Payments to Radiologists, Anesthesiologists, and Pathologists

HRD-87-114BR: Published: Jul 20, 1987. Publicly Released: Jul 28, 1987.

Additional Materials:


Office of Public Affairs
(202) 512-4800

Pursuant to a congressional request, GAO provided information on: (1) Medicare reimbursements for radiologists, anesthesiologists, and pathologists (RAP); and (2) the market structure for RAP services.

GAO found that Medicare generally pays RAP on the same basis as other physicians, but limits reimbursement for: (1) inpatient radiology services because radiologists' capital costs for such services are lower; and (2) anesthesiology support services. GAO also found that: (1) many RAP have written or verbal agreements with their hospitals that grant them exclusive rights to perform RAP services; (2) hospitals have little incentive to control costs in contracting for RAP services, and the market is not affected by competition; (3) RAP are among the physicians with the highest net income and the highest return on medical education costs; (4) Medicare has no special requirements for prepayment review of RAP claims; and (5) there was considerable variation in Medicare payments for RAP services among the geographic areas that it examined.

Sep 15, 2016

Sep 14, 2016

Sep 12, 2016

Sep 9, 2016

Sep 6, 2016

Aug 31, 2016

Looking for more? Browse all our products here