医疗保险与医疗补助服务中心(CMS)要求每家美国医院为其提供的服务提供公开的在线定价信息。这使得患者在接受治疗前可以比较不同医院体系的价格。本项目的目的是评估医院遵守规定和普通乳腺癌手术程序的价格透明度对患者的可达性。 选择了62岁女性患有T2N0乳腺癌的样本病例。患者可以选择进行部分乳房切除术或乳房切除术，两者都包含前哨淋巴结活检(SLNB)。评估了8个马萨诸塞州的学术医疗中心。每家医院都在其网站上配备了成本计算器。作者为每个医院系统和手术过程使用样本病例进行了搜索。 部分乳房切除术、乳房切除术和SLNB的平均成功率分别为58%、35%和25%。成功尝试的中位数到达成本计算器工具的时间为32秒(范围为25-37秒)。在成功的尝试中，部分乳房切除术的预估保险前成本的中位数为$16,509(范围为$11,776-$22,169)，而乳房切除术为$24,541(范围为$16,921-$25,543)，SLNB为$12,342(范围为$4034-$20,644)。不同医院的SLNB成本存在显著差异(p=0.025)，但是部分乳房切除术或乳房切除术没有观察到统计学上显著的差异。 尽管CMS推出了面向手术程序增加价格透明度的新的监管要求，但我们的研究结果表明，获得成本估计的成功率很低，并且报告的医院收费存在显著的变异性。进一步努力改进医院成本估算器的质量对于乳腺癌患者的知情决策是必要的。©2023年。外科肿瘤学会。

The Centers for Medicare & Medicaid Services (CMS) mandate that every US hospital provide public online pricing information for services rendered. This allows patients to compare prices across hospital systems before establishing care. The goal of this project was to evaluate hospital compliance and patient-level accessibility to price transparency for common breast cancer surgical procedures.A sample case of a 62-year-old female with a T2N0 breast cancer was chosen. The patient would have the option of undergoing a partial mastectomy or mastectomy, both with sentinel lymph node biopsy (SLNB). Eight Massachusetts academic medical centers were evaluated. Searches were performed by authors for each hospital system and procedure using the sample case.Every hospital had a cost calculator on its website. The average success rate of establishing a cost for partial mastectomy, mastectomy, and SLNB was 58, 35, and 25%, respectively. The median time to reach the cost calculator tool was 32 s (range 25-37 s). In successful attempts, the median pre-insurance estimated cost of a partial mastectomy was $16,509 (range $11,776-22,169), compared with $24,541 (range $16,921-25,543) for mastectomy and $12,342 (range $4034-20,644) for SLNB. SLNB costs varied significantly across hospitals (p = 0.025), but no statistically significant difference was observed for partial mastectomy or mastectomy.Despite new regulatory requirements by CMS for increased price transparency for surgical procedures, our results demonstrate poor success rates in obtaining cost estimates and significant variability of reported hospital charges. Further efforts to improve the quality of hospital cost estimate calculators are necessary for informed decision-making for patients with breast cancer.© 2023. Society of Surgical Oncology.