• Hannah L Semigran, Rebecca Gourevitch, Anna D Sinaiko, David Cowling, and Ateev Mehrotra.
• Harvard Medical School, 180 Longwood Ave, Boston, MA 02115. E-mail: mehrotra@hcp.med.harvard.edu.
• Am J Manag Care. 2017 Jun 1; 23 (6): e186-e192.

ObjectivesDriven by the growth of high deductibles and price transparency initiatives, patients are being encouraged to search for prices before seeking care, yet few do so. To understand why this is the case, we interviewed individuals who were offered access to a widely used price transparency website through their employer.Study DesignQualitative interviews.MethodsWe interviewed individuals enrolled in a preferred provider organization product through their health plan about their experience using the price transparency tool (if they had done so), their past medical experiences, and their opinions on shopping for care. All interviews were transcribed and manually coded using a thematic coding guide.ResultsIn general, respondents expressed frustration with healthcare costs and had a positive opinion of the idea of price shopping in theory, but 2 sets of barriers limited their ability to do so in reality. The first was the salience of searching for price information. For example, respondents recognized that due to their health plan benefits design, they would not save money by switching to a lower-cost provider. Second, other factors were more important than price for respondents when choosing a provider, including quality and loyalty to current providers.ConclusionsWe found a disconnect between respondents' enthusiasm for price shopping and their reported use of a price transparency tool to shop for care. However, many did find the tool useful for other purposes, including checking their claims history. Addressing the barriers to price shopping identified by respondents can help inform ongoing and future price transparency initiatives.

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