Impact of Socio-Economic Status on Hospital Admission Fare and Treatment Pricing
Abstract
Healthcare accessibility and affordability remain critical challenges in modern healthcare systems, with socioeconomic status (SES) playing a pivotal role in determining the financial burden of medical care.This study examines the relationship between socio-economic status and hospital admission costs and treatment pricing, focusing on how income levels, educational attainment, occupational status, and geographic location influence healthcare expenditures.Using a purposive sample of 150 patients from various hospitals, the research employs regression analysis and Analysis of Variance (ANOVA) to test hypothesized relationships between SES indicators and healthcare costs.The empirical findings reveal statistically significant associations between socio-economic status and hospital charges, with lower SES groups experiencing disproportionately higher financial strain relative to their income.Patients from higher SES backgrounds demonstrate greater access to insurance coverage, private healthcare facilities, and specialized treatments, while lower SES groups face barriers including delayed treatment-seeking, reliance on public hospitals, and catastrophic health expenditures.The study identifies four key dimensions influencing healthcare costs: (i) income and insurance coverage status, (ii) educational attainment and health literacy, (iii) occupational category and employer-provided benefits, and (iv) geographic location and facility type.Results indicate that income level is the strongest predictor of out-of-pocket healthcare expenditure (β = -0.542,p < 0.001), explaining 29.4% of the variance in treatment costs.Educational attainment shows a moderate negative correlation with healthcare expenses (β = -0.398,p < 0.001), as health literacy enables better navigation of healthcare systems and preventive care practices.Occupational status significantly influences access to employer-sponsored insurance and subsidized care (F = 47.32,p < 0.001), with formal sector employees experiencing 58% lower out-of-pocket costs compared to informal sector workers.Geographic disparities reveal that rural patients face 34% higher costs for equivalent treatments compared to urban counterparts, attributed to transportation costs, limited facility availability, and delayed care-seeking.The findings underscore the urgent need for policy interventions addressing healthcare inequity.The study recommends comprehensive health insurance schemes targeting low-SES populations, sliding-scale payment structures based on income verification, community health education programs to improve health literacy, and expanded public healthcare infrastructure in underserved areas.These insights have significant implications for healthcare policymakers, hospital administrators, insurance providers, and social welfare organizations working to achieve universal health coverage and reduce socio-economic disparities in healthcare access.
Fields of Study & Subjects
Healthcare Policy and Management
Global Health Care Issues
Healthcare Systems and Reforms
Publication details
- Journal / source
- International Research Journal of Modernization in Engineering Technology and Science
- Publication date
- 5 January 2026