The last time your doctor said you needed an MRI, a diabetes medication, a breast biopsy, or some other test or treatment, did he or she think about — or even know — how much it would cost? Or discuss whether your insurance would cover it?

Most likely not, says Mitesh Patel. And this creates a problem.

Patel is a professor of medicine and health care management at the University of Pennsylvania’s Perelman School of Medicine and Wharton, and a senior fellow at the Leonard Davis Institute of Health Economics. He points out that medicine is the only business in which the person ordering a service or item — and the person receiving it — doesn’t know the price. “If I go to buy a pair of jeans, we know the jeans are $50. The person selling them knows it cost them $30 to make or obtain.”

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