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Leapfrog Hospital Quality Ratings – For Consumers (all states) Editor's Pick

The Leapfrog Group, an employer-based coalition, asks hospitals to voluntarily report how closely they follow recommended quality and safety practices. CLICK on the blue [i] to the right of each green bar chart to find out if your hospital meets survival expectations and volume standards of 50 High-Risk Delivery-Neonatal ICU patients per year. Info on infection rates and early elective cesarean deliveries also reported. Many hospitals participate; easy to compare. Updated for 2017, but period covered is unclear. Leapfrog was a pioneer in getting ratings in the public eye

Bunions

The American Academy of Orthopaedic Surgeons provides a detailed description of bunions, who gets them, surgical treatment options, many pictures and drawings. Does not discuss podiatrists

Hernia: Causes and Surgical Treatment

Excellent descriptions from the American College of Surgeons. Describes what groin hernia is, risk factors, differences between inguinal hernia and femoral hernia, and which ones are more common in men vs. women; hernia repair surgery

Hospital Infection Prevention Ratings – State-level

Compare hospitals in certain states on how well they prevent infections. Half the states (CA, CO, CT, DE, FL, IL, ME, MD, MA, MN, MO, NH, NJ, NM, NY, OH, OK, OR, PA, RI, SC, TN, VT, VA, WA) produce a report on healthcare infections. Consumers Union (the publisher of Consumer Reports), actively promotes public disclosure of hospital infection rates at SafePatientProject.org and tracks state laws on infection reporting. Time periods and reports vary.

National Healthcare Infections from CDC (2017 NHSN Report)

CDC manages the system that tracks healthcare-associated infections. Over 3600 hospitals and others participate in this voluntary reporting system. Aggregate reports are available to the public by state. Report shows device-related infection rates for central lines (CLABSI), urinary catheter-associated UTI, ventilator-associated pneumonia (VAP), surgical site infections (SSIs); c.difficile events and MRSA bacteremia. Counts available on the number of hospitals that have statistically worse infection rates, but no names provided. Standardized Infection Ratios (SIR) shown for 2015 data; trends to 2016 also available

Vascular Conditions, Conditions, Tests, Treatments

The Society for Vascular Surgery web site for patients has resources about Abdominal Aortic Aneurysm (AAA), Deep Vein Thrombosis (DVT), Peripheral Arterial Disease (PAD), Pulmonary Embolism, Varicose Veins, Carotid Endarterectomy, Surgical AAA Repair, and much more. Includes drawings

What Consumers Should Know – For Safer Surgery (pdf)

Two-page summary developed as part of the national Surgical Care Improvement Project. Discusses preventing surgical infections and more. As published in 2014, the project proved to be successful from 2007 to 2010 in reducing surgical site infections (See Cataife, Guido; Weinberg, Daniel A.; et al, in Medical Care: February 2014 – Volume 52 – p S66–S73)

When Should Antibiotics be given to prevent Surgical Site Infections?

Merck Manual describes the rationale for giving antibiotics before the surgical procedure starts. Written in clinical language. Updated 2015

See Also Consumer Health Ratings – Average Costs & Prices – Compare Hospital Charges Editor's Pick

See our main category on Costs to see how specific hospitals and ambulatory surgery centers or clinics COMPARE on average prices or charges for many surgeries, hospitalizations, procedures and outpatient tests. The LEARN MORE listings show general average costs in your region if available

See also Consumer Health Ratings – Ratings, Report Cards and Credentials – Compare Quality Editor's Pick

See our main page for public reporting of quality ratings and comparisons for individual hospitals, nursing homes, health insurance plans, and other health care services. Check your physician’s credentials and doctor’s license in this category

Other Helpful Listings

20 Most Expensive Conditions Requiring Hospital Stay, 2013 (pdf)

Septicemia, osteoarthritis, liveborn infants, complication of device, implant or graft; heart attack (AMI), congestive heart failure (CHF), back problems, pneumonia, coronary atherosclerosis and acute cerebrovascular disease were the top 10 of a list of 20 health conditions that cost the nation the most in hospital charges in 2013. The top 10 represented nearly half (48%) of the total national hospital bill. For Medicaid patients, mood disorders, schizophrenia and previous C-section were in the top 10. For the uninsured, diabetes with complications was the 4th most expensive condition. 15-page Statistical Brief #204 by AHRQ uses 2013 HCUP data; pub. May 2016

Ambulatory Surgery Average Charges in U.S. Hospitals, 2007

Find average prices for about 80 outpatient ambulatory surgery procedures done in hospitals in 2007 (excluding surgeon’s or other physician fees.) Average colonoscopy & biopsy price then was $2369; upper GI endoscopy $3131; cataract & lens was $4870; tonsillectomy $5286; knee cartilage $7357; hernia repair $8187; outpatient gallbladder removal (cholecystectomy) $10,838; breast biopsy $3863; lumpectomy $7458; ear tube surgery (myringotomy) $3547; D&C $6366; arthroscopy $8970; incontinence procedures $9929; vericose veins $8459; bunionectomy $7699; wrist fracture $7807; $4770 for circumcision. Consumers will need to adjust the 2007 prices to estimate 2018 costs; possibly add 35-40% for a rough estimate. Overall average was $6100, compared to nearly $40,000 for inpatient surgery. AHRQ Statistical Brief #86 published February 2010 unfortunately still has not been updated. No longer Editor’s Pick

Ambulatory Surgery in U.S. Hospitals, 2003: HCUP Fact Book No. 9

Facts and figures on hospital outpatient surgery in 2003 – volumes, average prices, gender, comparisons to inpatient surgery, more. Read sections online. Published January 2007. Amazingly, the federal government never updated this publication, despite the public’s desire to know more about ambulatory surgery costs!

America’s 50 Best Hospitals list (Medicare) 2018 (pdf)

HealthGrades choice for the top 50 hospitals and 100 best in the US, based on clinical quality for Medicare patients over 3 years ending 2016. List shows which hospitals have held clinical excellence for 6 years (top 1%), and those for 3 consecutive years (top 2%). They examined complication rates or survival rates for 32 diagnoses (such as heart failure, COPD, pneumonia, stroke, diabetes, pancreatitis, sepsis) or surgical procedures (such as hip or knee replacement, gall bladder removal, back surgery, bowel obstruction, prostatectomy, angioplasty, valve surgery, and heart bypass)

American Hospital Directory – Outpatient Charges and Volumes (ahd.com) Editor's Pick

Charges and average costs for the 20 outpatient Ambulatory Payment Classifications (APCs) representing the highest Medicare outpatient payment to each hospital (excluding critical access hospitals). List varies by hospital. May include: cost for colonoscopy, laparoscopy, CT, MRI, clinic and emergency (ED or ER) visits, x-ray tests, upper GI, lower GI endoscopy, arthroscopy, cataract with lens, angiography, echocardiography, hernia repair, infusion therapy, nerve injection, observation services, outpatient cardiac catheterization, ultrasound. Scroll to bottom of the hospital page to Outpatient Utilization Statistics. Also shown: inpatient market share by local zip code; net income. Link is to the Free Hospital Information

Appendectomy (Removal of the Appendix) American College of Surgeons

Describes symptoms of appendicitis, who most often gets it, how fast it develops, options for surgery, risks and complications, recovery from surgery. Short and informative, with drawings. Updated 2014

Arkansas Hospital Volumes, Prices, Quality Ratings – by name of hospital

Find average charges (a proxy for average costs) for 40 common hospitalizations at specific AR hospitals by Clicking on INPATIENT PRICING after you’ve selected your hospital. Price List varies by hospital, but may include maternity and childbirth, stroke, chest pain, stomach disorders, back pain, nutritional problems (diabetes), blood infection (septicemia), rehabilitation, heart attack, cardiac cath, drug coated stent, congestive heart failure, kidney failure, urinary infection, COPD, pneumonia, total hip or knee replacement surgery, hysterectomy, psychiatric care, ventilator support and more. Note: Definitions conflict for whether data such as Volumes are Medicare-only, or reflect all patients. To find quality scores on emergency department, heart attack, heart failure, pneumonia, COPD, stroke, delivery or surgical infections, and patient opinions, click on QUALITY at each hospital’s page. Hospital Consumer Assist is provided by the Arkansas Hospital Association. Prices from 2014; Quality and Patient Satisfaction scores reflect 2015 ratings

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

California: CalHospitalCompare.org – Hospital Quality Ratings & Patient Satisfaction Editor's Pick

CA hospital quality ratings for heart care, hip and knee, gall bladder, surgery volume, pneumonia, COPD, stroke, preventing surgical infections & complications, maternity care, emergency department and patient opinion ratings; some mortality/survival rates. Dates of data are unclear, but may be back to 2012 or 2015. Compare hospitals side by side to find Superior Hospitals. Hospitals may be the best in one area but not in another. When viewing hospital report, click on View All, or you’ll miss most of the information. Cal Hospital Compare is supported by Truven Health Analytics

CareChex America’s Top Quality Hospitals 2018

Lists of top 10% and top 25% hospitals (as well as identifying bottom quartile and average performers) in specialties such as bariatric surgery, cancer care, cardiac surgery, inpatient gall bladder surgery, GI care, general surgery, hip fractures, hip or knee joint replacement, organ transplants, spinal fusion, stroke care, and more. 2018 report covers Medicare claims data and HCAHPS patient satisfaction from 2014 to 2016. Announcing award-winning hospitals requires license fee to be paid. CareChex is a division of Quantros (which acquired Comparion Medical Analytics in 2016), a private equity firm with a for-profit information company, which appears to be a competitor to HealthGrades

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

Colorado Hospital & Ambulatory Surgery Infection Rates 2017

CO Dept. of Public Health (CDPHE) reports patient infections in health facilities, including hospitals, ambulatory surgery centers, dialysis centers. Infection Rates are compared to national average, on surgical site infections for cardiac,colon, breast, hip replacement, knee replacement surgery, outpatient hernia repair, hysterectomy, catheter associated bloodstream infections (CLABSI) in adult or neonatal ICU, critical care units & long-term acute care hospitals (LTACHs), and dialysis treatment centers (DTCs). If a facility is significantly better or worse, it’s highlighted. 2016 data

Colorado Hospital Quality Ratings, Report Card

Click on Hospital Quality Report at the Report Card Website by the Colorado Hospital Association. See hospital-specific data on mortality (survival rates) and volume. Mortality Measures show survival rate information for heart care (heart failure, heart attack AMI), pneumonia, stroke, hip fracture, or bleeding stomach (GI). Compare CO hospitals on Patient Safety bedsores (pressure sores/ decubitus ulcer), post-surgical blood clots (DVT, PE), sepsis (bloodstream infections) and falls. Volumes and infections for six procedures (hysterectomy, breast surgery, colon surgery, cardiac bypass CABG, hip or knee replacement). 2016 data, all patients. Nurse staffing information also provided

Compare Hospitals at Why Not the Best? (IPRO) Editor's Pick

WhyNotTheBest.org is a helpful website to check hospital ratings, although data are a bit old. Shows trends and in many cases which hospital has the best performance in the country. Currently using 2015-2016 data for most measures. Some measure are older. Heart care, pneumonia, surgery, patient satisfaction, survival rates (mortality) and more. Trends are shown for many hospitals, and you might be able to find Top Performers in the country at this website. Operated by IPRO

Ear Tubes – What is Myringotomy Surgery?

Brief, consumer-friendly explanation of Ear Tubes, by the American Academy of Otolaryngology – Head and Neck Surgery (AAO-HNS). Covers what ear tubes are, who needs them, outpatient surgical procedure, and what to expect after surgery. Complications are reportedly minimal. Link to find an ENT surgeon (Ear/ Nose/ Throat).

Find an Orthopedic Surgeon (Orthopaedist)

Find an orthopedic surgeon anywhere in the US. Easy-to-use and informative site, by the American Academy of Orthopaedic Surgeons (AAOS).

Florida 2016 Reported Healthcare Incident Summaries

Aggregate summaries for Code 15 Adverse incidents in FL hospitals, ambulatory surgery centers and HMOs. Includes surgical procedure mistakes and deaths from medical injury. Code 15 reports are required for each serious patient injury as defined in state statute, within 15 days of when injury occurred. No facility names given. One quarter at a time, no annual summary. Updated quarterly

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

Florida Outpatient Surgery Prices & Visit Volume (2017 data) Editor's Pick

Compare hospitals and ambulatory surgery volumes and range of charges (average cost is not shown) for common adult and pediatric outpatient surgery procedures, by hospital or surgical center name. Includes arthroscopy, cataracts, laser eye procedures, cardiac catheterization, pacemaker, upper GI & lower GI endoscopy, colonoscopy, hernia repair, hysteroscopy, tonsil removal, lithotripsy, skin biopsy, bunion removal, pediatric circumcision and more. You might be surprised to find outpatient hernia repair prices averaged $10,366 to $25,071, but individual hospitals ranged from $942 to $74,000 (ages 18 to 64, Level 1). Level 2 statewide range was $15,000 to $37,000; individual hospitals were as high as $71,000. Links to inspection reports. FloridaHealthFinder.gov 2016-2017 data

Healthgrades – Hospital Awards for Patient Safety Excellence, 2017

List of top 10% (460) hospitals, distinguished for their Medicare patient safety, using 2013 to 2015 data. List evaluates hospital patient safety incidents, such as leaving foreign objects behind during surgery, pressure ulcers [bedsores], accidental cuts during medical care; deep blood clots, collapsed lung pneumothorax, postoperative hip fracture, bloodstream infection and postop sepsis. Annual study released 2017 by Healthgrades

HealthInsight: National Rankings for Hospitals (all states)

Overall hospital rankings based on a summary of readmissions, mortality, AMI (heart attack), heart failure, stroke, blood clot, surgical infection prevention rankings, plus patient opinions and more. Health Insight, a project of Oregon, Utah, New Mexico and Nevada, developed a helpful composite ranking for nearly every hospital in the nation, using at least 30 national CMS measures and satisfaction ratings from inpatients. Results shown by state. Easier to use than the federal HospitalCompare website, but less detail. Dates are a little unclear

Hip Replacement Surgery (MedlinePlus)

Hip replacement surgery, implants, hip resurfacing, total hip joints, risk of deep vein thrombosis (DVT)/blood clot, minimally invasive hip surgery, anterior approach; links to OR-Live videos

Hospital Compare – at medicare.gov (all states) Hospital star ratings, complications Editor's Pick

Federal government gives 1 to 5 stars and compares hospital ratings for heart attack (AMI), heart failure, pneumonia, COPD, stroke, hip & knee, preventing surgery infections, timeliness of Emergency (ER) dept., use of medical imaging in 2016 to 2017. Includes death rate comparisons from heart failure, heart attack, pneumonia, COPD, stroke, CABG; and return to hospital (readmission) rates. Click on Timely & Effective Care, or Complications. Shows 2016 volume and patient satisfaction HCAHPS ratings from 2016-2017. Some info on colonoscopies and cataracts. Editor’s Pick because the government standardized broad ratings for all hospitals, and most ratings are based on more than just Medicare patients. However, it is still complicated. Small volume hospitals will not show data for some measures. Be sure to click on Show Graphs or View More Details. Today’s stars may reflect older data than shown at the website. Read the fine print

Hospital Ratings at HealthGrades (all states) 2018 Editor's Pick

Hospital Ratings (5-star, 3-star, 1-star) for over 30 diseases & inpatient procedures: Stroke, back surgery, COPD, diabetes, gall bladder surgery, bowel obstruction, GI Bleed, hip fracture repair, hip replacement, total knee replacement, prostate removal, TURP, hysterectomy (listed under gynecologic surgeries), respiratory failure, pneumonia, cardiac bypass, heart attack, heart failure, angioplasty, defibrillator, pacemaker, valve surgery, sepsis, pancreatitis, pulmonary embolism, abdominal aneurysm, stomach surgery, peripheral vascular bypass & more. Probably Medicare-only data for most conditions, although some states provide maternity, appendectomy, and bariatric surgery (gastric bypass) data. More extensive list than the federal government’s site. Publicly-traded company. Most data in 2018 ratings are from Medicare patients, from 2014 to 2016. Click on More to see 3-year patient volume, and actual mortality or complication rates compared to predicted. Patient satisfaction ratings (2016-2017 data) are featured by HealthGrades. One hospital at time, unfortunately

Hysterectomy: What, Why, Recovery, Risks

Get the basics on hysterectomy surgery (uterus removal) from womenshealth.gov, and find out how common hysterectomies are. Links to information on endometriosis. Toll free help line if you want more information: 1-800-994-9662 National Women’s Health Information Center

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 Ambulatory Surgical Center Consumer Reports

IN State Dept. of Health (ISDH) reports of accreditation status, survey inspection findings, deficiencies and complaints for outpatient surgery centers

Indiana Hospital & Ambulatory Surgery Center Medical Errors 2016

Indiana Medical Error Reporting System final report for 2016 summarizes 114 reportable events in hospitals and outpatient surgery centers in 2016. Adverse Events such as leaving a foreign object inside a patient after surgery, operating on the wrong body part. or Stage 3 or 4 pressure ulcers (bedsores) acquired after admission, are based on NQF’s list of 28 serious, largely preventable adverse events. List of events by facility name is a separate 286-page pdf file called Data Tables. Market share data included. Published by IN State Dept. of Health (ISDH, in.gov) February 2018.

Iowa – Average Price for Ambulatory Surgery 2017

Learn about average price for IA hospital-based ambulatory outpatient surgery, before adding surgeon fee or other professional charges. 2016-2017 prices. Check one procedure at a time. Upper GI endoscopy $5,475; Colonoscopy averages up to $7,986; simple cataract about $7000; Tonsillectomy over age 11 $8183; one ear tube $6542; shoulder surgery %19k to $21,000; laparoscopic gall bladder removal averages $16k to $20,000 in hospital charges. Individual hospitals shown if they have enough volume. From Iowa Hospital Association

Iowa Hospital Inpatient Charges Compare

Iowa Hospital Charges Compare provides information about volumes and average 2016-2017 charges (amount billed) and median charge at IA hospitals. Select one hospital to begin. Site allows 4 hospitals to be compared at one time for prices (if you select all cities to begin), length of stay, number of cases and more. Must select city first, then body system before finding the procedure. Provided by the Iowa Hospital Association, this is a starting point for comparing average cost of care between Iowa hospitals. Compare typical prices for surgery such as gall bladder removal, bowel surgery, knee joint replacement; childbirth and newborns, pneumonia, stroke, heart care, transplants, COPD,rehab, and many medical conditions. Severity of illness can be specified. Limited focus to one service and category at a time.

Iowa Hospital Quality, Safety and Satisfaction Ratings

Compare Iowa hospitals on heart care, pneumonia, readmissions, patient safety (including deaths of patients who were unlikely to die during hospitalization); stroke; surgical care, complications and deaths; maternity; infection prevention and more. Patient satisfaction ratings also shown. Interactive report only. Extremely slow to operate, since you can’t compare hospitals side-by-side, nor get a full hospital report at once. Select the Iowa Report Table of Contents to find which measures show hospital names. 2018 Iowa Report by the Iowa Healthcare Collaborative (based in Des Moines, IA) uses 2015-2016 data

Knee Replacement Surgery (MedlinePlus)

Topics: total knee replacement surgery, joint replacement (arthroplasty), revision surgery, conditioning, rehabilitation exercises, deciding to have hip or knee surgery, and more. Many videos on minimally invasive surgery. We like MedlinePlus so much better than WebMD. It’s a service of our National Library of Medicine (NLM) and the National Institutes of Health (NIH)

Leapfrog – Minimum Volume Recommendations (Evidence-based Hospital Referral pdf) Editor's Pick

The Leapfrog Group has Evidence-Based Hospital Referral Safety Standards that include recommended volumes for certain procedures. They include minimum annual hospital volumes as follows: 120 aortic valve replacement, and at least 50 babies in neonatal intensive care (NICU). Other procedures under evaluation include heart bypass (CABG), Percutaneous coronary intervention procedures (PCI angioplasty), abdominal aortic aneurysm repair (AAA), pancreatic resections, esophagectomy. Read about the specifics, then go to the Hospital Quality Ratings category, and check the Leapfrog data for information on your local hospitals. Updated 2017

Leapfrog Hospital Quality Ratings – For Consumers (all states) Editor's Pick

The Leapfrog Group, an employer-based coalition, asks hospitals to voluntarily report how closely they follow recommended quality and safety practices. CLICK on the blue [i] to the right of each green bar chart to find out if your hospital meets survival expectations and volume standards of 50 High-Risk Delivery-Neonatal ICU patients per year. Info on infection rates and early elective cesarean deliveries also reported. Many hospitals participate; easy to compare. Updated for 2017, but period covered is unclear. Leapfrog was a pioneer in getting ratings in the public eye

Louisiana Hospital Ratings and Prices – LA Hospital Inform

Find range of charges for Medicare patients at Louisiana hospitals, both inpatient and outpatient. Hospital-specific inpatient charges do not include childbirth or C-section, since it’s Medicare only. Find hip or knee surgery prices, gall bladder removal, psychiatric admission, rehab, heart problems, stent, stomach problems, stroke, GI hemorrhage, kidney failure, COPD, pneumonia, diabetes, bowel surgery, more; outpatient Medicare prices include ER visits, heart tests such as cardiac cath, EKG, heart imaging, valve repair; CAT scan or CT angiography, GI endoscopy, more. Quality scores and volumes (which cover all patients), are similar to those at HospitalCompare, but may be less current (2015). Louisiana Hospital Inform is sponsored by the Louisiana Hospital Association; Price ranges from 2015 (outpatient and inpatient)

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

Maryland Hospital Quality Ratings (MHCC)

Overall consumer satisfaction, and Quality Measures on common groups of illnesses or conditions for which people are hospitalized in Maryland. Topics include different types of infections, emergency department waiting time, heart conditions, pneumonia, COPD, hip and knee surgery, imaging, stroke, maternity and newborn care, surgery infections for hysterectomy, colon surgery and more. Click on hospital name to see actual scores and details. MD Hospital Guide generally shows 2015-2016 data, pub. by MD Health Care Commission

Medicare Ambulatory Surgery Allowed Costs – 25 Commonly Performed Procedures

See this file for 25 procedure payments by Medicare and what they considered the Allowed Amount. This file shows average amounts Medicare paid to Ambulatory Surgery Center (ASC) facilities for selected outpatient surgery such as spinal injection (example: CPT code 62311 Medicare allowed $377, and paid $297), knee arthroscopy (CPT 29881 $1631 allowed), prostate needle biopsy (CPT code 55700 $670 average allowable cost; $530 average cost paid), simple cataract removal & lens insertion ($1679 allowed; Medicare paid $1339), bunion correction ($1825 allowed), crushing kidney stones ($2330 allowed), large bowel endoscopy ($586 allowed, plus $671 for removal of polyps), and more. Includes physician fees and payment to the ASC. Confusing file unless you know CPT codes and can use Excel files. Actual prices or charges are not shown. This is the best of what’s out there nationally, with state average charges. 2012 data published Sept. 2013

Michigan – Compare Hospitals, Physician Groups, Nursing Homes in SE Mich. Editor's Pick

The Greater Detroit Area Health Council provides a 7-county health care performance report at MyCareCompare.org. Compare MI hospitals (side-by-side) for childbirth, COPD, emergency department (ER), heart attack, heart failure, cardiac surgery, hip or knee replacements, imaging, infections, patient safety, pneumonia, surgical infection prevention and overall patient satisfaction. See mortality ratings (survival rate) for some conditions. Same info as listed at the federal HospitalCompare site, except mycarecompare might not be updated as often, so check the federal site. The advantage of mycarecompare is that consumers can see Above Average and Below Average comparisons very quickly, for the selected hospitals they want to look at, and all health conditions at once. Very easy to use. Physician group and nursing home results are at this site. GDAHC hospitals are in Detroit, Ann Arbor, Pontiac and counties: Wayne, Washtenaw, Livingston, Macomb, Monroe, Oakland, and St. Clair. GDAHC was an early leader in quality transparency. It appears that larger hospitals in Lansing and other towns may be included. Medical group data from 2016

Michigan Hospital Ratings: VerifyMIcare.org

Redesigned website from Michigan Hospital Association’s Keystone Center allows consumers to compare care at MI hospitals. Compare 3 hospitals at a time on how well they rate on infections, overall mortality (survival rates), readmissions, some obstetrics care, complications from surgery, and length of stay for hip or knee replacement surgery, stroke, heart failure or pneumonia. Includes critical access hospitals in rural areas and metro hospitals in the Detroit, Ann Arbor and Lansing areas. Data from 2016-2017. Updated web site launched Jan. 2018

Minnesota – Adverse Health Events in MN Hospitals & Ambulatory Surgery Ctrs 2017

Report of 341 adverse health events required to be reported by Minn. law, that occurred in hospitals, ambulatory surgery centers and behavioral health hospitals. These [Never Events] such as falls or pressure ulcers (bedsores) that resulted in a patient’s death or serious injury, or a foreign object left in during surgery, or operating on the wrong patient or wrong body part, were reported between October 2016 and Oct. 2017. There were 103 serious injuries and 12 deaths. View facility-specific data in the 106-pg pdf (near end of the report). Adverse Events in the 2018 report came from 73 hospitals or ambulatory surgery centers. Report by MN Department of Health Feb. 2018

Minnesota – Hospital Price Check (Inpatient & Outpatient)

Hospital-specific prices (charges) for all inpatient hospitalizations (described in medical terms) and top 25 same-day surgery procedures in MN. Find average and median inpatient cost (before discounts) and volume for newborns and child birth delivery, pneumonia, chest pain, COPD, hip or knee replacement, appendectomy, cellulitis, hysterectomy, rehab, other surgeries & many more. Outpatient prices for biopsies, cataracts, colonoscopy, ear tubes, gallbladder, hernia repair, arthroscopy, tonsillectomy, upper GI endoscopy, hysteroscopy, carpal tunnel and other same-day surgery. Compare 3 hospitals, one procedure at a time; excludes doctor charges; by Minnesota Hospital Association, 2016 prices

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 Healthcare-Associated Infections – Central Line, Surgery & Ventilators (HOB) Editor's Pick

Three types of hospital-acquired infections – Central Line Associated Bloodstream (CLAB) Infections, Surgical Site Infection rate, and Head of Bed elevation to prevent ventilator-associated pneumonia – are presented by hospital or ambulatory surgery center (ASC) name, along with a symbol identifying whether the facility has a lower or higher rate than its comparison group. Click on DATA if you want to see the actual numbers of infections. Surgery infections available for hysterectomy, hip, heart bypass (CABG), outpatient breast surgery and hernia repair. Report by the MO Department of Health and Senior Services (DHSS) shows 2016 data. Click on Infection Reporting Data to search

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

Montana Hospital Outpatient Surgery and Test Costs

Compare MT hospital charges for ambulatory surgery and diagnostic tests such as colonoscopy, sigmoidoscopy, breast biopsy, cardiac stress tests, cardiac catheterization. All prices EXCLUDE surgeon fees and other physician costs. PricePoint system shows facility prices in the past, for common surgical procedures such as tonsillectomy, cataracts, ear tubes, knee cartilage, bunions (median $5483, $2000 more for big toe), child’s appendix removal, carpal tunnel, skin lesions, upper GI endoscopy; x ray, CT, MRI and other radiology imaging prices listed; 2015 costs

Nebraska Hospital PricePoint System (Inpatient Charges)

Find average price and typical charges for most types of inpatient hospital stays in NE. Example of hospitalizations: maternity prices, angioplasty, heart surgery, some cancer services, hip & knee surgery, bowel surgery, kidney and other transplants, pneumonia, stroke, UTI, gall bladder surgery (inpatient only). If you can’t find it, check the comprehensive list (e.g. MDC 19 for mental health). Bipolar admission cost about $15,000 on average in 2016. Includes volume, average length of stay in the hospital, and median age of patient. Does not include physician costs. Shows one hospital/ one disease or condition at a time; 2016 data. All cities including Omaha, Lincoln, Grand Island, Creighton, Norfolk, Kearney. NHA Care Compare is sponsored by the Nebraska Hospital Association

Nevada Hospital Ratings and Patient Satisfaction Scores

Nevada Hospital Association shows NV hospital performance ratings on Emergency care, Heart care, pneumonia, stroke, COPD, hip and knee, infections, plus patient opinion ratings. Shows 2015 data (or later). Some measures may be the same as at CMS HospitalCompare website, but dates may vary. Scores also for adverse events, surgical complications, mortality, readmissions. Consumers may view 3 hospitals side-by-side. Volume levels for certain procedures are given, but mislabeled to read that lower volume is better.

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

New Hampshire Physician Visit, Outpatient Hospital and Dental Prices – Compare (free)

Compare physician office visit prices, dental prices, hospital outpatient tests, PT visits and some surgery prices, as well as some ER prices (estimated at 2016-2017 prices plus 5% inflation) in NH. Choose procedure or test (e.g. lab, Radiology such as x-ray, MRI, CT or ultrasound). Select insurance, or uninsured to compare charges with your deductible. Tonsillectomy, colonoscopy and about 20 different surgeries are in Outpatient, which are bundled to include surgeon and anesthesia costs. Price transparency project developed by the New Hampshire Insurance dept.

New Jersey Hospital Quality Assessment – heart, pneumonia, infections

Compare NJ hospitals on Emergency care, Heart Attacks, Heart Failure, Pneumonia, and Infection Prevention for surgery, cardiac bypass grafts, surgical infections; central line (CLABSI) and catheter (CAUTI) infections prepared by the NJ Department of Health and Senior Services. Mortality ratings for heart attack, heart failure, pneumonia, stroke, and CABG are shown, but are quite old (2012-2013). Patient Safety Indicators use 2014 data or older. NJ Dept. of Health

New York State Hospital Quality Ratings – health.ny.gov

Select NY hospitals to compare in care areas like emergency department waiting time, post-op complications, cardiac, patient satisfaction, readmissions, death rates or infection prevention. Data updated each year, although dates are hard to find (hover over the hospital’s score). Most data are 2015 or 2016. Services include maternity, and volumes for some types of surgery (e.g. endoscopy, colonoscopy, hernia repair). State Department of Health site. Select one hospital at a time. Although you can select hospitals to compare, we couldn’t get the measures to show side by side.

Nova Scotia Wait Times for Tests and Surgery Editor's Pick

Excellent government web site from Nova Scotia Canada showing the wait times for diagnostic tests such as MRIs, CT, bone density scans, mammograms, breast biopsy (needle), ultrasound, and upper GI series. Waiting times for scheduled surgery such as ear tubes, hip or knee replacement, bunionectomy, carpal tunnel, gallbladder removal, heart or valve surgery, hysterectomy, hernia repair, tonsillectomy, and cataract surgery; and how long to get a consult with physician specialists (such as cancer specialists). View by doctor’s or surgeon’s name, in addition to hospital and facility. Information is very recent, updated 2018

Ohio Hospital Prices (Sample) – Inpatient, ED, Lab, X-ray average charge

Here’s an example of Ohio hospitals (7-hospital system called OhioHealth) showing their current January 2018 prices for 100 common tests and hospital services.  Selected prices are provided by each hospital.  Examples include daily hospital room charge, ICU charges, labor, delivery, c-section and newborn prices, price for an ER visit (depends on Level of the emergency department), operating room charges, PT, OT, cardiology and pulmonary charges, prices for x-rays, CTs, MRI, ultrasound, DEXA scan, and many lab tests. Examples are CBC, BUN, Arterial blood gas, lipid panel, troponin, cultures, glucose, hemoglobin A1C, pap smear, creatinine. Price list varies by hospital. Caution: Physician professional fees may not be included (even in the Emergency Department).  Check each hospital’s website separately.

Oregon – compare hospital costs (2015)

OHA – Oregon Health Authority posts average hospital charges paid in 2015. Select inpatient Payment Report to compare hospitals on costs for appendectomy, chemotherapy, coronary bypass, dialysis, inpatient gallbladder surgery or hernia repair, hip replacement, hysterectomy, angioplasty and more. Select Pregnancy report to find maternity costs (about $7700 for normal delivery, $13,279 for uncomplicated c-section and $2200 for newborns). When estimating, add in medical inflation. Pub. July 2017

Oregon Hospital Guide to Costs

Compare up to 3 hospitals at a time on 2015 costs paid by commercial insurance companies or patient-paid amounts. Median amounts shown for 100 most common outpatient procedures and 50 most common inpatient procedures. Medicare and Medicaid are excluded. Includes maternity & newborn payments, heart care, stents, cardiac cath, hip and knee replacement, many surgery payments such as cataracts, hernia, hysterectomy, kidney removal, gall bladder, breast biopsy, carpal tunnel, mastectomy, tonsillectomy, endoscopy, shoulder surgery, appendectomy. Amounts paid for CT, MRI, Nuclear Medicine, x-ray and ultrasound; chemotherapy and radiation treatments. Site by the Oregon Association of Hospitals and Health Systems (OAHHS) to meet state requirements. Consumers can try to get an idea of 2018 prices by calling the hospital

Pennsylvania – Hospital Quality Ratings & Patient Opinions (PHCQA)

Compare PA hospitals side-by-side for heart failure, heart attack, pneumonia, cancer care, stroke, surgical infection prevention, Emergency Room, patient satisfaction (Consumer Assessment) and more. Similar info at the CMS HospitalCompare (dates may vary), but this may be easier to use and more than 3 hospitals can be compared at once. Easy to compare all hospitals in a county. Dates vary from 2014 to 1st quarter 2017, depending on the measure. Pennsylvania Health Care Quality Alliance (PHCQA) merged with the Health Care Improvement Foundation in 2015.

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.

Pennsylvania: Healthcare-Associated Infections, 2010 (PHC4)

Study of Pennsylvania hospitals shows hospital-acquired infections are dangerous (may contribute to lower survival rates: 9.1% mortality for those with such infections, vs. 1.7% for those without), and costly. Detailed mortality rates shown. Length of stay approached 22 days for those with healthcare-associated infections, compared to 5 days without. About 21,000 infections were reported in 2010, on nearly 1.9 million patients. Nearly half of infections were either surgical site or urinary tract infections. Individual Hospitals are not shown. Medicare payment shown. Report by Pennsylvania Health Care Cost Containment Council, an independent state agency, February 2012

South Carolina – Compare Hospital Associated Infection Rates (HAIs)

Find surgical site infection rates at SC hospitals for colon surgery, hysterectomy (abdominal), hip and knee replacements, and heart bypass (CABG), 2016 data. Central line infections in hospital ICUs, c. difficile and MRSA also shown; compare hospitals for each type of infection. Provided by state Department of Health (DHEC), Sept. 2017

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)

Surgeon Scorecard – Knees, Hips, Gallbladder, Spinal Fusion, Prostate Surgery, Medicare 2015

Compare individual surgeons’ complication rates (risk-adjusted) for Medicare patients having one of 8 types of inpatient surgery: hip or knee replacement, laparoscopic gallbladder removal, cervical (neck) or lumbar spinal fusion (either posterior or anterior technique), and prostate resection or removal. Analysis by ProPublica looked at billing records from 2009 to 2013. Numbers of cases shown are MEDICARE-ONLY (although the column title omits that point), and require at least 20 cases for a doctor’s rate to be shown. Physician’s rate combines his/her Medicare cases at all hospitals. Website was somewhat controversial in 2015. Tool is easy to use; data have not been updated

Surgical Safety Checklist proves effective – NEJM 2009

Article by Haynes, Weiser et al (including our favorite Atul Gawande MD) published in the New England Journal of Medicine, outlines the effectiveness of an easy-to-implement surgical checklist. The study tested the tool and approach with about 4000 patients in eight hospitals (incl. one in Seattle) in 8 countries, providing a diverse application of the checklist. Results showed significant and dramatic improvement in lowering surgical site infections, returns to OR, deaths, and complications. Very exciting stuff when published in January 2009. Now it has become standard of care

Texas – Guide to Texas HMO Quality 2017 (OPIC)

Lengthy (270 pages) but valuable report showing detailed clinical quality comparisons between HMO health insurance plans for indicators such as asthma, childhood immunizations, cancer screening, heart care, high blood pressure, diabetes care, prenatal care, mental health care, flu shots, antibiotic utilization rates, rates of physician board certification, and more. Compare HMOs Aetna, Allegian, Cigna, Community First, Community Health Choice, FIRSTCARE, HMO Blue Texas, Humana, Molina, Scott and White, Superior and United Healthcare of Texas. Pub. by TX Office of Public Insurance Council

Texas – Inpatient Care Ratings in Texas Hospitals, 2014

Nineteen (19) separate quality ratings include patients of any payer type. Compare hospital volumes, mortality (survival rates), and certain utilization rates (i.e. cesarean section, VBAC rate, laparoscopic cholecystectomy (gall bladder), cardiac cath, appendectomy in elderly). Survival rates for heart attack (AMI), heart failure CHF, stroke, GI hemorrhage, hip fracture, and pneumonia. Volume and/or death rates provided for heart bypass surgery (CABG), angioplasty (PCI), AAA Repair, hip replacement, craniotomy, esophageal resection, pancreatic resection, and carotid endarterectomy. TX Dept. of State Health Services THCIC. If your hospital has a * by it, its mortality rate is significantly lower (good), but if it has two ** by it, its risk-adjusted mortality was found to be significantly higher; must look VERY closely to find the asterisks. Updated 2018, but becoming very old

Texas PricePoint – Compare Hospital Inpatient Charges (Prices)

If you are looking for average cost of hospital care or surgery, the 2015-2016 prices at this site by the Texas Hospital Association might be the closest you can find. Information for one hospital at a time (no side-by-side comparisons) for maternity, childbirth, newborn, c-section; hip or knee replacement (look up Joint), fracture repair; hysterectomy, pneumonia, COPD, bronchitis, asthma; heart failure, chest pain, cardiac cath, bypass, stent, heart transplant; mental health, psychiatric hospitalization, depression; alcohol rehab; bowel surgery; back problems including spinal fusion and more. Volumes at each hospital are shown. Uses abbreviated medical terms instead of lay language. Does not include surgeon or other physician fees

usnews.com Best Hospitals 2017: Ear, nose, and throat

Uses 3 years of Medicare data (minimum 45 cases), to select the top 50 best hospitals for ENT. Top of the list: Johns Hopkins (Baltimore), and Massachusetts Eye and Ear (Mass Gen), Boston. Strong weight to Reputation scores and volume. Rankings also consider survival rates

usnews.com Best Hospitals 2017: Gastroenterology

Fifty hospitals ranked, using Medicare data 2013-2015, survival rates (30-day mortality scores), volume, reputation and other factors. Mayo Clinic and Cleveland Clinic again lead the 2017 list. GI problems, inpatient Gall bladder cases, & bowel surgery are included in this best hospitals category. Minimum 3-yr volume of 438 inpatient cases, of which 111 needed to be surgical

usnews.com Best Hospitals 2017: Gynecology Rankings

Mayo Clinic (Rochester, MN) and Memorial Sloan Kettering (New York) lead the list of 2017-2018 best hospitals for Gynecology from US News & World Report. Gynecology rankings include hysterectomy surgeries, and use data Medicare data from 2013 to 2015. Relative survival rates are included. Minimum 50 Medicare gynecology cases (3-yrs)

usnews.com Best Hospitals 2017: Neurology and neurosurgery

US News & World Report’s list of top 50 hospitals for Neuro care and Neurosurgery. Mayo Clinic and Johns Hopkins lead the 2016 list. Stroke, carotid artery stent, craniotomy and multiple sclerosis included in this category. Minimum number of Medicare cases = 236 over 3 years

usnews.com Best Hospitals 2017: Ophthalmology (Eye)

Twelve hospitals listed for eye surgery, ranked using reputation scores only, no clinical outcomes data were examined (except what individual physicians responding to the survey had investigated on their own). Bascom Palmer in Miami and Wills Eye/Thomas Jefferson in Philadelphia top US News & World Report’s 2017-18 list of best hospital Ophthalmology programs

usnews.com Best Hospitals 2017: Pediatric & Children’s Hospitals

US News & World Report’s top pediatric hospitals listed for cancer, diabetes and endocrinology; gastroenterology (digestive disorders) & GI surgery, cardiology and heart surgery, nephrology (kidney), neonatology, neurology and neurosurgery, orthopedics, pulmonology (respiratory problems), and urology. Honor roll of 10 hospitals is led by Boston Children’s and Children’s Hospital of Philadelphia. List called Best Children’s Hospitals updated June 2017

usnews.com Best Hospitals 2017: Urology Rankings

Cleveland Clinic and the Mayo Clinic lead the Urology list of 50 best hospitals from US News & World Report. List uses Medicare data, reputation and other factors; includes cases of prostatectomy, TURP, kidney stones and other urologic surgery. Minimum 38 cases over 3 years, of which 15 required to be surgical

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

Vermont – 2017 Hospital Report Cards (Act 53)

Vermont calls these ratings Act 53 report cards, in honor of legislation passed in 2003, requiring VT hospitals to publish annual community reports about hospital quality, safety, financial health, costs for services and more. This government site links the data, including outpatient prices.  See if your hospital is average, above average, or below average. Health conditions include heart care, pneumonia, surgical infection prevention, central line associated bloodstream infections, hysterectomy infections, knee replacement and hip replacement infection rates, volume and death rates for resection of esophagus or of pancreas (usually for cancer), abdominal aneurysm repair (AAA – listed as fix the artery), readmissions & more. This site permits access to Quality Ratings, Survival Rate information, links to patient satisfaction and current medical prices all on the same web page for easy access. Nurse staffing also available. 2015-2016 data for quality; 2015 and 2017 information on prices

Vermont – Hospital Outpatient Surgery Prices, 2015 (pdf)

Table 2A lets you compare average gross charge (the closest you will get to average cost) for most common outpatient surgical procedures at 14 general hospitals in VT. Prices for procedures such as cataract surgery (average $5971), upper GI endoscopy ($3296), knee cartilage surgery ($8951 average), arthrocentesis joint aspiration ($774), gall bladder removal (average $12,804), breast biopsy (avg. $4422), other biopsies, ear tubes (average $3400), tonsillectomy ($6730), diagnostic cardiac cath ($22,834), bunion removal (11,501 avg; range $6401 in Springfield to $23,707 at Copley), colonoscopy $12,804 average, hernia repair $11,221, and many more procedures; 12-month avg. charges ending Sept. 30, 2015, DO NOT include the surgeon or other physician fees. As with all of Vermont’s reports, the font size is about as small as you can get. More than two years old, published 2017. Table 2B shows how many of those procedures the hospital did

Vermont – Inpatient Hospital Average Prices, 2015 (pdf)

2017 Hospital Report Card shows average prices (gross charges) for each VT hospital’s most frequent inpatient admissions – includes newborn delivery (nomal newborn $2920; newborn with medical problems = $4984), cesarean section ($15,000 to $19,000), average vaginal delivery $8563 without complications; pneumonia, total hip or knee replacement (average $42,898), depression  (average $11,778), psychoses such as schizophrenia (average $31,105), COPD & emphysema, heart failure, chest pain, rehabilitation, heart rhythm problems, back problems, kidney or urinary tract infection, and other hospital stays. All common hospital admissions except newborns averaged more than $10,300 statewide. Spinal fusion about $64,000. Compare costs on nearly 60 different types of cases, listed by MS-DRG. Links to hospital discount policies for consumers with cost concerns; 2014-2015 average charges

Vermont – Outpatient Surgery Market Share 2015 – counts (pdf)

Find out how many outpatient surgeries (selected types) are done at each Vermont hospital, and the average price statewide (average gross charge) for period of Oct 2014 to Sept. 2015. Prices do not include physician charges. Volumes include cataract surgery, endoscopy, cholecystectomy (gall bladder surgery), colonoscopy, ear tubes (myringotomy), tonsillectomy, bunionectomy, circumcision, breast biopsy, outpatient cardiac catheterization, hernia repair and more. Part of the State Act 53 Hospital Community Report series, published 2017

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 Hospital OP Charges, Case Numbers & Patient Satisfaction

Consumers can view median charge in 2016 for selected outpatient surgery (last tab) by hospital, ambulatory surgery center and for the state. Surgeries show case volume and common price for breast, hernia repair, colonoscopy, knee arthroscopy, fibroid removal, laparoscopy, gallbladder, hysterectomy. Hospital data (one facility at a time) shows inpatient cases by service line, financial performance & efficiency; patient satisfaction. Must click on additional tabs, or select printer-friendly in order to see more information. See detail and read carefully. Prepared by Virginia Health Information using 2016 data (some 2017)

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)

Washington Hospital Quality Ratings and Satisfaction Levels

Compare WA hospital scores for Emergency Care (average 24 minutes before patients see a doctor or nurse), Surgical Infections (cardiac surgery, orthopedics, hysterectomy) Heart Attack, Heart Failure, Pneumonia, Stroke, Surgery (including hip and knee), and patient opinions. Mortality (survival) data for heart care and pneumonia. Consumers can find some of this information, and probably more current at the federal HospitalCompare site. Here all hospitals are side-by-side and may be easier to see, but data are older. Most data are up to 2015 or 2016 only. VIEW DATA GRID is an excellent way to see scores quickly. Be sure to Expand Grid when you see that option. Washington State Hospital Association

Weight Loss Surgery (MedlinePlus)

Bariatric surgeries estimated at 216,000 (2016) including revisions which comprise about 13% of the total. Information about risks, bariatric surgery, gastric bypass, laparoscopic Roux-en-Y procedure, sleeve gastrectomy (about 58% of surgeries), stomach band, Body Mass Index (BMI), directories of bariatric physicians, Medicare coverage for weight loss surgery, laparoscopic surgery videos and more

Wisconsin – Ambulatory Surgery Facility Charges, 2016

Average 2016 charges in WI for 20 common ambulatory surgery procedures, such as Colonoscopy (6 codes), Endoscopy, Biopsy, Spinal Injection, Cataract & Lens ($7455 hospital average), outpatient Knee surgery/arthroscopy ($12,191), Carpal Tunnel ($6279), Ear Tubes, and more. Volumes for each hospital and surgical center are shown for top 20 only. Go to Table 28 for a longer list of 40 procedures including colonoscopy ($4934 average) and gall bladder removal (laparoscopic cholecystectomy at $16,206). Chapter VII compares average prices (along with median charge and volume) at each hospital for twenty 2016 ambulatory surgeries. Prices do NOT include surgeon and physician fees, which may cost thousands of dollars and could double prices shown. Consumers should add inflation to estimate 2018 facility prices. Scroll to bottom of page for Chapters VI and VII Ambulatory Surgery, published by WHA Information Center August 2017

Wisconsin CheckPoint – Hospital Ratings and Patient Opinions Editor's Pick

Compare hospital quality performance and patient satisfaction ratings for 125 hospitals in WI. Topics: heart attack, heart failure, pneumonia, surgical infection prevention and survival for hip, knee surgery, heart, vascular, other cardiac, colon surgery and hysterectomy; patient safety practices, incidental appendectomy rate; deaths data. See how many patients would definitely recommend the hospital. Most data are from 2016-2017. Wisconsin Hospital Association makes quarterly updates. Even though the clinical topic list is sketchy (such as Bones and Digestive), WHA receives Editor’s Pick for going beyond CMS measures, for showing all hospitals side-by-side, consumer ease in getting a free comprehensive quality report for one hospital, staying current, and showing comparisons to the benchmark best in the state

Wisconsin Hospital Survival Ratings for Surgical Procedures Editor's Pick

Compare 86 WI hospitals (side-by-side) on their survival rates for AAA Repair, Craniotomy, CABG heart (cardiac) bypass, PTCA angioplasty, CEA endarterectomy, and hip replacement surgery. Wisconsin Hospital Association report Deaths During a Procedure shows most hospitals performed As Expected, with a few significantly Worse, or Better than the others. Source data from 2014 reported as of December 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.

Wisconsin PricePoint – Outpatient & Ambulatory Surgery Cost

Compare outpatient and ambulatory surgery volume and charges for colonoscopy, cataracts, eardrum surgery, shoulder or knee surgery, carpal tunnel surgery, removal of tonsils & adenoids, appendectomy, breast biopsy, endoscopy, gallbladder (cholecystectomy), upper GI, heart catheterization and more. Compare hospitals and surgical centers. Typical (median) price in county and statewide Wisconsin median prices shown, but no dates are provided for reference. Prices exclude surgeon and other doctors’ fees which may double the numbers you see here

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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