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California – Average Inpatient and Outpatient Hospital Prices, 2016

Find prices for CA hospitals including Kaiser and Shriners. Inpatient prices are listed in the complicated Charge Master, which shows the charge for every pill, lab test and hospital room rate. MRI and CT tests should be included. More useful are the outpatient files (look for Common25 in the filename), which list the average cost (charge) for top 25 types of outpatient procedures or surgery with CPT code). Hospital Outpatient reports may show prices for Emergency Dept. visit, lab tests, CT, MRI, Mammo, x-ray, ultrasound, PT visit, Arthroscopy, colonoscopy, hernia repair, gall bladder removal, etc., depending on their highest volume. Files are in Excel file format. Prices are from June 2016. Consumers can see one hospital at a time

Colorado 2016 Hospital Charges and Insurance Payments

Find average 2016 cost across CO for more than 50 types of hospitalizations. Click on View Reimbursement by Diagnosis or Insurance Provider to see average total charge, and what the insurance company reimbursement is. While the patient’s responsibility is not shown, we appreciate the transparency between prices and amounts paid. Example: Major joint replacement without complications priced at $77,000 had an average insurance payment of $27,520. Uncomplicated delivery was priced over $15,000, with insurance companies paying $7377. Similar for newborns – $5000 average price, insurance paid $2500. Consumers are also able to see actual hospital prices (Click View Hospital Charges, then select procedure). Example: Average price for major joint replacement at hospitals that performed at least 100 procedures, ranged from $38,386 in Montrose, to $134,232 at Presbyterian St Lukes in Denver; midrange price across hospitals was about $71,000. Published by the State Department of Regulatory Agencies, Division of Insurance, and Colorado Hospital Association

Florida Inpatient Hospital Ratings, Price Range, Satisfaction, Readmissions

Search condition, readmission rates, infections, volume, length of stay and range of charges (price range), 2016-2017 data. All age groups (not just Medicare), extensive set of health conditions/diseases, and the ability to rank order by top hospitals at the head of the list. Patient satisfaction results also shown. Definitions at this site are not always easy to find. Click on the hospital name to additional information about the hospital. Hysterectomy listed under Women’s Health instead of Surgery. FloridaHealthFinder.gov

Illinois Hospital and Ambulatory Surgery Center Ratings and Prices (IDPH)

Compare IL hospitals on heart attack, heart failure, pneumonia, surgical infection prevention, knee arthroscopy, cardiac surgery, safety measures, infection rates, some survival information, patient satisfaction, more. See volume and 2016 median charges (closest you’ll get to average cost) for selected types of inpatients (e.g. birth, c-section, appendectomy, COPD, gall bladder), and outpatients at ambulatory surgery centers (such as bunionectomy, hernia repair, colonoscopy, lens, lumpectomy, tonsillectomy). Prices may be found under the SERVICES tab. May get a full report for one hospital at a time, or one measure at a time for multiple hospitals side-by-side, with state averages. Hospital Report Card by IL Dept. of Public Health (IDPH) for all IL cities incl. Chicago area, Peoria, Rockford, Springfield, Champaign. Updated 2018, using 2016 data

Indiana Hospitals – 2017 Financial Reports

Acute care hospitals in Indiana report revenue, expenses, and some community education & training activities for 2017. Site by IN State Department of Health. Last updated 2018

Maine – Average Charge for Hospital and Doctor Visits (2015-2016)

Typical vaginal delivery costs (charges) in Maine in 2015 to Dec. 31, 2016, averaged $11,707 for Childbirth delivery and 60 days of related care. (Does include physician care, but probably not newborn charges). Add $9000 for an uncomplicated C-Section. A few other charges by hospital, for hip or knee joint replacement, arthroscopy and gall bladder surgery. Find many median (middle) prices here physician office visits ($97 average cost for 15-minute appt for an established patient 99213), CT, MRI, x-ray, lab tests and more. Uses CPT codes. From Maine Health Data Organization in State of Maine

Maine Charges for Surgery, x-ray, imaging tests (MHDO)

Maine Health Data Organization’s website shows average charges (median prices) for surgery such as hip or knee replacement, shoulder arthroscopy, carpal tunnel, gall bladder removal; lab tests such as strep, blood tests, urine. Imaging tests such as mammogram, x-ray, CT, MRI, ultrasound. Good news is that both physician and hospital charges are shown to give you an idea of total cost (and discounts); CPT codes listed. Bad news: prices date from 2015-2016. From maine.gov

Maryland Hospital Prices, 2017

Compare volume and average charges (prices) at each MD hospital (by name) and statewide for 25 most common inpatient diagnoses (severity adjusted using APR-DRGs) – including newborns (avg. $2068), childbirth vaginal delivery ($7576), c-section (avg. $9646), heart failure, cardiac arrhythmia, pneumonia, COPD, septicemia, cellulitis ($8578), knee joint replacement (avg. $22,046), major depression ($10,362), bipolar admissions ($9537 state avg), schizophrenia ($13,047) stroke, urinary tract infections ($8457) and rehabilitation ($25,161). Data from 2017. State average not included for things like cancer, hysterectomy, digestive problems, but may be available for individual hospitals. Each hospital reports its top 100 types of cases. By MD Health Care Commission MHCC 2018

Minnesota: How Much Does It Cost? (word doc)

Short document from the Minnesota Council of Health Plans, 2007, displays average charges (from 2006) for nearly 40 common medical treatments (including endoscopy, ear tubes, tonsillectomy, having a baby, hysterectomy), using Minnesota data. An interesting comparison is the cost for the same problem (e.g. sore throat or ear ache), depending on whether the patient seeks office care, urgent care or ER care. This report adds together charges from both the hospital and the physician – not commonly seen in reports of charges. In a time when price data are so difficult to get, even this old report is worthwhile as a starting point. After all, did you know that an acute asthma attack visit to the ER could cost nearly $1000, pediatric ear tubes might cost at least $4200, or that a colonoscopy could be a $2300 question? (And this was BEFORE 12 years of steady price increases!)

Missouri Typical Inpatient and ER Charges and Hospital-Specific Volumes

Click on Find a Hospital, then Pricing Data to find Median charges for common inpatient medical conditions and surgeries at Missouri hospitals. Range of charges, average length of stay, and number of cases per year shown. Childbirth, maternity, mental health, hip and knee surgery, heart care, etc. Must know the general body system (such as musculoskeletal) in order to search inpatient prices. Emergency department prices are separately shown by level. 2016 prices

Montana Hospital Inpatient Charges – Compare Prices

Montana PricePoint shows median and average charges at MT hospitals for inpatient stays (2016 prices), including newborns, deliveries, Cesarean section, knee or hip replacement, rehab, psychiatric hospitalization, back problems, heart failure, stent, chest pain, bowel surgery, more. Length of stay also shown. An admission for Psychoses averaged 6.3 days with a median charge of $10,400 and average $13,838 in 2016. Joint replacement was $39,052 average, 5.1 day stay. PricePoint site by MHA-An Association of Montana Health Care Providers

Nevada PricePoint (Hospital Inpatient Charges)

Find average price and typical charges for 67 types of inpatient hospitalizations in NV. Examples: childbirth prices, COPD, heart surgery, pacemaker, stents, hip & knee surgery, digestive problems, psychiatric hospitalization, rehab. Average length of stay in the hospital also given. Choose Comprehensive Query for prices on many other conditions not on the Basic list. Get one hospital/one disease or condition at a time, then select other hospitals to compare; 2014 charges shown. Must inflate and add physician fees to estimate 2018 average costs. Sponsored by the Nevada Hospital Association

Oklahoma – Average Hospital Inpatient Charges

Find the average charge (closest available to inpatient cost) for a hospital stay (compare hospitals) by Principal Diagnosis (i.e., disease) or DRG. Statewide or county-specific statistics on volume and average length of stay also found in this dataset. May specify data for a certain age group and sex. Geared to researchers and health care professionals, rather than for consumers. If this website was meant for consumers, it would get the User-Unfriendly Award due to its complicated diagnosis choice sections. 2014 data are the most recent available from OK2SHARE by the OK State Dept. of Health’s Health Care Information

Pennsylvania Hospital Performance Report 2016 | PHC4 Editor's Pick

Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Sixteen (16) conditions in the pdf reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, laparoscopic gallbladder removal, COPD, colorectal surgical procedures, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. Older reports may contain additional conditions. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival (we think). No orthopedic (hip or knee) surgery included. Data from Oct. 2015 to Sept. 2016.

South Carolina – Average Medicaid Payments for Health Care Services – 2012

SC Department of Health & Human Services shows how much the state paid for Medicaid costs, by type of service. It appears that the average amount paid per visit was about $38 (physician) and $88 (clinic); and $5256 for a hospital inpatient stay. Consumers can also compare what each provider was paid by downloading the full datasheet (Excel file). Full charges (prices) are NOT shown. Medicaid Transparency Reporting project, FY 2012 data is latest available

South Dakota Charges for Inpatient Hospital Stays – 2016

Find out and compare SD hospitals on 2016 average charges, or median (typical) price. After you select one hospital, you can see the average charge in all of South Dakota (e.g. avg $4714 for normal newborn, or $3682 median. Vaginal delivery for mom was $9948 average, and $9203 median. C-section average $21,448.) All common hospitalizations shown, such as births and maternity delivery, knee replacement (average price about $46,000), heart failure, pneumonia, bowel procedures, COPD, angioplasty, kidney transplants (median $232,218), inpatient laparoscopic gallbladder removal (avg $44,342, but $44k to $46k avg. in Sioux Falls) and much more. Also shows volume and length of stay. PricePoint site sponsored by SDAHO (hospital association)

South Dakota Hospital prices – by name of hospital

SD PricePoint shows average inpatient charges and typical (median) prices for 2016 at South Dakota hospitals. Can see one hospital at a time, or compare to hospitals within the same city for one type of hospitalization. Can select additional cities to add comparisons. Link has been added to cross-reference quality scores, however it was not operating correctly in Feb. 2018. Site by SDAHO, the state’s hospital association

Utah Hospital Charges, Market Share and Case Mix, 2014 (pdf)

This file is for administrators who want to examine UT hospital market share by DRG (62 DRGs) or APR-DRG or MDC, or Average Prices and Length of Stay, or case mix trends from 2014. Discharge status (e.g. to home care, or expired, etc.) also provided. Average statewide charges start on page 18; hospital-specific information starts on page 24. Sample average 2014 prices: Major joint replacement $41,224; uncomplicated delivery $7622, normal newborn $2829, and Psychoses $19,073 (9.7 day average length of stay). Title: 2014 Utah Inpatient Hospital Utilization and Charges Profile – Hospital Detail is 450 pages long; released by UT Health Data Committee, UT Dept. of Health, 2016

Utah Inpatient Hospital Charges, 2014 – Utah PricePoint

Utah provides average charges (price) statewide, and on a hospital-specific basis for many common inpatient stays, such as pneumonia, stroke, appendectomy, hip and knee procedures, gall bladder surgery, hysterectomy, heart failure, heart attack, chest pain, coronary bypass, heart valve procedures, vaginal and cesarean deliveries, newborn births, chemotherapy, psychoses, alcohol or drug abuse, rehabilitation, back and neck procedures, digestive disorders, abdominal surgery, nutritional/metabolic problems, transplants and much more. To find psych admission costs, for example, you will need to click on LOOKUP. Volumes (2014 data) and length of stay are included; does not include average cost for physicians. Consumers may adjust for 2018 costs by adding 4-year price inflation. As with other PricePoint Systems, view one UT hospital at a time. Utah Hospital Assn

Utah Maternity Costs: Compare Hospital Quality and Charges

Median hospital cost for Utah maternity care in 2011 to 2013 was about $11,000 to $12,000 (vaginal, depending on having an epidural); about $15,000 for Cesarean delivery. Compare 2014 prices by hospital name for maternity care (covers mother and baby) for 2014. Shows median (middle) price, and the min-max range of costs for hospital care. Maternity quality measures are also shown – click on the hospital name to see the full, detailed report. Utah HealthScape website is published by Health Insight, a QIO Quality Improvement Organization.

Vermont – Inpatient Hospital Market Share 2015 – Counts

State of Vermont (Act 53 Hospital reports) lists volume of inpatient hospital admissions for each VT hospital, along with the average price (charge) for the top 50 types of admission (by MS-DRG). See Financial and Pricing Information – Counts. 2017 report cards show counts to calculate market share for year ending Sept. 30, 2015

Virginia Healthcare Prices (2015)

Find average price ALLOWED in 2015 for 30 common healthcare services, including hospitalizations (maternity), outpatient xray/imaging, CT and MRI tests; colonoscopy, mammogram; inpatient or ambulatory surgery (e.g. hernia, gall bladder, knee replacement, tonsillectomy, kidney stones); and ER or office visits. Shows costs but doesn’t identify if it’s facility cost only or INCLUDES the surgeon or other physician fees. Each service shows the average allowed amount that you or your insurance plan paid in 2015. More relevant than most pricing information, but confusing because of the doctor fee questions. From Virginia Health Information (VHI), updated Dec. 2016

Virginia Hospitals – Inpatient Charges (PricePoint System)

Check prices (charges), volume, and average length of hospital stay for more than 100 types of common hospitalizations in Virginia. Side-by-side comparisons if you select additional hospitals. Topics include costs for childbirth, delivery, newborn, C-Section; mental health, depression, psychiatric, alcohol rehab; hip or knee surgery; heart failure, chest pain, cardiac cath, bypass, heart transplant, pacemaker, valve, stent; pneumonia, rehabilitation, digestive disorders, small or large bowel surgery, back and neck problems, spinal fusion, bone cancer and more. Includes state and regional average charges. Provided by the VA Hospital & Healthcare Association (VHHA); PricePoint systems, 2016 data

Washington (state) Hospital Inpatient Prices

Find out the typical charges (2016 prices) to estimate the average cost of hospital surgery or medical problems. About 60 types, including maternity care, psychiatric hospitalization and digestive problems, are covered. Shows one hospital at a time similar to other state pricepoint systems. Presented by the WA State Hospital Association (WSHA)

Wisconsin Hospital Volumes & Average Charges 2016

Two-page summary for each WI hospital’s number of births, and other types of inpatient stays: Stroke, Knee replacement (APR-DRG 302), hip replacement (301), COPD, Pneumonia, Heart Failure, Bowel surgery, Septicemia, Psychoses, etc. Average (facility) charges for 2016 also shown; excludes physician and surgeon fees. Released by WHA Information Center August 2017

Wisconsin Hospitals PricePoint (Average Inpatient Prices)

Median charge and length of stay for common hospitalizations including maternity and newborn births, hip or knee replacement surgery, gallbladder removal, heart surgery, angioplasty, arrhythmia (irregular heartbeat), valves, cardiac cath, pacemaker, pneumonia, bipolar and other mental health, stroke, back care, asthma, COPD, rehab; kidney, heart, lung or other transplant; hysterectomy, prostate surgery, bowel surgery & more. Also shows inpatient volumes if you click on more detail. From WHA Information Center, part of the Wisconsin Hospital Association WHA Information Center. Surgeon fees NOT included, nor are dates shown. Compare hospitals by city (anywhere in the state by adding cities). Wisc. Hospital Assn. created the PricePoint System now used in other states; this version has been modified to be payer-specific.

Wyoming Hospital PricePoint – compare hospital costs

Compare inpatient charges in Wyoming for 60 common types of hospital admissions, like childbirth, hip or knee joint replacement, surgery, heart valves or stents, pneumonia, psychiatric admission, rehab, and many more. Average cost in WY is also shown. Site shows one hospital at a time, and uses clinical names instead of layperson language for the illnesses. WyoPricePoint by the Wyoming Hospital Association, shows 2013-2014 prices

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