tables, search and links",[136,140],{"id":137,"by":138,"text":139},"6222864","babby","Some tweaks to the design would help! At the top of the page, the search boxes are mis-aligned to the text above them. Fix that. They could also take up more horizontal space, or…",{"id":141,"by":142,"text":143},"6222431","jmcgough","Really cool! One thing - the google map always sets California as the state, even when I look at hospitals in other states.",{"value":145,"source":75,"evidence":146},"Add quality and review data alongside prices",[147,148],{"id":107,"by":108,"text":109},{"id":103,"by":104,"text":105},[150,154],{"value":151,"source":75,"evidence":152},"Who will be the primary users of this data",[153],{"id":65,"by":66,"text":67},{"value":155,"source":75,"evidence":156},"Where the original data came from",[157],{"id":158,"by":159,"text":160},"6223700","ljoshua","I love it, thanks for sharing. Where did you get the original data from? (I thought chargemasters were relatively guarded secrets?)",[162],{"value":163,"source":164,"evidence":165},"Medicare DRG price data","maker",[166],{"id":167,"by":11,"text":168},"6221664","Chargemaster is kind of like (a more screwed up) MSRP when you buy a car, so not exactly, but it's an indicator of the pricing disparity for the same procedures. We've also…",{"comments":31,"answered":32,"key":170},[171,174,175],{"id":172,"text":173},"6221695","Here's the Jon Stewart segment: http:\u002F\u002Fwww.thedailyshow.com\u002Fwatch\u002Fmon-may-13-2013\u002Fbi-annual-competency-round-up Some other links to more info are at the footer of the page. There…",{"id":167,"text":168},{"id":176,"text":177},"6221761","Yeah, fair. Regarding \"I wish it was a real price though\" that's why we want to run this analysis for insurance companies. They're the ones that have the best real data, and can…",{"commenters":179,"max_depth":18,"maker_replies":31,"first_comment_mins":180,"lifespan_hours":181},34,13,18,[183,185,189,192,194,197,198,202,203,205,207,211,213,214,217,220,222,225,227,229,233,236,238,240,244,246,248,250,253,256,257,260,263,266,268,271,273,275,278,280,282,284,287,290,292,295,299],[53,39,37,184,54,39],"project\u002Fpositive\u002Fidea",[186,39,39,187,188,39],"6222396","other\u002Fneutral\u002Fnone","cookiecaper",[190,39,39,187,191,39],"6223091","001sky",[193,39,39,187,188,39],"6225571",[195,39,39,196,191,39],"6225958","commenter\u002Fneutral\u002Fnone",[65,32,37,184,66,39],[199,200,39,187,201,39],"6221675",2,"atldev",[172,200,39,187,11,32],[57,31,37,204,58,39],"maker\u002Fpositive\u002Fidea",[130,40,32,206,131,39],"project\u002Fcritical\u002Fexecution",[208,40,31,209,210,39],"6222732","project\u002Fneutral\u002Fexecution","gknoy",[137,37,32,212,138,39],"project\u002Fcritical\u002Fdesign",[114,18,32,206,115,39],[103,215,39,216,104,39],7,"commenter\u002Fcritical\u002Fnone",[218,215,39,196,219,39],"6221983","eruditely",[221,215,39,196,104,39],"6222009",[88,223,32,224,89,39],8,"project\u002Fcritical\u002Fidea",[118,226,32,206,119,39],9,[141,228,32,206,142,39],10,[230,231,32,224,232,39],"6224133",11,"patmcguire",[234,33,32,224,235,39],"6222074","davemel37",[107,33,31,237,108,39],"project\u002Fneutral\u002Fidea",[158,180,31,239,159,39],"maker\u002Fneutral\u002Fnone",[241,180,31,242,243,39],"6225295","maker\u002Fneutral\u002Fdocs","jparker165",[80,245,31,237,81,39],14,[92,247,32,224,93,39],15,[167,247,39,249,11,32],"maker\u002Fmixed\u002Fidea",[251,247,31,252,243,39],"6221688","project\u002Fmixed\u002Fidea",[254,247,39,187,255,39],"6221992","cosmie",[96,247,32,224,97,39],[258,247,39,187,259,39],"6221713","rdl",[261,247,39,187,262,39],"6221747","DanielBMarkham",[264,247,39,187,265,39],"6221848","rdtsc",[267,247,39,187,259,39],"6221902",[269,247,39,187,270,39],"6221889","RockyMcNuts",[272,247,39,187,259,39],"6221909",[274,247,39,187,89,39],"6222341",[276,247,39,187,277,39],"6221988","RougeFemme",[279,247,39,187,259,39],"6222023",[176,247,39,281,11,32],"maker\u002Fneutral\u002Fidea",[283,247,39,187,255,39],"6221960",[285,247,39,187,286,39],"6222447","ubernostrum",[288,247,39,196,289,39],"6224285","JPKab",[291,247,39,187,277,39],"6221980",[122,293,32,294,123,39],16,"project\u002Fcritical\u002Fperformance",[296,293,31,297,298,39],"6222220","project\u002Fneutral\u002Fnone","joshwa",[300,293,32,301,123,39],"6222650","project\u002Fcritical\u002Fpricing",[],[304,309,314,319,324,328],{"id":305,"name":306,"points":307,"category":308},"6219354","Arc",281,"infrastructure",{"id":310,"name":311,"points":312,"category":313},"6251671","Tridiv",277,"dev_tools",{"id":315,"name":316,"points":317,"category":318},"6226607","noteZilla",275,"learning_science",{"id":320,"name":321,"points":322,"category":323},"6250112","ngProgress",142,"web_saas",{"id":325,"name":326,"points":327,"category":313},"6232339","Xpressive",84,{"id":329,"name":330,"points":331,"category":323},"6219546","angular-invoicing",56,false,"v2",{"id":335,"name":5,"line":6,"ai":332,"cat":20,"year":13,"points":14,"comments":15,"rec":28,"s":336,"top":18,"kw":337,"maker":11,"domain":10,"tier":19,"attempts":39,"strip":338,"url":9,"mix":339,"praise":74,"objection":85,"sub":21},6221602,-0.36,[24,25,26,27],"5000050513110011113333130100000000000011",[31,18,32,33],1794036508884]