What's driving US cost inflation in 2026
Rising premiums, an average bronze ACA plan deductible around $7,186 (KFF), and broader insurance market disruption following the ACA enhanced-subsidy expiration are all pushing more patients toward self-pay pricing at or near list price — itself typically the highest, least-negotiated price point.
What's happening in destination markets
Colombia and other established destinations have generally grown accredited capacity roughly in step with rising demand, which has kept typical per-procedure pricing comparatively stable rather than climbing at the same rate as US costs.
The net effect on the savings gap
If US costs continue rising faster than destination pricing, the percentage and dollar savings this entire site tracks likely widen rather than narrow over the near term — a trend worth revisiting periodically via colombiamedical.co rather than relying on a single point-in-time comparison.
The Takeaway
The cost gap isn't static — and current trends suggest it's more likely to widen than close. Revisit specific pricing periodically rather than assuming an old quote still holds.