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International Federation of
Health Plans
2011 Comparative Price Report
Medical and Hospital Fees by Country
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2
The International Federation of Health Plans was
founded in 1968 by a group of health plan industry
leaders. It is now the leading global network of the
industry, with one hundred member companies in 30
countries.
Federation member plans meet regularly to share
information about health care financing and health
care delivery in their home countries.
COMPARATIVE COST REPORT
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FOR ILLUSTRATIVE PURPOSES ONLY 3
$35 $123 $204 $212
$245 $320 $371
$665
$164
$798
$2,341
$-
$500
$1,000
$1,500
$2,000
$2,500
Canada(Nova
Scotia)
Spain France Switzerland Germany India Chile Argentina USA
Scanning and Imaging FeesAngiogram ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 4
$98 $122 $123 $141 $148
$228
$354 $425
$219
$584
$1,657
$-
$200
$400
$600
$800
$1,000
$1,200
$1,400
$1,600
$1,800
Argentina Canada(Nova
Scotia)
Spain France India Chile Germany Switzerland USA
Scanning and Imaging FeesCT Scan: Abdomen ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 5
$43 $78 $122 $123
$141 $184
$272 $319
$95
$510
$1,545
$-
$200
$400
$600
$800
$1,000
$1,200
$1,400
$1,600
$1,800
India Argentina Canada(Nova
Scotia)
Spain France Chile Germany Switzerland USA
Scanning and Imaging FeesCT Scan: Head ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 6
$64 $89 $122 $123 $141
$158
$319 $354
$193
$522
$1,481
$-
$200
$400
$600
$800
$1,000
$1,200
$1,400
$1,600
Argentina India Canada(Nova
Scotia)
Spain France Chile Switzerland Germany USA
Scanning and Imaging FeesCT Scan: Pelvis ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 7
$116 $138 $245 $281
$478
$599
$903
$503
$1,080
$2,758
$-
$500
$1,000
$1,500
$2,000
$2,500
$3,000
Argentina India Spain France Chile Germany Switzerland USA
Scanning and Imaging FeesMRI ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 8
$236 $380 $515 $632 $655 $690
$934 $1,552 $1,449
$3,949
$11,496
$-
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
India Argentina Spain Germany France Switzerland Australia Chile USA
Hospital ChargesCost Per Hospital Day ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 9
$1,473 $1,825 $2,479 $3,396 $4,948 $4,566
$5,004 $4,410
$15,734
$49,878
$-
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
Argentina Spain Australia France Chile Switzerland Germany USA
Hospital ChargesCost Per Hospital Stay ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 10
$1,291 $1,967
$2,157 $2,414 $2,536
$3,195 $3,589
$6,201
$8,495
$6,993
$9,280
$15,236
$-
$2,000
$4,000
$6,000
$8,000
$10,000
$12,000
$14,000
$16,000
Argentina India Germany Spain France Canada(Nova
Scotia)
Chile AustraliaSwitzerland USA
Total Hospital and Physician CostsNormal Delivery ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 11
$1,640 $2,164 $3,159
$3,441 $3,589 $4,625
$5,980
$9,548
$12,318
$10,137
$14,374
$24,339
$-
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
Argentina India Spain Germany Chile France Canada(Nova
Scotia)
AustraliaSwitzerland USA
Total Hospital and Physician CostsC-Section ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 12
$597 $885
$1,356
$1,855 $2,358 $2,514
$3,140
$3,591
$5,310
$2,452
$3,748
$7,806
$-
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
Argentina India France Spain Canada(Nova
Scotia)
Germany Chile AustraliaSwitzerland USA
Total Facility and Physician CostsCataract Surgery ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 13
$254 $1,030
$2,615 $3,093 $3,164
$4,926 $5,509 $5,606 $5,840
$7,756
$13,003
$27,797
$-
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
India Argentina Spain Germany France Australia Chile Canada(Nova
Scotia)
Switzerland USA
Total Facility and Physician CostsAppendectomy ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 14
$3,589 $4,308
$11,353 $11,418 $12,023 $15,684
$16,945 $17,521
$25,604 $23,535
$38,017
$80,374
$-
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
$90,000
Argentina India France Germany Spain Chile Canada(Nova
Scotia)
SwitzerlandAustralia USA
Total Hospital and Physician CostsHip Replacement ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 15
$4,525 $9,319
$16,140 $16,578 $17,908 $20,505
$25,486
$38,891 $40,954 $42,951
$67,583
$138,050
$-
$20,000
$40,000
$60,000
$80,000
$100,000
$120,000
$140,000
$160,000
India Argentina France Germany Spain Chile SwitzerlandAustralia Canada(Nova
Scotia)
USA
Total Hospital and Physician CostsCoronary Artery Bypass ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 16
$2,557 $2,972 $5,857 $6,189
$8,499 $9,913 $10,060 $10,559
$12,212 $15,627
$57,374
$-
$10,000
$20,000
$30,000
$40,000
$50,000
$60,000
$70,000
India Argentina France Germany Spain Australia Canada(Nova
Scotia)
Chile Switzerland USA
Total Facility and Physician CostsAngioplasty ($US)
$26,524
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 17
$9 $11 $16
$23 $30
$40 $45
$64 $64
$89
$162
$-
$20
$40
$60
$80
$100
$120
$140
$160
$180
Argentina Spain India France Canada(Nova
Scotia)
Germany Chile Switzerland USA
Physician FeesRoutine Office Visit ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 18
$160 $226 $340 $449 $460
$1,048
$1,639
$2,326
$7,222
$-
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
Argentina Germany Spain France Canada(Nova
Scotia)
Chile Australia USA
Physician FeesNormal Delivery ($US)
$3,390
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 19
$185 $402 $442 $597
$749 $1,048
$1,877
$2,783
$4,086
$-
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
$7,000
$8,000
$9,000
Argentina Germany Spain Canada(Nova
Scotia)
France Chile Australia USA
Physician FeesC- Section ($US)
$8,059
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 20
$150
$337 $433
$609 $688
$1,152
$1,423
$626
$946
$-
$500
$1,000
$1,500
$2,000
$2,500
Argentina France Spain Germany Canada(Nova
Scotia)
Australia Chile USA
Physician FeesCataract ($US)
$2,173
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 21
$148 $239 $258
$401
$577
$696
$1,463
$659
$-
$500
$1,000
$1,500
$2,000
$2,500
Argentina Spain Germany Canada(Nova
Scotia)
France Australia Chile USA
Physician FeesAppendectomy ($US)
$2,171
$1,007
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 22
$462 $644
$872 $1,011
$1,123
$2,500 $2,513
$2,051
$-
$1,000
$2,000
$3,000
$4,000
$5,000
$6,000
Argentina Germany Canada(Nova
Scotia)
France Spain Chile Australia USA
Physician FeesHip Replacement ($US)
$5,379
$2,966
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 23
$3 $19 $23
$36 $50
$52 $56
$69
$176
$193
$357
$-
$50
$100
$150
$200
$250
$300
$350
$400
India Argentina France Canada(Nova
Scotia)
Chile Spain Germany Switzerland USA
Drug Prices Nexium ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 24
$42 $49
$51 $61
$68
$74 $87
$109
$160
$163
$172
$-
$20
$40
$60
$80
$100
$120
$140
$160
$180
$200
Spain France Argentina Switzerland India Canada(Nova
Scotia)
Chile Germany USA
Drug PricesPlavix ($US)
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 25
$10 $14
$36 $37 $44
$74 $78 $81
$95
$119
$138
$-
$20
$40
$60
$80
$100
$120
$140
$160
India Spain Argentina France Canada(Nova
Scotia)
Germany Chile Switzerland USA
Drug PricesLipitor
USA Commercial Average USA Commercial Low USA Commercial 95th Percentile
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FOR ILLUSTRATIVE PURPOSES ONLY 26
9.5%
11.4%11.6% 11.8%
17.4%
0%
4%
8%
12%
16%
20%
Spain Switzerland Germany France United States
Health Spending as % of GDP
Source: OECD Health Spending 2009 (2008 for Australia)
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List of Federation Member Plans
Source and Notes for Prices by Country
Survey Data Constraints and Limitations
Submission Overview
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List of Federation Member Plans Argentina
Omint Sa De Servicios
Australia
Australian Unity Health Limited
BUPA Australia Limited
GMHBA Limited
HBF Health Funds Inc
Hospitals contribution Fund of Australia
Health Partners
Medibank Private
Navy Health Limited
NIB Health Funds Limited
Police Health
RT Health Fund
Teachers Federation Health Limited
Teachers Union Health
Belgium
Medicover
Association Internationale de la Mutualite
Nationaal Verbond van Socialistiche Mutualiteiten
Union Nationale des Mutualities Libres (MLOZ)
Canada
Alberta Blue Cross Plan
Canassurance Hospital Service Association
Group Medical Services
Manitoba Blue Cross
Medavie Blue Cross
Pacific Blue Cross
Saskatchewan Blue Cross
Chile
Banmedica
China
BUPA China Representative Office
Denmark
Danmark Sygeforsikring
Dominican Republic
Ars Humano
France
Malakoff Mederic
Germany
AXA Krankenversicherung AG
Munich Health
Greece
Interamerican Life Insurance Company
Hong Kong
BUPA (Asia) Limited
HSBC Medical Insurance Limited
India
MAX BUPA Health Insurance Limited
Ireland
VHI Healthcare Limited
Italy
Unisalute
Mauritius
Administrators & Consultants Limited
Netherlands
Achmea Health
New Zealand
Southern Cross Healthcare
Health Fund Association of New Zealand
Uniion Medical Benefits Society
Nigeria
Total Health Trust Limited
Saudi Arabia
BUPA Middle East
South Africa
Discovery Health Medical Scheme
Bonitas Medical Fund
Chartered Accountant (SA) Medical Aid Fund
Discovery Health
La-Health Medical Scheme
Medihelp
Polmed
Transmed
Spain
Compaia de Seguros Adeslas SA
Sanitas SA
Switzerland
Helsana Versicherungen AG
Sanitas
Thailand
BUPA Health Insurance (Thailand)
Limited
United Kingdom
AXA PPP Healthcare
BUPA
InterGlobal Insurance Company
Europe Assistance Holdings
Healthways International Limited
Simplyhealth Group
Western Provident Association
Westfield Contributory Health Scheme
USA
Aetna Inc
Emblem Foundation Health Plan
Tufts Health Plan
UnitedHealth Group
America's Health Insurance Plans
Blue Cross & Blue Shield Association
HIP Health Plan of New York
Kaiser Foundation Health Plan Inc
The Trizetto Group
Zimbabwe
CIMAS Medical Aid Society
The Medical Aid Society of Central Africa
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29
Sources and Notes For Prices by Country
Argentina Prices represent a weighted average of prices across three systems: a
public system (50%), a social security system (38%) and a private system
(12%).
Australia Prices represent fees paid by a private health plan. Primary care,
diagnostics and drugs are not covered by private health insurance.
Chile Prices represent private sector fees paid by a private health plan.
Newborn care is included in normal delivery and c-section prices. There
are two methodology changes from the 2010 survey. In that survey, the
angioplasty price represented the cost for the stent; the cost per hospital
day only included the cost for the room. The 2011 prices presented
include the full costs for these procedures. This has increased the cost
from those presented last year.
Canada Prices represent public sector fees for the province of Nova Scotia; the
2010 survey prices were drawn from the province of New Brunswick.
Pricing varies across provinces. The price shown for Nexium reflects the
price for the substitute Losec. Lipitor price reflects the generic equivalent.
Cataract surgery facility and physician price reflects fees for day surgery.
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30
France Prices are submitted by a private health plan, and represent a blend of
public and private sector prices. Drug prices reflect prices paid by patients
in pharmacies outside of hospitals.
Germany Prices represent fees paid by one private sector health plan. Cataract
facility and physician price is for an inpatient setting. Newborn care is not
included in normal delivery and C-section pricing.
India Prices represent private fees paid by one private sector health plan. Lipitor
price is for generic substitute.
Spain Prices represent fees paid by one private sector health plan.
Switzerland Prices represent public sector fees. Public sector inpatient fees in 2010 did
not include costs paid by the cantons; in this years survey this has been
corrected so that prices include these payments. Cataract surgery facility
and physician price is for an outpatient setting.
Sources and Notes For Prices by Country
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31
United States U.S. costs are based on commercial claims data from Thompson Reuters
MarketScan Research Databases. The claims data was compiled by
Deloitte Consulting LLP on behalf of Kaiser Permanente Health Plan. Any
opinions or conclusions expressed herein regarding the data are not those
of Deloitte Consulting LLP. Because a broad range of prices were
available, the national 25th percentile (low), average, and 95
th percentile
are presented.
Cataract surgery price reflects outpatient procedures. Angioplasty price
reflects a blend of inpatient (67%) and outpatient (33%) prices, based on
relative utilization in each setting. Appendectomy price reflects a blend of
inpatient (61%) and outpatient (39%) prices, based on relative utilization in
each setting.
Normal delivery and C-section pricing includes prenatal and post-natal
care.
Cost per day and cost per admission were calculated by pooling all
admissions and calculating percentiles and averages.
Source and Notes For Prices by Country
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Survey Data Constraints and Limitations
Due to data availability, public, private, mixed and/or blended fee schedules
were used. Mixture of fee schedule types complicate comparisons
There are different scan and imaging fee structures across countries e.g.,
all scans may be a single price across many scan and/or imaging
procedures, while other countries have different prices depending on the
type of scan / imaging procedure
Drug prices may vary because of differing pricing systems. Some prices
include taxes, dispensing fees, etc while others do not.
Single plans data might not be representative of the overall prices and fees.
Some fees are snapshots in time (e.g., as of a specific date), while other
fees represents of a certain time period (e.g. charges based on claims
database).