Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Flash sale: A $49 colonoscopy

Michael Kirsch, MD
Physician
November 10, 2016
Share
Tweet
Share

Cleveland took a major economic hit a few years back when United Airlines cut most of its flights from our city. An airport is the heart of a metropolis. Lack of direct flights means that business meetings, leisure travel, conventions and trade shows will likely opt for more convenient locales. This was a business decision for United which I am sure was rational. Nevertheless, their gain was our loss.

As a result, we have had several low-cost carriers swoop in to gain market share, like Frontier, Spirit, JetBlue and Allegiant. Not a day goes by that I don’t receive an email blast from one of them announcing fares “so low” that it seems simply not possible. Many of the stated fares are less than it would cost me to drive to the destinations. How do they do it?

Of course, the fare price that is stated is not what you will pay. The total cost of your flight has been fractionated, resulting in an a la carte payment system where every additional service adds to the cost. The airlines justify this with idiotic PR pronouncements that state that this payment system serves the customer who can only purchase the services he actually needs.

The fallacy here is that most travelers will need to purchase several airline services. That low bait price is deceptive as nearly no traveler will pay it. I suppose that if you were traveling without luggage, were departing at convenient times such as 2 a.m., eased yourself into the commodious middle seat and brought a carry on piece the same size of the pencil cases we used in elementary school, then you could actually pay the base price. If however, you have any checked luggage or carry-on items, want to choose your own seat, want enough legroom to allow some circulation to reach your toes, want a beverage, want an oxygen mask that works or want a flotation device that floats, then you will pay for every one of these luxurious upgrades.

Even with all of their pick-pocketing, the costs are still generally less than conventional airlines. But the gap between them is less than you might think.

Perhaps, this is how we should market colonoscopies.

COLONOSCOPY for $49!

Once we’ve signed up the customers, we would review some of the optional services that they may wish to purchase to enhance their colonoscopy experience. Just like with the airlines, they are free to bypass these extras and can then pay our low base price. Here are some of the high-end upgrades available to those who want a Cadillac colonoscopy:

  • Greeting from the receptionist
  • A properly disinfected instrument
  • Supplemental oxygen
  • Sterile needles
  • Economy-class anesthesia
  • Business-class anesthesia
  • Treatment for side effects of anesthesia
  • Monitoring vital signs beyond initial free blood pressure check
  • Sober nurses
  • Charge for withdrawing the colonoscope (base charge only includes insertion of the instrument)
  • Use of the restroom before or after the procedure
  • Forward report to the referring physician
  • Explain results to your family members (base charge includes ‘thumbs up’ or ‘thumbs down’ gestures only)

There’s no reason that this pricing approach couldn’t apply to your business. Soon, we’ll be reading ads for new cars for $2,500, vacations to exotic beaches for $149, five-star restaurant meals for $7 and a remodeled kitchen for just $99!

Why not just tell us the truth? How much extra would that cost?

Michael Kirsch is a gastroenterologist who blogs at MD Whistleblower.

Image credit: Shutterstock.com

Prev

Might doctors be inclined to facilitate the deaths of patients they don't like?

November 10, 2016 Kevin 2
…
Next

Skyrocketing prescription prices force patients to skip meds

November 10, 2016 Kevin 2
…

Tagged as: Gastroenterology

Post navigation

< Previous Post
Might doctors be inclined to facilitate the deaths of patients they don't like?
Next Post >
Skyrocketing prescription prices force patients to skip meds

ADVERTISEMENT

More by Michael Kirsch, MD

  • Are Ozempic patients on a slow-moving runaway train?

    Michael Kirsch, MD
  • AI-driven diagnostics and beyond

    Michael Kirsch, MD
  • The surprising truth behind virtual visits

    Michael Kirsch, MD

Related Posts

  • A physician’s addiction to social media

    Amanda Xi, MD
  • How a physician keynote can highlight your conference

    Kevin Pho, MD
  • Chasing numbers contributes to physician burnout

    DrizzleMD
  • The black physician’s burden

    Naomi Tweyo Nkinsi
  • Why this physician supports Medicare for all

    Thad Salmon, MD
  • Embrace the teamwork involved in becoming a physician

    Nathaniel Fleming

More in Physician

  • Disruptive physician labeling: a symptom of systemic burnout

    Jessie Mahoney, MD
  • Medicine changed me by subtraction: a physician’s evolution

    Justin Sterett, MD
  • The hidden costs of the physician non-clinical career transition

    Carlos N. Hernandez-Torres, MD
  • The poet who changed my DNA

    Ryan McCarthy, MD
  • Why the real flex in life is freedom of time and self

    Preyasha Tuladhar, MD
  • Clinical attachment in medicine: How familiarity creates safety

    Nesrin Abu Ata, MD
  • Most Popular

  • Past Week

    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • ADHD and cannabis use: Navigating the diagnostic challenge

      Farid Sabet-Sharghi, MD | Conditions
    • Why private equity is betting on employer DPC over retail

      Dana Y. Lujan, MBA | Policy
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
  • Recent Posts

    • Waking up at 4 a.m. is not required for success [PODCAST]

      The Podcast by KevinMD | Podcast
    • Medical education’s blind spot: the cost of diagnostic testing

      Helena Kaso, MPA | Education
    • Disruptive physician labeling: a symptom of systemic burnout

      Jessie Mahoney, MD | Physician
    • Medicine changed me by subtraction: a physician’s evolution

      Justin Sterett, MD | Physician
    • Genetic mutations and racial disparities in leukemia survival

      Kurt Miceli, MD, MBA | Conditions
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Alex Pretti: a physician’s open letter defending his legacy

      Mousson Berrouet, DO | Physician
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
    • The elephant in the room: Why physician burnout is a relationship problem

      Tomi Mitchell, MD | Physician
    • ADHD and cannabis use: Navigating the diagnostic challenge

      Farid Sabet-Sharghi, MD | Conditions
    • Why private equity is betting on employer DPC over retail

      Dana Y. Lujan, MBA | Policy
    • Leading with love: a physician’s guide to clarity and compassion

      Jessie Mahoney, MD | Physician
  • Past 6 Months

    • Physician on-call compensation: the unpaid labor driving burnout

      Corinne Sundar Rao, MD | Physician
    • How environmental justice and health disparities connect to climate change

      Kaitlynn Esemaya, Alexis Thompson, Annique McLune, and Anamaria Ancheta | Policy
    • Will AI replace primary care physicians?

      P. Dileep Kumar, MD, MBA | Tech
    • A physician father on the Dobbs decision and reproductive rights

      Travis Walker, MD, MPH | Physician
    • What is the minority tax in medicine?

      Tharini Nagarkar and Maranda C. Ward, EdD, MPH | Education
    • Why the U.S. health care system is failing patients and physicians

      John C. Hagan III, MD | Policy
  • Recent Posts

    • Waking up at 4 a.m. is not required for success [PODCAST]

      The Podcast by KevinMD | Podcast
    • Medical education’s blind spot: the cost of diagnostic testing

      Helena Kaso, MPA | Education
    • Disruptive physician labeling: a symptom of systemic burnout

      Jessie Mahoney, MD | Physician
    • Medicine changed me by subtraction: a physician’s evolution

      Justin Sterett, MD | Physician
    • Genetic mutations and racial disparities in leukemia survival

      Kurt Miceli, MD, MBA | Conditions
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Flash sale: A $49 colonoscopy
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...